Saraniti Carmelo, Verro Barbara
Division of Otorhinolaryngology, Department of Biomedicine, Neuroscience and Advanced Diagnostic, University of Palermo, 90127 Palermo, Italy.
J Clin Med. 2024 Oct 14;13(20):6124. doi: 10.3390/jcm13206124.
Peripheral facial paralysis represents a disabling condition with serious psychological and social impact. Patients with peripheral facial paralysis have a disfigurement of the face with loss of harmony and symmetry and difficulties in everyday facial functions such as speaking, drinking, laughing, and closing their eyes, with impairment of their quality of life. This paralysis leads to impairment of facial expression, which represents one of the first means of communication, an important aspect of human interaction. This review aims to explore the reanimation techniques for managing peripheral facial paralysis. An analysis of static and dynamic techniques for facial reanimation is provided, including muscle flaps, nerve grafting techniques, and bioengineering solutions. Each technique showed its benefits and drawbacks; despite several options for facial reanimation, no technique has been detected as the gold standard. Therefore, each patient must be evaluated on an individual basis, considering their medical history, age, expectations, and treatment goals, to find the best and most fitting treatment.
周围性面瘫是一种致残性疾病，会产生严重的心理和社会影响。周围性面瘫患者面部会出现畸形，失去协调和对称，在说话、饮水、大笑和闭眼等日常面部功能方面存在困难，生活质量受到损害。这种瘫痪会导致面部表情受损，而面部表情是最早的交流方式之一，也是人际互动的一个重要方面。本综述旨在探讨治疗周围性面瘫的修复技术。本文对用于面部修复的静态和动态技术进行了分析，包括肌瓣、神经移植技术和生物工程解决方案。每种技术都有其优缺点；尽管面部修复有多种选择，但尚未发现哪种技术是金标准。因此，必须根据每位患者的病史、年龄、期望和治疗目标进行个体化评估，以找到最佳且最合适的治疗方法。
