White Hilliary, Rosenthal Eben
Head & Neck Surgery Center of Florida, Florida Hospital Celebration Health, Celebration Place, FL 34747, USA.
Oral Maxillofac Surg Clin North Am. 2013 May;25(2):303-12. doi: 10.1016/j.coms.2013.02.002.
The patient with facial paralysis presents a daunting challenge to the reconstructive surgeon. A thorough evaluation is key in directing the surgeon to the appropriate treatment methods. Aggressive and immediate exploration with primary repair of the facial nerve continues to be the standard of care for traumatic transection of the facial nerve. Secondary repair using dynamic techniques is preferred over static procedures, because the outcomes have proved to be superior. However, patients should be counseled that facial movement and symmetry are difficult to mimic and none of the procedures described is able to restore all of the complex vectors and overall balance of facial movement and expression.
面瘫患者给重建外科医生带来了严峻挑战。全面评估是指导外科医生选择合适治疗方法的关键。对于面神经创伤性横断，积极且立即进行面神经一期修复的探查仍是标准治疗方法。采用动态技术的二期修复优于静态手术，因为已证明其效果更佳。然而，应告知患者面部运动和对称性很难模仿，所述的任何手术都无法恢复所有复杂的向量以及面部运动和表情的整体平衡。
