Harrison D H
Plast Reconstr Surg. 1985 Feb;75(2):206-16. doi: 10.1097/00006534-198502000-00011.
A series of 10 pectoralis minor vascularized muscle transfers to reanimate the face in unilateral facial palsy are presented. The procedure is carried out in two stages. The first stage constitutes a nerve graft from the functional contralateral facial nerve to the preauricular region of the paralyzed side. Six months later, the pectoralis minor is transferred to the denervated side of the face with restoration of its neurovascular pedicle. The muscle is well suited to its new position with respect to length and bulk, as well as its fanlike shape. The diameter of its vascular pedicle is comparable with the facial vessels. The results demonstrate function in 8 of the 10 grafts, the two failures relating to early vascular thrombosis rather than an inability to reinnervate the muscle grafts.
本文介绍了一系列10例采用胸小肌带血管蒂肌肉转移术来恢复单侧面瘫患者面部功能的病例。该手术分两个阶段进行。第一阶段是将健侧功能性面神经与患侧耳前区进行神经移植。6个月后，将胸小肌转移至面部失神经支配侧，并恢复其神经血管蒂。该肌肉在长度、体积以及扇形形状方面都非常适合其新位置。其血管蒂直径与面部血管相当。结果显示，10例移植中有8例恢复了功能，两例失败是由于早期血管血栓形成，而非肌肉移植无法重新获得神经支配。
