在大切除术后的患者中,使用双拉提西姆斯背部肌肉转移进行外周和外周形变形的二次动态重建
Miki Shikanai1,2, Mutsumi Okazaki1, Yoko Tomioka1
1Department of Plastic and Reconstructive Surgery, The University of Tokyo, Bunkyo-ku, Tokyo, Japan.
The Journal of craniofacial surgery
|February 13, 2026
概括
这项研究提出了一种新的动态重建技术,用于大切除术后的中面形. 在一个患者身上,双拉提西姆斯背部肌肉转移成功地恢复了面部动画,包括微笑和眼睛运动.
科学领域:
- 整形外科 整形外科 整形外科
- 重建性手术是一种重建性手术.
- 面外科手术 面外科手术
背景情况:
- 大切除术后的中面形对轮,口鼻分离,轨道支和微笑恢复构成重大挑战.
- 虽然自由重建已经取得了进展,但模仿面部的美学和动态缺陷往往仍然存在.
研究的目的:
- 报道了第一个成功的双区域动态复苏,用于使用二次重建方法进行尾切除术后的形.
- 为了评估双拉蒂西姆斯背部肌肉转移在恢复面部动画方面的有效性.
主要方法:
- 一名43岁的女性患有大切除术后形,接受了二次动态重建.
- 进行了双拉蒂斯木斯背部肌肉转移,其中一个片用于口腔部位升高,另一个用于口腔部位升高.
- 眼睛微笑着. 眼睛微笑着.
- 胸脊椎神经被解剖到 ipsilateral 面部神经的口腔分支.
- 张张带移植被用来纠正眼垂落和鼻偏差.
主要成果:
- 在手术后3个月观察到肌肉收缩.
- 在21个月后,随着眼裂缩小的自发微笑得到了实现.
- 重建成功地恢复了口腔和眼部区域的动态面部功能.
结论:
- 通过双拉提西姆斯背部肌肉转移进行二次动态重建是治疗大切除术后持续存在的面部动画缺陷的可行选择.
- 这种技术为双区域复苏提供了一个新的解决方案,在复杂的面重建中改善了美学和功能结果.
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