Department of Otolaryngology - Head and Neck Surgery, University of Miami Miller School of Medicine, 1120 NW 14th Street, 5th Floor, Miami, FL 33136, USA.
Department of Otolaryngology - Head and Neck Surgery, University of Miami Miller School of Medicine, 1120 NW 14th Street, 5th Floor, Miami, FL 33136, USA.
Atlas Oral Maxillofac Surg Clin North Am. 2023 Mar;31(1):25-31. doi: 10.1016/j.cxom.2022.09.003.
Cross-face nerve grafting (CFNG) allows for spontaneous, involuntary facial movement for patients with irreversible hemifacial paralysis. This technique uses an intact contralateral facial nucleus and nerve as an input and axon source, allowing donor neural input to be routed through a nerve graft across the face. The sural nerve is well equipped for use as a nerve graft due to its length and minimal donor site morbidity. Endoscopic nerve harvest techniques allow for efficient, minimally invasive dissection that improves the integrity of the harvested nerve.
面横动脉神经移植术(CFNG)可使不可逆性面瘫患者的面部产生自发性、非随意运动。该技术使用完好的对侧面核和神经作为输入和轴突源,使供体神经输入通过面部神经移植进行传导。由于腓肠神经长度较长且供区损伤较小,非常适合作为神经移植。内镜神经采集技术可以实现高效、微创的解剖,提高所采集神经的完整性。