Dual simultaneous systems for facial reanimation.
Dual simultaneous systems for facial reanimation.
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用于面部复活的双同步系统。
DOI：
10.1001/archotol.1983.00800170003001
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发表时间：
1983
影响因子：
--
通讯作者：
J. Conley
中科院分区：
文献类型：
--
作者：
M. Sachs;J. Conley
成功使瘫痪面部复活需要特定且适应性强的程序设备。通常，在治疗局部麻痹时，一种独特的技术被认为是最合适和可靠的。然而，在手术消融或创伤继发的完全偏瘫的情况下，同时使用两个独立但互补的康复系统已在 15 名患者中证明是有价值的。所描述的重建概念将面部分为两个功能领域：上眶周区域和下口周区域。整体系统包括用于上部分的直接面神经电缆移植再吻合术以及用于下面部区域的咬肌转移。咬肌转位的直接支持作用与其通过肌神经旋转的长期康复能力相结合，补充了神经吻合术的更严格的生理作用。
Successful reanimation of the paralyzed face requires a specific yet adaptable procedural armamentarium. Usually, in the treatment of regional paralysis, one distinct technique is deemed most appropriate and dependable. In cases of total hemiparesis secondary to surgical ablation or trauma, however, the simultaneous use of two separate but complementary rehabilitative systems has proved valuable in 15 patients. The reconstructive concept described divides the face into two functional spheres, an upper periorbital area and a lower perioral region. The integral system includes a direct facial nerve-to-cable graft reanastomosis for the upper division combined with a masseter muscle transfer for the lower facial region. The immediate supportive effects of the masseter transposition integrated with its long-term ability to rehabilitate via myoneurotization complement the more physiologically exacting effects of the nerve anastomosis.