Modified Lengthening Temporalis Myoplasty Using an Intraoral Approach
Modified Lengthening Temporalis Myoplasty Using an Intraoral Approach
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采用口内入路的改良颞肌延长成形术
DOI：
10.1097/scs.0000000000008207
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发表时间：
2022
影响因子：
0.9
通讯作者：
Labbe Daniel
中科院分区：
文献类型：
--
作者：
Hayashi Ayato;Natori Yuhei;Suda Shunichi;Kamimori Tomoki;Nojiri Gaku;Uchiyama Mizuki;Labbe Daniel
背景：延长颞肌成形术（LTM）是一种独特而明确的面部再生手术，涉及将整个颞腱直接插入鼻唇襞。然而，鼻唇沟切口仍然是该手术的难点之一，特别是在年轻或女性患者中。为了避免这种切口的需要，作者开发了一种口内入路来操纵颞肌肌腱朝向鼻唇襞。在这项研究中，我们描述了这个过程的细节。方法：对5例完全性面瘫患者行口内入路治疗。作者不是在鼻唇襞处作切口以接近冠突，而是在颊黏膜处作切口。对结果进行了主客观评价。结果：在面部及颈部均未留下明显疤痕，静态重建效果明显，术后即刻恢复。所有患者均在4个月内（平均2.5个月）获得良好的面部运动，术后各项评价指标均有所改善。手术后无感染或其他主要并发症报告；然而，1名患者出现轻微酒窝，需要修复。讨论：作者可以将颞腱向鼻唇沟方向坚定推进，获得与鼻唇沟切口相似的足够手术野，取得了较好的效果，面部无明显疤痕。
Background:Lengthening temporalis myoplasty (LTM) is a unique and definite facial reanimation procedure that involves inserting the whole temporal tendon directly into the nasolabial fold. However, the nasolabial fold incision remains one of the difficulties of this procedure, particularly in young or female patient. To avoid the need for this incision, the authors developed an intraoral approach to manipulate the temporal muscle tendon toward the nasolabial fold. in this study, we describe the details of this procedure.Method:The authors performed their intraoral approach procedure in 5 patients with established complete facial paralysis. instead of making an incision at the nasolabial fold to approach the coronoid process, the authors made the incision at the buccal mucosa. The results were evaluated both subjectively and objectively.Results:The authors achieved facial reanimation without leaving any obvious scar on the face or neck and the effect of static reconstruction is obvious, even immediately after the surgery. All the patients obtained good facial movement within 4 months (2.5 months in average), and improved all evaluated parameters postoperatively. No infections or other major complications were reported following surgery; however, 1 patient developed a slight dimple that required revision.Discussion:The authors could advance temporal tendon toward nasolabial fold firmly obtaining sufficient surgical field similar to that of nasolabial fold incision, and achieved fairly good results without an obvious scar on the face.
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DOI：
--
发表时间：
2018
期刊：
影响因子：
--
作者：
Hayashi A;Yoshizawa H;Ichihara S;Suzuki M;林 礼人;林 礼人;林 礼人;林 礼人;林 礼人;林 礼人;Hayashi Ayato
通讯作者：
Hayashi Ayato
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影响因子：
3.6
作者：
K. Harii;K. Ohmori;S. Torii;K. Harii
通讯作者：
K. Harii
DOI：
10.1016/j.bjps.2012.02.006
发表时间：
2012-07-01
影响因子：
2.7
作者：
Nduka, Charles;Hallam, Marc-James;Labbe, Daniel
通讯作者：
Labbe, Daniel
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影响因子：
2.1
作者：
G. Kecskés;P. Herman;R. Kania;D. Salvan;W. El Bakkouri;P. Tran Ba Huy;E. Sauvaget
通讯作者：
E. Sauvaget
DOI：
10.1016/j.anplas.2009.04.002
发表时间：
2009
期刊：
Annales de Chirurgie Plastique et Esthétique
影响因子：
--
作者：
D. Labbé
通讯作者：
D. Labbé