Blanchaert R H
Department of Oral and Maxillofacial Surgery, Baltimore College of Dental Surgery, University of Maryland Dental School, Baltimore, Maryland, USA.
Atlas Oral Maxillofac Surg Clin North Am. 2001 Sep;9(2):43-58.
The comprehensive management of facial nerve injuries requires a surgeon with a number of available methods of reconstruction at his or her disposal. Comprehensive evaluation or documentation of injury is required to determine the most appropriate timing and method of surgical intervention. The majority of nerve injuries are limited, and direct repair or simple nerve grafting are the indicated treatment modalities. These procedures are easily applied to the management of the facial nerve by any well-trained microsurgeon. Accurate diagnosis and timely intervention are critical in achieving acceptable outcomes. Multidisciplinary collaboration is occasionally necessary for extremely proximal injuries wherein the skills of a lateral skull base surgeon are critical. Delayed facial reconstruction by facial reanimation requires subspecialty skills and necessitates referrals to centers experienced in such procedures.
面神经损伤的综合管理需要外科医生掌握多种可用的重建方法。需要对损伤进行全面评估或记录，以确定最合适的手术干预时机和方法。大多数神经损伤是局限性的，直接修复或简单的神经移植是指定的治疗方式。这些手术很容易由任何训练有素的显微外科医生应用于面神经的管理。准确的诊断和及时的干预对于取得可接受的结果至关重要。对于极其近端的损伤，多学科协作偶尔是必要的，其中侧颅底外科医生的技能至关重要。通过面部修复进行延迟面部重建需要专科技能，并且需要转诊到有此类手术经验的中心。
