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跨面部及功能性微血管肌肉移植治疗长期面瘫。

Cross-facial and functional microvascular muscle transplantation for longstanding facial paralysis.

作者信息

Buncke Harry J, Buncke Gregory M, Kind Gabriel M, Buntic Rudolf F, Brooks Darrell, Chin Brien T

机构信息

The Buncke Clinic, CPMC Davies Campus, #140N, San Francisco, CA 94114, USA.

出版信息

Clin Plast Surg. 2002 Oct;29(4):551-66. doi: 10.1016/s0094-1298(02)00016-0.

DOI:10.1016/s0094-1298(02)00016-0
PMID:12484606
Abstract

Functional results continue to improve with advancing microsurgical techniques and monitoring to detect and correct problems within minutes [47]. However, failures do occur, even when one can project a 98% survival for the transplant. Figs. 9 and 10 show two of our early cases that were fortunately salvaged with a second microvascular transplant. Evaluation of the result is a continuing challenge--anatomically, physiologically, and psychologically [37]. If one can remove the stigma or stigmata of facial paralysis in the patient's mind. success has been achieved (Fig. II) [48].

摘要

随着显微外科技术的进步以及用于在数分钟内检测和纠正问题的监测手段的发展,功能结果持续改善[47]。然而,即便可以预计移植的存活率为98%,失败情况仍会发生。图9和图10展示了我们早期的两个病例,幸运的是通过第二次微血管移植得以挽救。对结果的评估在解剖学、生理学和心理学方面一直是一项挑战[37]。如果能够消除患者心中面瘫的一种或多种污名,就算取得了成功(图11)[48]。

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