莫比斯综合征-结合最先进的手术和康复治疗改善预后

J. P. Castro, L. Vouga, I. Jorge, Maria Paz Cunha, R. Amorim, L. Palhau
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引用次数: 1

摘要

莫比斯综合征(Moebius Syndrome, MBS)是一种罕见的疾病,以先天性、非进行性面瘫和其他颅肢缺陷为特征。典型的“面具样”外表、流口水和含糊不清的语言构成了主要特征。治疗的重点是矫正畸形和增强功能。手术游离功能性肌肉移植(FFMT)是面部再生的金标准。尽管缺乏关于MBS康复的知识,特别是关于中枢神经系统重组的知识,但一个针对运动、认知和社交障碍的综合康复计划是至关重要的。一名6岁的MBS男孩从4个月开始在我科接受治疗,包括语言、物理和职业治疗。最近,他接受了面部再生手术。作者认为,康复通过增强手术前的皮层表征和手术后的神经可塑性来改善患者的预后。协调这两种干预措施似乎对全面解决MBS至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Moebius syndrome - improving outcome with combined state-of-the-art surgical and rehabilitation treatments
Moebius Syndrome (MBS) is a rare disorder, characterized by congenital, non-progressive facial palsy and other cranial and limb defects. A typical “mask-like” appearance, drooling, and indistinct speech comprise the dominant features. Treatment focuses on correcting deformities and enhancing functionality. Surgical free functional muscle transfer (FFMT) is the gold standard for facial reanimation. A comprehensive rehabilitation program addressing motor, cognitive, and social impairment is paramount, despite the scarcity of knowledge regarding MBS rehabilitation, especially concerning central nervous system reorganization. A six-year-old boy with MBS received treatment in our Department since the age of four months, including speech, physical, and occupational therapy. Recently, he underwent facial reanimation surgery. The authors believe that rehabilitation improved the patient’s outcome by enhancing cortical representation before and neuroplasticity after surgery. Coordination of both interventions seems pivotal to fully address MBS.
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