Bianchi Bernardo, Ferri Andrea, Ferrari Silvano, Leporati Massimiliano, Ferri Teore, Sesenna Enrico
Chief Assistant, Maxillo-Facial Surgery Division, Head and Neck Department, University Hospital of Parma, Parma, Italy.
Chief Assistant, Maxillo-Facial Surgery Division, Head and Neck Department, University Hospital of Parma, Parma, Italy.
J Oral Maxillofac Surg. 2014 Dec;72(12):2582-90. doi: 10.1016/j.joms.2014.07.036. Epub 2014 Aug 1.
Facial animation surgery with neuromuscular transplants has become a standard procedure for the treatment of facial palsies. However, the forehead, periocular complex, nasal base area, and inferior lip are secondary sites that also need to be considered in the complete rehabilitation of a flaccid facial palsy.
A total of 136 ancillary procedures were performed in 49 patients between 2003 and 2013 and consisted of eyebrow suspensions (11), upper eyelid loading with a platinum chain (39), inferior palpebral suspension with fascia lata (22), nasal base suspension with fascia lata (26), and botulinum toxin injection (38).
Cosmetic results were good and excellent in 30.7% and 63.2% of the procedures, respectively. Functionally, periocular complex rehabilitation and nasal base suspension led to excellent improvements in function in 87.2% and 73.1% of the patients, respectively.
The use of ancillary procedures can improve the functional and esthetic results of facial animation surgery.
采用神经肌肉移植的面部动态手术已成为治疗面瘫的标准术式。然而，前额、眼周区域、鼻基底区域及下唇是继发性部位，在弛缓性面瘫的全面康复中也需要加以考虑。
2003年至2013年期间，对49例患者共实施了136例辅助手术，包括眉悬吊术（11例）、铂链上睑植入术（39例）、阔筋膜下睑悬吊术（22例）、阔筋膜鼻基底悬吊术（26例）及肉毒杆菌毒素注射（38例）。
分别有30.7%和63.2%的手术获得了良好及极佳的美容效果。在功能方面，眼周区域康复及鼻基底悬吊术分别使87.2%和73.1%的患者功能得到显著改善。
辅助手术的应用可改善面部动态手术的功能及美学效果。
