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咬肌至面神经转移术用于长期面瘫患者的面部功能重建

Masseter-to-Facial Nerve Transfer for Reanimation of a Patient With Long-Term Facial Paralysis.

作者信息

Salmerón-González Enrique, Simón-Sanz Eduardo, García-Vilariño Elena, García-Sánchez Jose María, Ruiz-Cases Alberto

机构信息

Department of Plastic and Reconstructive Surgery, University and Polytechnic Hospital La Fe, Valencia, Spain.

出版信息

J Craniofac Surg. 2019 Jan;30(1):e43-e45. doi: 10.1097/SCS.0000000000004957.

Abstract

Facial paralysis is a condition caused by a wide variety of etiologies, including neurologic, congenital, infectious, neoplastic, systemic, and iatrogenic causes. A patient suffering from long-term facial paralysis, with minimal innervation detected through electroneurography, who was successfully reanimated by performing a masseter-to-facial nerve transfer, was presented in this study. Facial paralysis had been caused after resection of an acquired middle ear cholesteatoma more than 5 years before.

摘要

面瘫是由多种病因引起的一种病症,包括神经源性、先天性、感染性、肿瘤性、全身性及医源性病因。本研究报告了一名长期面瘫患者,通过神经电图检测发现其神经支配极少,经行咬肌-面神经移植后成功恢复了面部功能。面瘫是在5年多前切除后天性中耳胆脂瘤后引发的。

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