Faris Callum, Lindsay Robin
Department of Otolaryngology/Head and Neck Surgery, Queens Medical Centre, Nottingham University Hospitals, Nottingham, UK.
Curr Opin Otolaryngol Head Neck Surg. 2013 Aug;21(4):346-52. doi: 10.1097/MOO.0b013e328362a56e.
To present the most current literature regarding the management of acute and chronic facial paralysis. This review will focus primarily on smile reanimation in the setting of acute and chronic facial paralysis. The management of the flaccid and the hypertonic face will be discussed.
Recent developments include advances in neural repair with fibrin glue and the use of cadaveric nerve grafts as interposition grafts. Advances in nerve substitutes have been shown to limit donor-site morbidity and provide similar outcomes to autografts. Techniques for muscle transfer continue to evolve to improve smile outcomes.
The goal of facial reanimation surgery is to restore meaningful facial movement. The goal should be to have quality-driven clinical practice guidelines to better facilitate patient care. This process must be initiated by facial reanimation surgeons deciding to use consistent outcome measures to report their results. Currently, it is impossible to make a direct comparison between different surgical techniques because of inconsistent methods of evaluation. Despite the lack of consistent quantitative evaluation, there have been many exciting advances in the field.
介绍有关急性和慢性面瘫治疗的最新文献。本综述将主要关注急性和慢性面瘫情况下的微笑重建。将讨论弛缓性面部和高张力面部的处理。
近期进展包括使用纤维蛋白胶进行神经修复的进展以及使用尸体神经移植物作为插入移植物。神经替代物的进展已显示可减少供体部位的发病率，并提供与自体移植物相似的结果。肌肉转移技术不断发展以改善微笑效果。
面部重建手术的目标是恢复有意义的面部运动。目标应该是制定以质量为导向的临床实践指南，以更好地促进患者护理。这一过程必须由面部重建外科医生决定使用一致的结果测量方法来报告他们的结果来启动。目前，由于评估方法不一致，无法对不同的手术技术进行直接比较。尽管缺乏一致的定量评估，但该领域已经取得了许多令人兴奋的进展。
