在神经衰竭患者中,免费的Gracilis肌肉转移:重新考虑深神经
Tyler M Rist1, Christopher Blake Sullivan2, Virginia Drake1
1Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology/Head and Neck Surgery, University of North Carolina, North Carolina, USA.
The Laryngoscope
|September 9, 2025
概括
在先前的面部手术后,选择供体神经进行自由肌肉转移 (FMGT) 是具有挑战性的. 本案例报告强调了深神经作为在神经衰竭患者中为FMGT提供动力的可行选择.
科学领域:
- 重建性手术是一种重建性手术.
- 神经学 神经学
- 面部的治疗方法
背景情况:
- 自由肌肌移动 (FMGT) 是面部的重建选择.
- 选择一个适合的捐赠神经为FMGT是复杂的在患者之前面部手术史.
- 由于先前的干预而导致的神经衰竭使得捐赠神经的选择变得复杂.
研究的目的:
- 报告一种新的方法,用于在神经耗尽的患者中内化一个自由的Gracilis肌肉移植.
- 评估深神经在复杂病例中作为FMGT的供体的疗效.
主要方法:
- 病例报告详细介绍了自由肌肉肌肉转移 (FMGT).
- 利用深神经作为捐赠神经进行重新内脏化.
- 患者有以前面部手术的病史,导致神经衰竭.
主要成果:
- 成功地实现了自由格拉西利斯肌肉转移的重新内化.
- 深神经有效地为这个神经耗尽的患者的FMGT提供动力.
- 在具有挑战性的重建场景中展示了使用深神经的可行性.
结论:
- 深神经可以成为成功的捐赠神经,用于以前面部手术和神经衰竭的患者的自由肌肉转移 (FMGT).
- 这个案例扩大了复杂,神经耗尽的患者面部复苏的选择.
- 强调考虑其他捐赠神经的重要性,如深神经.
相关概念视频
Myasthenia Gravis: Overview and Treatment
Myasthenia gravis is a neuromuscular transmission disorder characterized by weakness and increased fatigability of skeletal muscles. It is an autoimmune disease affecting approximately one in 2000 people, where antibodies against the α1 subunit of nicotinic acetylcholine receptors are produced.
These antibodies interfere with the function of the nicotinic receptors in three ways: by binding to the receptor and disrupting acetylcholine binding; by causing cross-linking of receptors which leads...
These antibodies interfere with the function of the nicotinic receptors in three ways: by binding to the receptor and disrupting acetylcholine binding; by causing cross-linking of receptors which leads...
Myasthenia Gravis: Diagnostic Tests
Myasthenia gravis is an autoimmune condition affecting neuromuscular transmission, causing generalized weakness in skeletal muscles. Initial diagnoses rely on patients' signs, symptoms, and medical history. The challenge lies in distinguishing myasthenia from other muscular dystrophies. An important diagnostic feature is the significant improvement of symptoms after administering anticholinesterase inhibitors.
The edrophonium test is a diagnostic tool for myasthenia gravis. It involves...
The edrophonium test is a diagnostic tool for myasthenia gravis. It involves...
Classification of Skeletal Muscle Relaxants
Skeletal muscle relaxants are a group of drugs that can reduce muscle stiffness and induce temporary paralysis to relieve pain. These agents can act centrally to reduce muscle tone or spasms in painful conditions such as multiple sclerosis (MS), amyotrophic lateral sclerosis (ALS), or spinal injuries; they are called antispasmodics or spasmolytics.
Peripherally acting skeletal muscle relaxants interfere with the neurotransmission at the neuromuscular end plate to induce paralysis during...
Peripherally acting skeletal muscle relaxants interfere with the neurotransmission at the neuromuscular end plate to induce paralysis during...
Skeletal Muscle Relaxants: Therapeutic Uses
Skeletal muscle relaxants are used to relax muscle tone and alleviate painful muscle contractions. However, the choice of skeletal muscle relaxants depends on the duration of the surgical procedure in order to minimize potential side effects. Skeletal muscle relaxants like neuromuscular blocking agents [NMBAs] are commonly employed as adjuvants alongside general anesthetics in clinical settings. NMBAs are also used to maintain controlled ventilation during surgery of the larynx or pharynx as...
Peripherally and Centrally Acting Muscle Relaxants: A Comparison
Skeletal muscle relaxants can target the central nervous system [CNS] to reduce muscle tension or act directly at the neuromuscular junction to induce temporary paralysis. These two classes of muscle relaxants are called centrally acting muscle relaxants and peripherally acting muscle relaxants. They differ in their action, mechanism, administration route, and clinical uses.
Centrally acting muscle relaxants can be further divided into spasmolytic and antispasmodic drugs. Spasmolytic drugs,...
Centrally acting muscle relaxants can be further divided into spasmolytic and antispasmodic drugs. Spasmolytic drugs,...
Spinal Cord Injury ll: Pathophysiology
Spinal cord injury progresses through two interconnected phases: primary injury and secondary injury.Primary InjuryPrimary injury happens at the moment of trauma and involves immediate mechanical damage to the spinal cord.Compression happens when broken vertebrae, herniated discs, or accumulating blood (such as a hematoma) press directly against the spinal cord, distorting its normal shape and function. In cases of contusion, the cord is bruised by a blunt force (like penetrating injuries or...


