马塞特神经转移具有双重功能,用于微笑和闭眼
Katie Hicks1, Christine B Novak1, Moaath Saggaf1
1Division of Plastic, Reconstructive & Aesthetic Surgery, Department of Surgery, University of Toronto, Faculty of Medicine, Canada.
概括
在面部神经麻患者中,选择性麻神经 (MN) 转移有效地恢复了 orbicularis oculi (OO) 肌肉的功能,以关闭眼睛. 这种技术为面部复苏提供了一个可行的选择,这对于角膜保护至关重要.
科学领域:
- 神经外科 神经外科
- 面部整形手术 面部整形手术
- 重建性手术是一种重建性手术.
背景情况:
- 面部神经麻会损害眼睛的闭合和面部对称.
- 马塞特神经 (MN) 转移是一种潜在的手术选择,用于复苏眼 (OO) 肌肉.
- 将选择性MN转移与交叉面神经移植 (CFNG) 的比较对于优化结果很重要.
研究的目的:
- 为了评估选择性MN转移在重新内核化OO肌肉中的有效性,以改善面部神经麻的眼睛闭合.
- 为了比较选择性MN转移与CFNG用于OO再内核化的功能结果.
主要方法:
- 对16名面部神经麻的成年患者进行了回顾性研究,这些患者接受了选择性MN转移和CFNG,用于OO和斜骨大脑的双重内脏化.
- 通过肌电图,临床评估,Sunnybrook面部分级系统和闭眼的eMotrics来评估结果.
- 随访包括临床评估 (平均29.4个月) 和视频分析 (平均20.6个月).
主要成果:
- 在手术后的脸休息对称性,自愿轻柔闭眼和微笑对称性方面观察到显著的改善.
- 所有患者都在电肌图上通过MN转移证明了OO再内核化.
- 手术后的眼皮位置与MN转移激活有显著差异.
结论:
- 选择性MN转移有效地实现了OO肌肉的功能性再内化,促进了眼睛的闭合.
- 该程序导致面部对称性和动态功能的显著改善.
- 应考虑选择性MN转移进行面部复苏,特别是用于角膜保护.
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