Spector J G
Laryngoscope. 1985 Dec;95(12):1494-522. doi: 10.1288/00005537-198512000-00012.
One hundred ten patients with facial nerve paralyses were treated by various surgical methods. Eighty-six patients had total facial nerve paralyses and 24 had segmental paralyses. In the total paralysis group, 62 patients had oncologic procedures or tumor induced paralysis. In the segmental paralysis group, 14 patients had malignancies. Two patients had idiopathic facial nerve paralysis. In the total paralysis group, 59 had neural reconstructions, 7 neuromuscular pedicles, and 20 muscle-fascia transpositions. The segmental paralysis group was divided into an upper facial palsy group (n = 11) and lower facial palsy group (n = 13). Five patients had neural transpositions, 5 had muscle-fascia transpositions, and 14 had plastic reconstructions. The results were analyzed by various methods and grading systems. The data indicate that neural repairs produce better results than muscle-fascia transpositions or plastic reconstructions. Within the repairs, the procedures are listed in an hierarchical order of cosmetic and functional results. The average follow-up for the entire group was 2.8 years. The average follow-up for the neural repair group was 3.2 years, and for the muscle fascia transpositions, 14.1 months.
110例面神经麻痹患者接受了各种手术治疗。86例为完全性面神经麻痹，24例为节段性麻痹。在完全性麻痹组中，62例患者接受了肿瘤手术或因肿瘤导致麻痹。在节段性麻痹组中，14例患者患有恶性肿瘤。2例患者为特发性面神经麻痹。在完全性麻痹组中，59例进行了神经重建，7例采用神经肌肉蒂，20例进行了肌筋膜移位。节段性麻痹组分为上面部麻痹组（n = 11）和下面部麻痹组（n = 13）。5例进行了神经移位，5例进行了肌筋膜移位，14例进行了整形重建。采用各种方法和分级系统对结果进行分析。数据表明，神经修复比肌筋膜移位或整形重建产生更好的效果。在修复方法中，这些手术按照美容和功能效果的等级顺序列出。整个组的平均随访时间为2.8年。神经修复组的平均随访时间为3.2年，肌筋膜移位组为14.1个月。
