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按肌束区域进行肌肉移植。

Muscle transplantation by fascicular territory.

作者信息

Manktelow R T, Zuker R M

出版信息

Plast Reconstr Surg. 1984 May;73(5):751-7. doi: 10.1097/00006534-198405000-00005.

DOI:10.1097/00006534-198405000-00005
PMID:6718573
Abstract

In some muscles, distinct and separate portions of the muscle are each under the control of a different fascicle of the motor nerve. Although there is some slight overlap in areas, this unit, a single fascicle muscle territory, is present in the gracilis muscle. Microneurovascular techniques have improved the reliability of muscle transplantation for the reconstruction of facial paralysis. The amount of movement obtained depends on many factors, including the amount of muscle transplanted and the adequacy of its reinnervation. The ability to transplant a small segment of a muscle based on the fascicular territory enables the surgeon to supply the amount of movement that each individual patient requires.

摘要

在某些肌肉中,肌肉的不同且独立的部分分别受运动神经不同束支的控制。尽管在区域上存在一些轻微重叠,但这种单元,即单个束支肌肉区域,存在于股薄肌中。微神经血管技术提高了肌肉移植用于面神经麻痹重建的可靠性。获得的运动量取决于许多因素,包括移植的肌肉量及其再支配的充分程度。基于束支区域移植一小段肌肉的能力使外科医生能够提供每个患者所需的运动量。

相似文献

1
Muscle transplantation by fascicular territory.按肌束区域进行肌肉移植。
Plast Reconstr Surg. 1984 May;73(5):751-7. doi: 10.1097/00006534-198405000-00005.
2
Microneurovascular free muscle transplantation for reanimation of facial paralysis.用于面瘫重建的显微神经血管游离肌肉移植术。
Clin Plast Surg. 1979 Jul;6(3):361-75.
3
Free gracilis muscle transplantation, with microneurovascular anastomoses for the treatment of facial paralysis. A preliminary report.游离股薄肌移植术,采用显微神经血管吻合术治疗面瘫。初步报告。
Plast Reconstr Surg. 1976 Feb;57(2):133-43. doi: 10.1097/00006534-197602000-00001.
4
Refined microneurovascular free muscle transplantation for reanimation of paralyzed face.精细显微神经血管游离肌肉移植用于面瘫的恢复
Microsurgery. 1988;9(3):169-76. doi: 10.1002/micr.1920090302.
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Analysis of 100 cases of free-muscle transplantation for facial paralysis.100例面神经麻痹游离肌肉移植分析。
Plast Reconstr Surg. 1997 Jun;99(7):1905-21. doi: 10.1097/00006534-199706000-00016.
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[Reconstruction of chronic facial paralysis by free gracilis muscle transfer. Apropos of 59 cases].[游离股薄肌移植修复慢性面瘫。附59例报告]
Ann Chir Plast Esthet. 1995 Apr;40(2):121-9.
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Anatomy of the motor nerve to the gracilis muscle and its implications in a one-stage microneurovascular gracilis transfer for facial reanimation.股薄肌运动神经的解剖及其在一期微型神经血管股薄肌转移面部再表情中的意义。
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Plast Reconstr Surg. 1995 Feb;95(2):296-304. doi: 10.1097/00006534-199502000-00009.
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The morphological sequences in man of de- and reinnervation in free muscle transfer with microneurovascular anastomoses.人在进行带显微神经血管吻合的游离肌肉移植时去神经和再神经支配的形态学序列。
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引用本文的文献

1
An assessment of the variation of the intramuscular innervation of the gracilis muscle, with the aim of determining its neuromuscular compartments.评估内收肌肌内神经支配的变化,旨在确定其神经肌肉隔室。
J Anat. 2023 Mar;242(3):354-361. doi: 10.1111/joa.13785. Epub 2022 Oct 29.
2
Use of gastrointestinal anastomosis stapler for harvest of gracilis muscle and securing it in the face for facial reanimation: a novel technique.使用胃肠吻合器获取股薄肌并将其固定于面部用于面部重建:一种新技术。
Eplasty. 2010 Apr 8;10:e29.
3
[Free functional gracilis muscle transplantation for reconstruction of active elbow flexion in posttraumatic brachial plexus lesions].
[游离功能性股薄肌移植重建创伤性臂丛神经损伤后肘关节主动屈曲功能]
Oper Orthop Traumatol. 2009 Jun;21(2):141-56. doi: 10.1007/s00064-009-1704-9.
4
Plastic surgery: facial palsy.整形手术:面瘫
West J Med. 1986 Oct;145(4):506-7.
5
Facial reinnervation after facial paralysis: is it ever too late?
Arch Otorhinolaryngol. 1989;246(5):303-7. doi: 10.1007/BF00463581.
6
Functional reconstruction after facial paralysis: a survey.面瘫后的功能重建:一项调查。
World J Surg. 1990 Nov-Dec;14(6):748-56. doi: 10.1007/BF01670521.