Berges C, Boutault F, Fraysse B
CHU Purpan, ENT Department, Toulouse, France.
Rev Laryngol Otol Rhinol (Bord). 1995;116(1):41-3.
A wide variety or techniques have been developed over the years in an effort to reduce the devastating impact of facial paralysis on the patient. The authors choose to perform hypoglossal-facial nerve anastomosis when facial facial nerve anastomosis, or cross-over, or microvascular muscle transplantation are impossible. Nevertheless, these results appear always insufficient for palpebral occlusion. The authors propose to associate two rehabilitation technique to obtain optimal results. They perform hypoglossal facial nerve anastomosis using the technique modified by U. Fisch, and they associate temporal muscular transfer to improve ocular protection. This association imposes an increased strain on the patient in an effort to undertake double re-education which modifies twice his classic corporeal scheme. The surgical technique are associated after evaluation of the possibility of the patient adherence to the long duration physical therapy.
多年来已开发出各种各样的技术，以努力减轻面瘫对患者的毁灭性影响。当面神经吻合、交叉或微血管肌肉移植不可能进行时，作者选择进行舌下-面神经吻合术。然而，这些结果对于眼睑闭合来说似乎总是不够的。作者建议联合两种康复技术以获得最佳效果。他们采用由U. Fisch改良的技术进行舌下-面神经吻合术，并联合颞肌转移术以改善眼部保护。这种联合给患者带来了更大的负担，因为要进行双重再训练，这会两次改变他的经典身体模式。手术技术是在评估患者坚持长期物理治疗的可能性之后联合使用的。
