Azizzadeh Babak, Frisenda Julia L
Division of Head and Neck Surgery, David Geffen School of Medicine at the University of California, Los Angeles, Los Angeles, CA 90024, USA; Department of Facial Plastic & Reconstructive Surgery, Center for Advanced Facial Plastic Surgery, 9401 Wilshire Boulevard, Suite 650, Beverly Hills, CA 90212, USA.
Department of Facial Plastic & Reconstructive Surgery, Center for Advanced Facial Plastic Surgery, 9401 Wilshire Boulevard, Suite 650, Beverly Hills, CA 90212, USA.
Otolaryngol Clin North Am. 2018 Dec;51(6):1169-1178. doi: 10.1016/j.otc.2018.07.012. Epub 2018 Aug 28.
Modified selective neurectomy of the distal branches of the buccal, zygomatic, and cervical branches of the facial nerve in addition to platysmal myotomy is an effective surgical procedure for the treatment of postfacial paralysis synkinesis. Success of this procedure depends on identification of the peripheral facial nerve branches, preservation of zygomatic and marginal mandibular branches that innervate key smile muscles, and ablation of buccal and cervical branches that cause lateral and/or inferior excursion of the oral commissure. Results are long-lasting; objective improvements in electronic clinician-graded facial function scale score, House-Brackmann score, and decreased botulinum toxin-A requirements have been observed.
除颈阔肌肌切开术外，对面神经颊支、颧支和颈支的远端分支进行改良选择性神经切除术是治疗面瘫后联动的有效外科手术。该手术的成功取决于识别周围面神经分支，保留支配关键微笑肌肉的颧支和下颌缘支，以及切除导致口角向外和/或向下偏移的颊支和颈支。效果持久；已观察到电子临床医生分级面部功能量表评分、House-Brackmann评分有客观改善，且肉毒杆菌毒素A的需求减少。
