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一种治疗双侧面瘫的方法。

An approach to bilateral facial paralysis.

机构信息

The Royal Free Hospital, Pond Street, Hampstead, London NW32QG, United Kingdom.

出版信息

J Plast Reconstr Aesthet Surg. 2010 Sep;63(9):1557-60. doi: 10.1016/j.bjps.2010.02.018. Epub 2010 Mar 5.

DOI:10.1016/j.bjps.2010.02.018
PMID:20206590
Abstract

Möbius syndrome is characterised by a congenital paralysis of the Facial and Abducens nerves. Treatment centres around functional free muscle transfers. We present 20 cases of Möbius reanimation, currently the largest published series. Our preferred approach has evolved over time to be a single stage bilateral procedure using segmental Latissimus dorsi muscles driven by the masseteric branch of the Trigeminal nerve. All cases showed significant improvement when reviewed by the senior surgeon and independent panel of observers. It was the senior authors' opinion that a more spontaneous smile was achieved in patients under ten years of age.

摘要

默比乌斯综合征的特征是先天性面神经和外展神经麻痹。治疗主要围绕功能性游离肌肉移植。我们目前报道了 20 例默比乌斯综合征的再神经支配,这是目前发表的最大系列。我们的首选方法随着时间的推移不断发展,成为一种使用三角肌分支驱动的单侧双侧分段 Latissimus dorsi 肌肉的单阶段手术。高级外科医生和独立观察小组对所有病例进行了评估,结果显示均有显著改善。资深作者认为,10 岁以下的患者笑得更自然。

相似文献

1
An approach to bilateral facial paralysis.一种治疗双侧面瘫的方法。
J Plast Reconstr Aesthet Surg. 2010 Sep;63(9):1557-60. doi: 10.1016/j.bjps.2010.02.018. Epub 2010 Mar 5.
2
One-stage reconstruction for bilateral Möbius syndrome: simultaneous use of bilateral spinal accessory nerves to innervate 2 free muscles for facial reanimation.双侧莫比乌斯综合征的一期重建:同时使用双侧副神经支配两块游离肌肉以实现面部再运动。
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引用本文的文献

1
Postoperative multimodal rehabilitation for spontaneous smile restoration in severe Moebius syndrome: A case report and a short literature review.重度莫比乌斯综合征自发性微笑恢复的术后多模式康复:一例报告及简短文献综述
SAGE Open Med Case Rep. 2024 Aug 16;12:2050313X241271857. doi: 10.1177/2050313X241271857. eCollection 2024.
2
Treatment Approaches for Altered Facial Expression: A Systematic Review in Facioscapulohumeral Muscular Dystrophy and Other Neurological Diseases.面部表情改变的治疗方法:面肩肱型肌营养不良及其他神经系统疾病的系统评价
J Neuromuscul Dis. 2024;11(3):535-565. doi: 10.3233/JND-230213.
3
Fat Grafting in Facial Palsy: A Secondary Revision Technique to Improve the Facial Aesthetics.
面部麻痹中的脂肪移植:一种改善面部美学的二次修复技术。
Plast Reconstr Surg Glob Open. 2022 Oct 19;10(10):e4572. doi: 10.1097/GOX.0000000000004572. eCollection 2022 Oct.
4
Smile restoration for permanent facial paralysis.永久性面瘫的微笑修复。
Arch Plast Surg. 2013 Sep;40(5):633-8. doi: 10.5999/aps.2013.40.5.633. Epub 2013 Sep 13.