Institute of Reconstructive Plastic Surgery, New York University Langone Medical Center, New York, NY 10016, USA.
J Pediatr Surg. 2011 Nov;46(11):2168-76. doi: 10.1016/j.jpedsurg.2011.06.036.
In the pediatric patient population, both the pathology and the surgical managements of seventh cranial nerve palsy are complicated by the small size of the patients. Adding to the technical difficulty is the relative infrequency of the diagnosis, thus making it harder to become proficient in the management of the condition. The magnitude of the functional and aesthetic deficits these children manifest is significantly troubling to both the patient and the parents, which makes immediate attention, treatment, and functional restoration essential.
A literature search using PubMed (http://www.pubmed.org) was undertaken to identify the current state of surgical management of pediatric facial paralysis.
Although a multitude of techniques have been used, the ideal reconstructive procedure that addresses all of the functional and cosmetic needs of these children has yet to be described. Certainly, future research and innovative thinking will yield progressively better techniques that may, one day, emulate the native facial musculature with remarkable precision.
The necessity for surgical intervention in children with facial nerve paralysis differs depending on many factors including the acute/chronic nature of the defect as well as the extent of functional and cosmetic damage. In this article, we review the surgical procedures that have been used to treat pediatric facial nerve paralysis and provide therapeutic facial reanimation.
在儿科患者中，第七颅神经麻痹的病理和手术处理都因患者体型较小而变得复杂。此外，由于诊断相对较少见，因此更难以熟练掌握该疾病的治疗方法，这增加了技术难度。这些儿童表现出的功能和美容缺陷的程度令患者及其家长深感困扰，这使得及时关注、治疗和功能恢复至关重要。
使用 PubMed（http://www.pubmed.org）进行文献检索，以确定目前儿科面神经麻痹的手术治疗现状。
尽管已经使用了多种技术，但仍未描述出一种能够满足这些儿童所有功能和美容需求的理想重建手术。当然，未来的研究和创新思维将产生越来越好的技术，有朝一日可能会以惊人的精度模拟出原生面部肌肉。
面神经麻痹儿童是否需要手术干预取决于许多因素，包括缺损的急性/慢性性质以及功能和美容损害的程度。在本文中，我们回顾了用于治疗小儿面神经麻痹的手术程序，并提供了治疗性面部神经再支配。
