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面瘫的跨面神经移植术。

Cross-face grafting in facial paralysis.

作者信息

Fisch U

出版信息

Arch Otolaryngol. 1976 Aug;102(8):453-7. doi: 10.1001/archotol.1976.00780130047002.

DOI:10.1001/archotol.1976.00780130047002
PMID:942320
Abstract

I report the two-year follow-up results obtained by cross-face grafting in seven patients. The advantages of the method, ie, reduction of innervation of the healthy side of the face and restoration of emotional movements of the paralyzed side, are counterbalanced by the long delay in reinnervation and the limited number of motor fibers available for matched contralateral diversion. For this reason, cross-face grafting should still be considered as an experimental stage and should not be used in an indiscriminate way to achieve symmetry of emotional movements in irreversible unilateral facial palsy.

摘要

我报告了7例患者采用跨面神经移植术的两年随访结果。该方法的优点,即减少健侧面部的神经支配以及恢复患侧的情感运动,但被神经再支配的长时间延迟和用于匹配对侧转移的运动纤维数量有限所抵消。因此,跨面神经移植术仍应被视为处于实验阶段,不应被随意用于在不可逆性单侧面瘫中实现情感运动的对称性。

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