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长期部分性面瘫的复苏

Reanimation of the long-standing partial facial paralysis.

作者信息

Rubin L R, Lee G W, Simpson R L

出版信息

Plast Reconstr Surg. 1986 Jan;77(1):41-9. doi: 10.1097/00006534-198601000-00008.

DOI:10.1097/00006534-198601000-00008
PMID:3941848
Abstract

Those unfortunate people who suffer from permanent partial facial paralysis have great difficulty finding surgeons who can offer corrective operations. Improving their function is a most delicate procedure. Great care must be exercised to avoid injuring nerves and muscles which are still operating, although in a greatly diminished state. The pathogenesis must be understood before attempting any corrective procedure. Adequate time must elapse from the moment of injury to surgical intervention, thus allowing for maximal nerve and muscle regeneration. This paper describes techniques that could improve facial movements. The most frequently used procedure is shortening of the levator and/or the zygomatic muscles that are partially atrophied. It must be understood that total reanimation is impossible as of this time.

摘要

那些不幸患有永久性部分面部瘫痪的人很难找到能够进行矫正手术的外科医生。改善他们的功能是一个极其精细的过程。必须格外小心,避免损伤仍在运作的神经和肌肉,尽管其功能已大幅减弱。在尝试任何矫正手术之前,必须了解发病机制。从受伤到手术干预必须经过足够的时间,以便实现最大程度的神经和肌肉再生。本文介绍了一些可以改善面部运动的技术。最常用的手术是缩短部分萎缩的提上唇肌和/或颧肌。必须明白,目前完全恢复面部功能是不可能的。

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