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采用带血管游离复合神经瓣从岩骨内段至终末分支进行面神经重建——病例报告

Facial Nerve Reconstruction with Free Vascularized Composite Nerve Flap from Intrapetrous Portion to Terminal Branches-Case Report.

作者信息

Cavadas Pedro C, Baklinska Magdalena

机构信息

Clinica Cavadas, Reconstructive Surgery, Valencia, Spain.

Departamento de Cirugia, Facultad de Ciencias de la Salud, Universidad Cardenal Herrera-CEU, CEU Universities, Valencia, Spain.

出版信息

Indian J Plast Surg. 2021 Apr;54(2):204-207. doi: 10.1055/s-0041-1729667. Epub 2021 Jun 30.

DOI:10.1055/s-0041-1729667
PMID:34239246
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8257302/
Abstract

The case presented here is a delayed reconstruction of a facial nerve defect after radical parotidectomy without a useful nerve stump at the stylomastoid foramen. A composite free flap was used to reconnect the nerve's intrapetrous portion to the peripheral branches and reconstruct the soft-tissue deficit.

摘要

此处呈现的病例是在根治性腮腺切除术后对面神经缺损进行的延迟重建，茎乳孔处没有可用的神经残端。采用复合游离皮瓣将神经的岩骨内部分与周围分支重新连接，并修复软组织缺损。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de7a/8257302/700db133c555/10-1055-s-0041-1729667_11_0971_06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de7a/8257302/7e52ec3548f8/10-1055-s-0041-1729667_11_0971_01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de7a/8257302/b4cd8b4d5a72/10-1055-s-0041-1729667_11_0971_02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de7a/8257302/9a3d1c876aae/10-1055-s-0041-1729667_11_0971_03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de7a/8257302/cd387e36587d/10-1055-s-0041-1729667_11_0971_04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de7a/8257302/a701df41ae6c/10-1055-s-0041-1729667_11_0971_05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de7a/8257302/700db133c555/10-1055-s-0041-1729667_11_0971_06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de7a/8257302/7e52ec3548f8/10-1055-s-0041-1729667_11_0971_01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de7a/8257302/b4cd8b4d5a72/10-1055-s-0041-1729667_11_0971_02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de7a/8257302/9a3d1c876aae/10-1055-s-0041-1729667_11_0971_03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de7a/8257302/cd387e36587d/10-1055-s-0041-1729667_11_0971_04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de7a/8257302/a701df41ae6c/10-1055-s-0041-1729667_11_0971_05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de7a/8257302/700db133c555/10-1055-s-0041-1729667_11_0971_06.jpg

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本文引用的文献

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Facial functional outcomes analysis after reconstruction by vascularized thoracodorsal nerve free flap following radical parotidectomy with facial nerve sacrifice.在根治性腮腺切除并牺牲面神经后，采用带血管蒂的胸背神经游离皮瓣重建后的面部功能结果分析。
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Effect of Motor versus Sensory Nerve Autografts on Regeneration and Functional Outcomes of Rat Facial Nerve Reconstruction.运动神经与感觉神经自体移植物对面神经重建后再生和功能结果的影响。
Sci Rep. 2019 Jun 7;9(1):8353. doi: 10.1038/s41598-019-44342-9.
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Neurorrhaphy for Facial Reanimation with Interpositional Graft: Outcome in 23 Patients and the Impact of Timing on the Outcome.
神经吻合术在面部再神经中的应用：23 例患者的结果和时机对结果的影响。
World Neurosurg. 2019 Jun;126:e688-e693. doi: 10.1016/j.wneu.2019.02.124. Epub 2019 Mar 4.
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Surgical technique and results of cable graft interpositioning of the facial nerve in lateral skull base surgeries: experience with 213 consecutive cases.外侧颅底手术中电缆移植面神经间置术的手术技术和效果：213 例连续病例的经验。
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Reconstruction of Complex Total Parotidectomy Defect With a Chimeric Anterolateral Thigh Perforator Flap and Vascularized Motor Branch of Femoral Nerve Grafting.采用嵌合型股前外侧穿支皮瓣及带血管蒂股神经运动支移植修复腮腺全切除术复杂缺损
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Thoracodorsal nerve graft for reconstruction of facial nerve branching.胸背神经移植重建面神经分支。
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Reconstruction of post-radical parotidectomy defects.根治性腮腺切除术后面部缺损的重建。
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