Aviv J E, Urken M L
Department of Otolaryngology, Columbia University, College of Physicians and Surgeons, New York, NY.
Arch Otolaryngol Head Neck Surg. 1992 Sep;118(9):909-12. doi: 10.1001/archotol.1992.01880090025009.
Facial paralysis is a devastating physical condition in which no single therapeutic approach consistently restores mimetic facial expression. The purpose of this article is to review the current treatment modalities for facial paralysis with particular emphasis on the indications for using free flaps to achieve facial reanimation. Primary attention is given toward rehabilitation of the lower two thirds of the face. The various neuromuscular free flaps used for facial reanimation are described and their merits and deficiencies are discussed.
面瘫是一种严重的身体状况,没有单一的治疗方法能始终如一地恢复面部模仿表情。本文的目的是综述目前面瘫的治疗方式,特别强调使用游离皮瓣实现面部重建的适应证。主要关注面部下三分之二的康复。描述了用于面部重建的各种神经肌肉游离皮瓣,并讨论了它们的优缺点。