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面部复苏的当代概念和手术技术:一个广泛的回顾

Alan Pegan^1,2, Darko Solter^1,2, Davor Vagić^1,2

¹Department of Otorhinolaryngology and Head and Neck Surgery, Sestre milosrdnice University Hospital Center, Zagreb, Croatia.

Acta clinica Croatica

|December 4, 2025

概括

面部神经麻显著影响生活质量. 面部复苏手术旨在恢复功能和对称性,方法根据的持续时间和面部区域而异.

科学领域:

整形外科整形外科整形外科
神经学神经学
眼科医生眼科眼科

背景情况:

面部神经会导致严重的功能,社会和美容问题,损害眼睛保护,口腔能力和沟通.
由此产生的变形和模仿功能的丧失导致社会隔离,抑郁和显著降低生活质量.
面部复苏的主要目标是恢复休息的音调,模仿功能和对称性.

研究的目的:

审查目前面部复苏的麻技术.
根据受影响的面部三分之一 (上方与下方) 来分类复苏方法.
强调及时和适当的外科干预的重要性.

主要方法:

面部复苏分为静态 (例如,眼收紧,眉毛升起) 和动态程序.
面部上部复苏通常采用静态眼膜塑性技术.
面部下部复苏优先考虑动态方法,包括神经修复,移植 (面部神经交叉移植) 和肌肉片 (肌移动,gracilis自由片).

主要成果:

当可行时,直接神经修复会产生最佳的结果.
对于长期 (>2年),需要肌肉片.
技术的选择取决于神经的状况,的持续时间和患者的目标.

结论:

面部复苏对于功能恢复和改善生活质量至关重要.
静态和动态方法都是全面面部复苏的重要组成部分.
及时干预和量身定制的手术策略是成功结果的关键.

关键词:

面部神经面部神经面部复苏术是面部复苏的方法之一.

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