Azizzadeh Babak, Mashkevich Grigoriy
Division of Head & Neck Surgery, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
Oral Maxillofac Surg Clin North Am. 2009 Feb;21(1):23-9, v. doi: 10.1016/j.coms.2008.10.003.
Surgical intervention remains a popular choice in patients seeking facial rejuvenation. Although uncommon, temporary or permanent peripheral nerve injury may complicate almost any type of invasive aesthetic procedure of the face, resulting in functional and psychological consequences for patients. Prompt recognition and appropriate intervention are necessary to avoid the long-term sequelae and improve the chances of complete neurologic recovery. Depending on the type of injury, various interventions may range from observation and close follow-up to interposition nerve grafting. This article reviews the pertinent anatomy of nerves at risk in facial cosmetic surgery and discusses various management strategies for inadvertent injury to peripheral nerves of the face.
手术干预仍是寻求面部年轻化患者的常用选择。虽然不常见，但几乎任何类型的面部侵入性美容手术都可能并发暂时或永久性周围神经损伤，给患者带来功能和心理方面的影响。迅速识别并进行适当干预对于避免长期后遗症和提高神经完全恢复的几率至关重要。根据损伤类型，各种干预措施可能从观察和密切随访到神经移植不等。本文回顾了面部美容手术中易受损神经的相关解剖结构，并讨论了面部周围神经意外损伤的各种处理策略。
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