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应用游离显微神经血管肌肉移植治疗面瘫

Management of the paralyzed face with microneurovascular free muscle transfer.

作者信息

Aviv J E, Urken M L

机构信息

Department of Otolaryngology, Columbia University, College of Physicians and Surgeons, New York, NY.

出版信息

Arch Otolaryngol Head Neck Surg. 1992 Sep;118(9):909-12. doi: 10.1001/archotol.1992.01880090025009.

DOI:10.1001/archotol.1992.01880090025009
PMID:1503714
Abstract

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.

摘要

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。

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引用本文的文献

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Free-flap surgery with double innervation for smiling restoration in long standing facial paralysis: a literature review.用于长期面瘫微笑恢复的双神经支配游离皮瓣手术:文献综述
Eur Arch Otorhinolaryngol. 2025 Mar 7. doi: 10.1007/s00405-025-09287-y.