Peng Grace Lee, Azizzadeh Babak
Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, Keck School of Medicine at the University of Southern California, California.
Department of Otolaryngology-Head and Neck Surgery, University of California, Los Angeles, California.
Facial Plast Surg. 2015 Apr;31(2):128-33. doi: 10.1055/s-0035-1549046. Epub 2015 May 8.
Dynamic facial reanimation is the gold standard treatment for a paralyzed face. Over the last century, multiple nerves have been utilized for grafting to the facial nerve in an attempt to produce improved movement. However, in recent years, the use of cross facial nerve grafting with a second stage gracilis free flap has gained popularity due to the ability to generate a spontaneous smile and facial movement. Preoperative history taking and careful examination, as well as pre-surgical planning, are imperative to whether cross facial nerve grafting with a second stage gracilis free flap is appropriate for the patient. A sural nerve graft is ideal given the accessibility of the nerve, the length, as well as the reliability and ease of the nerve harvest. The nerve can be harvested using a small incision, which leaves the patient with minimal post operative morbidity. In this chapter, we highlight the pearls and pitfalls of cross facial nerve grafting.
动态面部重建是面瘫的金标准治疗方法。在过去的一个世纪里，人们利用多条神经进行面神经移植，试图改善面部运动。然而，近年来，二期股薄肌游离皮瓣跨面神经移植因其能够产生自发微笑和面部运动而受到欢迎。术前病史采集、仔细检查以及术前规划对于二期股薄肌游离皮瓣跨面神经移植是否适合患者至关重要。腓肠神经移植是理想的选择，因为该神经易于获取、长度合适，且取材可靠、操作简便。可以通过小切口获取该神经，术后患者的发病率极低。在本章中，我们将重点介绍跨面神经移植的要点和陷阱。
