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Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
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拯救面部复苏手术的可能延长时间表:一个案例报告

Víctor A de Cos, Rishi N Modi, Sandhya Kalavacherla

    ORL; journal for oto-rhino-laryngology and its related specialties
    |December 5, 2025
    PubMed
    概括

    挽救一个失败的gracilis免费肌肉转移 (GFMT) 用于面部复苏是可能的,通过将神经转移到masseter (NTM) 到阻塞神经,即使在11个月后. 这种技术为改善面部运动结果提供了希望.

    科学领域:

    • 整形外科 整形外科 整形外科
    • 微手术 微手术是一种微手术.
    • 面部复苏术 面部复苏术

    背景情况:

    • 面部复苏手术的目的是恢复面部的运动.
    • 格拉西里斯自由肌肉转移 (GFMT) 是一种常见的技术.
    • 当初始尝试不足于最佳时,救援程序是必要的.

    研究的目的:

    • 为了评估神经转移到现有的肌肉转移 (GFMT) 的神经转移到肌肉转移 (NTM) 的疗效,作为面部复苏失败的救援程序.
    • 评估这种技术在典型的6个月窗口之外的可行性.

    主要方法:

    • 对接受救援或二次面部复苏术的患者的医疗记录进行回顾性审查.
    • 分析涉及跨面神经移植 (CFNG) 的低最佳GFMT病例.
    • 在手术期间评估肌肉肌肉刺激和随后的NTM转移到闭关神经.

    主要成果:

    • 三名患者在初始GFMT后的11,17和14个月后接受了救援/二次手术.
    • 患者1在NTM转移5个月后取得了成功的微笑.
    • 患者2在7个月后通过二次GFMT和NTM内化实现了成功的微笑.
    • 患者3在NTM转移后12个月没有表情运动.

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    结论:

    • 通过将NTM转移到阻塞神经,可以成功地挽救失败的GFMT.
    • 这种救援技术即使在最初的手术后11个月后进行,也可以有效.
    • 在低于最佳的GFMT后,NTM转移为二次面部复苏提供了一个可行的选择.