胸小肌肌皮瓣转移术治疗单侧面瘫的 35 年 637 例经验。
Pectoralis minor muscle transfer for unilateral facial palsy reanimation: an experience of 35 years and 637 cases.
机构信息
Plastic Surgery Unit, Royal Free Hospital, Pond Street, London NW3 2QG, United Kingdom.
出版信息
J Plast Reconstr Aesthet Surg. 2012 Jul;65(7):845-50. doi: 10.1016/j.bjps.2012.01.024. Epub 2012 Feb 15.
BACKGROUND
Free functional muscle transfers are often the treatment of choice for facial reanimation. We describe our experience with 637 cases over a 35-year period.
METHODS
Data was collected prospectively on all case undergoing functional muscle transfer for unilateral facial paralysis. Results were judged by the operating surgeon and an Independent panel of four observers.
RESULTS
354 patients had an excellent result as judged by the surgeon. An independent panel rated patients to have a significant change pre- and post-operatively comparing their Hay's scores (p < 0.001, t-test). 27.2% of patients required revisional procedures. 13.3% of patients developed late onset tightness of the transferred muscle.
CONCLUSIONS
Facial reanimation with functional muscle transfers is a complex procedure and provides a significant improvement for the patient to display humour and emotion.
背景
游离功能性肌肉移植术常用于面神经麻痹的治疗。我们在此描述了我们在 35 年内对 637 例患者的治疗经验。
方法
前瞻性地收集所有因单侧面神经麻痹而行功能性肌肉移植术的病例资料。手术医生和一个由四位独立观察者组成的专家组对结果进行了评估。
结果
354 例患者的手术结果得到了医生的高度评价。独立专家组通过比较术前和术后 Hay 评分（p < 0.001，t 检验），评估患者有显著变化。27.2%的患者需要再次手术。13.3%的患者出现迟发性移植肌肉紧张。
结论
功能性肌肉移植术对面部神经麻痹的治疗是一个复杂的过程，它为患者展示幽默和情感提供了显著的改善。
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