Ueda Kazuki, Akiyoshi Kajikawa, Suzuki Yasutoshi, Ohkouchi Masayuki, Hirose Tarou, Asai Emiko, Tateshita Tohru
Department of Plastic and Reconstructive Surgery, Fukushima Medical University, Fukushima, Japan.
J Reconstr Microsurg. 2007 May;23(4):181-7. doi: 10.1055/s-2007-974654.
The cross-face nerve graft and the interpositional jump graft were performed simultaneously for 13 patients with facial paralysis. The period between the onset of paralysis and surgery ranged from 3 to 32 weeks. In nine patients, surgery was performed within 3 months of the onset of paralysis. The patients in whom reinnervation by both grafts succeeded could smile without closing their eyes by moving the tongue and could close the eye on the affected side without an accompanying oral movement. The expression was natural and included fine muscle movements. Spontaneous recovery of the facial nerve was observed in three patients. Among patients who showed functional recovery without spontaneous recovery, House-Brackman's palsy grade was II in one patient, III in five patients, and IV in one patient. Functional deficits of the tongue were not observed. We recommend that this surgery be performed within 3 months of onset of paralysis.
对13例面瘫患者同时进行了跨面神经移植和插入式跳跃移植。麻痹发作至手术的时间间隔为3至32周。9例患者在麻痹发作后3个月内接受了手术。两种移植均成功实现神经再支配的患者，可通过移动舌头在不闭眼的情况下微笑，且患侧眼睛可在不伴有口腔运动的情况下闭合。表情自然，包括精细的肌肉运动。3例患者观察到面神经自发恢复。在未自发恢复但显示功能恢复的患者中，1例患者的House-Brackman面瘫分级为II级，5例为III级，1例为IV级。未观察到舌头功能缺陷。我们建议在麻痹发作后3个月内进行该手术。
