Borsetti Marco, Gangemi Ezio Nicola, Germano Silvia, Clemente Alessandra, Devalle Luca, Cerato Claudia, Merlino Giorgio
Division of Plastic Surgery, Hand Surgery and Microsurgery, Surgical Department of ASL Città di Torino, Maria Vittoria Hospital, Turin, Italy.
Indian J Plast Surg. 2020 Dec;53(3):344-348. doi: 10.1055/s-0040-1721877. Epub 2020 Dec 24.
The aim of the present analysis was to study the safety and efficacy associated with reanimation in facial nerve palsy by the endoscopically assisted multiple muscle transposition and lifts (EMTL). The study sample included all patients who had undergone a facial reanimation by EMTL procedure from September 2015 to May 2019. The patients were analyzed retrospectively, with more than 1 year of follow-up, and were evaluated in terms of functional-aesthetic results and postoperative complications. The outcome was evaluated with the Sunnybrook scale. Fourteen patients were included in the present study. They were all inveterate palsies with minimum 4 years from the initial injury. The preoperative Sunnybrook score ranged from 0 to 5 and the postoperative ranged from 30 to 65. Spontaneous smile achievement was obtained in 10 patients and only mild restoration in one patient. The scar and static correction were satisfactory in all patients. Eye protection was improved in all cases with some form of active blinking in six cases. This study showed that facial palsy correction with EMTL procedure offers a promising alternative treatment for patients with facial palsy not suitable for microsurgical muscle transposition.
本分析的目的是研究在内镜辅助下进行多肌肉转位和提升术（EMTL）对面神经麻痹进行恢复时的安全性和有效性。
研究样本包括2015年9月至2019年5月期间接受EMTL手术进行面部恢复的所有患者。对患者进行回顾性分析，随访时间超过1年，并从功能美学结果和术后并发症方面进行评估。结果采用桑尼布鲁克量表进行评估。
本研究纳入了14名患者。他们均为顽固性麻痹，自初次受伤起至少已有4年。术前桑尼布鲁克评分范围为0至5分，术后为30至65分。10名患者实现了自发微笑，1名患者仅有轻微恢复。所有患者的瘢痕和静态矫正效果均令人满意。所有病例的眼部保护均得到改善，6例出现某种形式的主动眨眼。
本研究表明，对于不适合显微外科肌肉转位的面神经麻痹患者，采用EMTL手术进行面神经麻痹矫正提供了一种有前景的替代治疗方法。
