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面神经麻痹:选用哪种皮瓣?显微外科、解剖学及功能方面的考量

Facial nerve palsy: which flap? Microsurgical, anatomical, and functional considerations.

作者信息

Bove A, Chiarini S, D'Andrea V, Di Matteo F M, Lanzi G, De Antoni E

机构信息

Department of General Surgery, University of Rome La Sapienza, Italy.

出版信息

Microsurgery. 1998;18(4):286-9. doi: 10.1002/(sici)1098-2752(1998)18:4<286::aid-micr14>3.0.co;2-u.

DOI:10.1002/(sici)1098-2752(1998)18:4<286::aid-micr14>3.0.co;2-u
PMID:9779644
Abstract

In the microsurgical therapy of facial nerve palsy, the muscles most frequently utilized have been gracilis, latissimus dorsi, and pectoralis minor, this depending upon surgeons' personal experience. However, at the moment no satisfactory comparison studies are available; this work is a comparative study of the three most often used cadaver-derived muscles in surgical therapy of facial nerve palsy. The potential use of gracilis, latissimus dorsi, and pectoralis minor as free flaps has been assessed by analyzing their microsurgical, anatomical and functional parameters. Suitability has been evaluated by scoring each parameter from 0 to 3 (unsatisfactory, satisfactory, good, and excellent respectively). The results may provide the surgeon who undertakes this kind of technique with a useful data comparison.

摘要

在面神经麻痹的显微外科治疗中,最常使用的肌肉是股薄肌、背阔肌和胸小肌,这取决于外科医生的个人经验。然而,目前尚无令人满意的比较研究;这项工作是对面神经麻痹外科治疗中三种最常用的尸体来源肌肉进行的比较研究。通过分析股薄肌、背阔肌和胸小肌的显微外科、解剖学和功能参数,评估了它们作为游离皮瓣的潜在用途。通过对每个参数从0到3进行评分(分别为不满意、满意、良好和优秀)来评估适用性。研究结果可为采用这种技术的外科医生提供有用的数据比较。

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