Conley J, Gullane P J
Arch Otolaryngol. 1978 Aug;104(8):423-6. doi: 10.1001/archotol.1978.00790080005001.
Facial rehabilitation, utilizing the transposed temporalis muscle, was performed. Three new innovations of this technique include: (1) The whole muscle is transposed into the face to accomplish augmentation, support, protection for the eye, and movement. (2) Following transposition of the temporalis muscle, its nerve supply is lysed at the foramen ovale. Nerve substitution by a free, autogenous graft from the proximal segment of the ipsilateral facial nerve or crossfacial sural nerve is accomplished. This technique substitutes the facial nerve axons and nuclei for the trigeminal nerve in this muscle and thus eliminates movement on mastication and facilitates the possibility for expression. (3) This muscle may be transposed with a portion of the temporal and parietal bones to add bony architecture to the cheek and orbit.
采用颞肌转位进行面部修复。该技术的三项新创新包括:(1)将整块肌肉转位至面部,以实现增容、支撑、保护眼睛及运动功能。(2)颞肌转位后,在卵圆孔处松解其神经供应。通过取自同侧面神经近端或跨面神经腓肠神经的游离自体移植物进行神经替代。该技术用面神经轴突和核替代该肌肉中的三叉神经,从而消除咀嚼时的运动并便于表情表达。(3)该肌肉可与部分颞骨和顶骨一起转位,为脸颊和眼眶增加骨质结构。