选择性面神经切除术联合面神经移植治疗麻痹后面神经综合征。

IF 1.3 Q3 SURGERY
Archives of Plastic Surgery-APS Pub Date : 2025-05-15 eCollection Date: 2025-05-01 DOI:10.1055/a-2531-3083
Ko Nakao, Takako Fujii, Hisashi Sakuma
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引用次数: 0

摘要

虽然麻痹后面神经综合征(PFS)是部分面瘫的常见后遗症,但目前尚无有效的治疗方法。在此,我们报告一例52岁的女性患者,患有中度PFS(尤其是口眼联动和面部挛缩),House-Brackmann评分为III级,采用交叉面神经移植技术选择性切除面神经。选择性神经切除术导致神经联动性解除和挛缩。此外,我们通过CFNG将对侧面神经连接到面神经厚颧支,从而使提肌的神经信号增强,从而对上唇和口连的提肌进行再神经支配。术后1年无明显PFS复发。该手术因其有效且侵入性小,有望为改善PFS提供一种新的治疗选择。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Selective Neurectomy of the Facial Nerve with Cross-Face Nerve Graft for Treating Postparalytic Facial Nerve Syndrome.

Although postparalytic facial nerve syndrome (PFS) is a frequent sequela of partial facial palsy, no effective treatment is currently available. Herein, we report a case of a cross-face nerve graft (CFNG) technique with selective neurectomy of the facial nerve in a 52-year-old female with moderate PFS (especially oral-ocular synkinesis and facial contracture) and a House-Brackmann score grade III. Selective neurectomy resulted in the release of the synkinesis and contractures. Furthermore, we reinnervated the levator muscles of the upper lip and oral commissure by connecting the contralateral facial nerve to the thick zygomatic branch of the facial nerve via a CFNG, which allowed neural signal augmentation of the levator muscles. No obvious PFS recurrence was observed 1 year postoperatively. This procedure is expected to provide a new treatment option for improving PFS because it is effective and less invasive.

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来源期刊
CiteScore
2.10
自引率
6.70%
发文量
131
审稿时长
10 weeks
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