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脑可塑性与拉贝手术:我们目前的进展如何?

Brain Plasticity and the Labbé Procedure: Where do we stand?

作者信息

Yu Wong Zhen, Schmidt Jeremias, de Jongh Frank W, Ingels Koen J A O, van Heerbeek Niels, Pouwels Sjaak

机构信息

Department of General Surgery, Nottingham City Hospital, Nottingham, United Kingdom.

Department of Plastic, Reconstructive and Aesthetic Surgery, Helios Klinikum Berlin-Buch, Berlin, Germany.

出版信息

JPRAS Open. 2025 Apr 2;44:506-510. doi: 10.1016/j.jpra.2025.03.025. eCollection 2025 Jun.

Abstract

The Labbé procedure is a recognised technique for facial reanimation in patients with facial paralysis (FP). Although it was initially believed that brain plasticity plays a crucial role in the success of this procedure, the evidence supporting this mechanism is limited. This review provides an overview of brain plasticity and its potential application in the Labbé procedure. Additionally, the possibility of trigeminal-facial neurotisation as an alternative mechanism is discussed. Further research is needed to explore the mechanisms to improve the treatment options and enhance early rehabilitation for individuals with FP.

摘要

拉贝手术是一种公认的用于面瘫(FP)患者面部重建的技术。尽管最初认为大脑可塑性在该手术的成功中起着关键作用,但支持这一机制的证据有限。本综述概述了大脑可塑性及其在拉贝手术中的潜在应用。此外,还讨论了三叉神经-面神经吻合作为一种替代机制的可能性。需要进一步研究以探索相关机制,从而改善治疗方案并加强面瘫患者的早期康复。

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