Neuroscience and Mental Health Program, Hospital for Sick Children (SickKids), Toronto, Ontario, Canada.
Division of Plastic and Reconstructive Surgery, Hospital for Sick Children (SickKids), University of Toronto, Toronto, Ontario, Canada.
Facial Plast Surg Clin North Am. 2021 Aug;29(3):423-430. doi: 10.1016/j.fsc.2021.03.009.
Cross-face nerve grafting enables the reanimation of the contralateral hemiface in unilateral facial palsy and may recover a spontaneous smile. This chapter discusses various clinically applicable strategies to increase the chances for good functional outcomes by maintaining the viability of the neural pathway and target muscle, increasing the number of reinnervating nerve fibers and selecting functionally compatible donor nerve branches. Adopting those strategies may help to further improve patient outcomes in facial reanimation surgery.
跨面神经移植术可使单侧面瘫患者的对侧半脸恢复运动功能，并可能恢复自发性微笑。本章讨论了各种临床适用的策略，通过维持神经通路和靶肌肉的活力、增加支配神经纤维的数量以及选择功能相容的供体神经分支，来提高良好功能效果的几率。采用这些策略可能有助于进一步改善面部再神经支配手术患者的预后。
