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局部面部肌肉瓣转移动态修复面颊部晚期外伤性面瘫 预览 被引量:3

Local facial muscle flap transfer for the dynamic treatment of cheek-traumatic longstanding facial paralysis
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摘要 目的:探讨应用局部面肌肌肉瓣转移动态修复晚期面颊部外伤性面瘫的手术方法及效果。方法:以外伤切口入路,分离两侧的面肌包含SMAS筋膜,以外伤切口为长轴形成对偶肌肉瓣后互换,缝合;切口行连续“W”改形。结果:本组修复晚期外伤性面瘫12例,术后恢复了静态的口角对称及一定的自主口部运动,尚无失败的病例。术后随访6个月,手术效果满意。结论:局部面肌肌肉瓣转移可动态修复晚期面颊部外伤性面瘫所致的口鼻歪斜畸形并能重建部分口部表情功能。 Objective To research the operative technique and the result of local facial muscle flap transfer for the dynamic treatment of cheek-tramatic longstanding facial paralysis. Methods Dissectted two matched facial muscle flaps including SMAS along the injury insicion line, exchanged the position of the matched flaps along the injury line axis and suture; the incision was closed by "W" plasty. Results All 12 cases with long-standing truma facial paralysis accepted our treatment above got the static symmetry of oral commissure and partly dynamic appearance without false. The result was satisfied with 6 months" follow-up. Conclusion Local facial muscle flap transfer can repair the oralnasal deformity of longstanding trauma facial paralysis and reconstruct the oral appearance partly.
作者 黄渭清 方柏荣 方薛泉 HUANG Wei-qing,FANG Bai-rong,FANG Xue-quan (Depatment of Plastic Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Science, Beijing 100032, China)
出处 《中国美容医学》 CAS 2008年第7期 961-963,共3页 Chinese Journal of Aesthetic Medicine
关键词 面肌 动态修复 晚期面瘫 外伤性 facial muscle dynamic reconstruction long-standing facial paralysis trauma
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