面瘫修复的研究进展

Advances in facial reanimation

摘要:

目的面神经损伤导致的面瘫严重影响患者外观和面部功能。个体化修复方案的制订需结合患者病情和意愿。目前面瘫修复方法较多，且随着修复技术的发展，取得了更好的修复效果。本文回顾近年关于面神经端端吻合术、神经移植桥接术、神经转位术及双重神经修复、局部肌瓣肌腱转位术以及带神经血管游离肌瓣移植术等方面的进展，并进行分析总结。

关键词:面神经|面瘫|修复|咬肌神经|舌下神经|肌瓣肌腱转位|神经血管游离肌瓣移植

Abstract:

Facial nerve injury often results in facial paralysis, which seriously influences patient's appearance and facial function. The condition and will of patient should be taken into account when determining the plan of facial reanimation. With the development of reanimation technique, there are kinds of methods of facial reanimation, which achieve better results. This paper reviews the progress of methods including direct endtoend anastomosis of facial nerve, nerve transplantation, nerve transfer, dual nerve transfer, regional muscle tendon transfer and neurovascular muscle transplantation.

Key words:Facial nerve| Facial paralysis|Reanimation| Masseteric nerve| Hypoglossal nerve| Muscle tendon transfer|Neurovascular muscle transplantation