Frank Ethan, Bailey Traci, Lee Nathan H, Cress Victoria, Kam Kelli, Inman Jared C
Loma Linda University Medical Center, CA, USA.
Division of Otolaryngology, University of New Mexico School of Medicine, New Mexico, USA.
Plast Surg (Oakv). 2024 Feb;32(1):64-69. doi: 10.1177/22925503221085086. Epub 2022 Mar 10.
Oral incompetence (OI) following facial nerve injury or sacrifice remains a frustrating problem for patients and clinicians alike. Dynamic procedures for facial paralysis often do not fully address OI and static surgeries are frequently needed. Current static options frequently involved multiple facial incisions. We describe a novel technique to address OI due to lower division facial nerve paralysis and report outcomes in an initial series of patients. OI symptoms improved in 94% of patients following a single-stage surgery. Revision was required in one patient with subsequent resolution of symptoms. Major complications (19%) included persistent OI, wound dehiscence, and bothersome lip "bulk". Lip wedge resection with orbicular oris plication resolves OI in facial paralysis patients with the added benefit of only a single incision on the face.
面神经损伤或牺牲后出现的口部功能不全（OI），对患者和临床医生来说都是一个令人沮丧的问题。面瘫的动态手术往往不能完全解决OI问题，因此常常需要进行静态手术。目前的静态手术方案通常需要在面部进行多个切口。我们描述了一种针对因面神经下支麻痹导致的OI的新技术，并报告了一系列初始患者的治疗结果。在接受单阶段手术后，94%的患者OI症状得到改善。有一名患者需要进行翻修手术，随后症状得到缓解。主要并发症（19%）包括持续性OI、伤口裂开和令人烦恼的唇部“臃肿”。口轮匝肌折叠的唇部楔形切除术可解决面瘫患者的OI问题，且面部仅需一个切口，具有额外的优势。
