Martin H, Martin C, Laydevant J P
Ann Otolaryngol Chir Cervicofac. 1983;100(1):79-82.
In the absence of a known or generally admitted etiopathogeneicity, and as a result of failure of medical treatment for facial hemispasm, various surgical procedures have been proposed to alleviate this affection. Two types of operation can be distinguished: muscle resection and facial nerve surgery. The latter includes alcohol injection, combining of the 2nd part of the nerve, neurotomy, or neurectomy of the main or distal portions. However, recurrence is very frequent. Two cases were treated by evulsion of the suborbital nerve with marked success, all the above-mentioned procedures having been employed in one of these cases. Though it is too early to speak of recovery, there was no associated motor deficiency, particularly in the regions of the eye and labial commissure. These findings evoke possible relationships between facial and trigeminal nerves, a peripheral motor stimulus-response process providing an explanation for the hemispasm and its cure after evulsion of the suborbital nerve.
在缺乏已知的或普遍公认的病因，且面部痉挛的药物治疗无效的情况下，人们提出了各种外科手术来缓解这种病症。可区分出两种类型的手术：肌肉切除术和面神经手术。后者包括酒精注射、神经第二部分的联合、神经切断术，或主干或远端部分的神经切除术。然而，复发非常频繁。有两例通过眶下神经撕脱术治疗取得了显著成功，上述所有手术在其中一例中均已采用。尽管现在说已经康复还为时过早，但没有相关的运动功能缺陷，特别是在眼睛和唇角区域。这些发现引发了面神经与三叉神经之间可能存在的关系，一种外周运动刺激 - 反应过程为面部痉挛及其在眶下神经撕脱术后的治愈提供了解释。
