在面部患者中,双重神经转移的功能结果
Rami Ezzibdeh1, Monica Rossi Meyer2, Sarah Stranberg3
1Otolaryngology Head & Neck Surgery, Stanford University, Palo Alto, CA, United States.
Journal of plastic, reconstructive & aesthetic surgery : JPRAS
|February 19, 2025
概括
双神经移植显著改善了面部患者的面部功能和生活质量. 这种手术技术增强了静态和动态的面部运动,导致更好的沟通参与.
科学领域:
- 重建性手术是一种重建性手术.
- 微手术 微手术是一种微手术.
- 面部神经手术 面部神经手术
背景情况:
- 面部显著影响社会互动,导致抑郁和孤立.
- 双神经移植提供了一种同时方法,可以恢复动态和静态的面部功能.
- 恢复面部对称性和运动对于患者的福祉至关重要.
研究的目的:
- 评估面部中双神经转移的长期功能结果.
- 评估双神经转移对生活质量和沟通感知的影响.
- 为了研究在双重神经移植手术后临床医生分级的功能改善.
主要方法:
- 对8名接受双重神经移植 (低分泌神经和大脑神经) 的患者进行了回顾性分析.
- 使用电子临床医生等级的面部功能尺度 (eFACE),面部临床评估尺度 (FaCE) 和沟通参与项目银行 (CPIB) 的术前和术后评估.
- 功能评分和生活质量指标在手术前后进行比较.
主要成果:
- 在复合的eFACE分数 (25±7分),动态 (39±10) 和静态 (38±18) 子域中观察到显著的改善.
- 观察到增加了 commissural excursion (68±24分),并略微增加了 synkinesis (9±6分).
- 生活质量得分有所改善,FaCE显示9.5±5和CPIB增加5.1±6.6.
结论:
- 双神经移植在面部中提供了统计和临床上显著的功能改善.
- 该程序提高了受影响患者的生活质量和沟通参与.
- 双神经移植是面部复苏的安全和有效选择,并并发症最小.
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