摘要
陈旧性面瘫是指病程超过2年的面神经功能障碍,所致的口角歪斜、麻痹性睑外翻、鼻唇沟消失等异常面容严重影响着患者的工作和生活。目前,手术仍然是治疗陈旧性面瘫的首选方式,虽然面部动态修复重建是临床治疗的最高追求,但动力性手术并不能够修复面部所有区域,非动力性手术能够使面部长期保持静态对称性,作为动力性手术的补充不容忽视。同时术前须对面神经损伤程度进行正确评估,定制个性化的手术方案。针对面瘫痪常见评估方法、静力悬吊术、提眉术、上眼睑负载、睑缘粘连术、A型肉毒毒素注射等方面的进展,本文对陈旧性面瘫非动力性手术的研究进展做一综述,旨在提高整形外科医师对非动力性手术的认识,加强面瘫多方面治疗模式,使患者术后有更好的美学和功能恢复效果。
Chronic facial paralysis refers to facial nerve dysfunction with a course of more than 2 years,resulting in drooping of the corner of the mouth,paralytic ectropion,Nasolabial sulcus obliterated and other facial abnormalities that seriously affect the life and work of patients.At present,surgery is still the first choice for the treatment of chronic facial paralysis,although dynamic procedures are the first pursuit of clinical treatment,it can't always deal with all areas of the face,and static procedures can keep the static symmetry of the face for a long time,which can't be ignored as a supplement to dynamic procedures.The degree of facial nerve injury must be correctly evaluated before surgery,and personalized surgical plan must be customized.This paper reviews the progress of methods including common assessment methods,static facial suspension procedures,browlift techniques,upper eyelid loading,tarsorrhaphy,botulinum toxin injection,aim to improve the plastic surgeon's understanding of static procedures,strengthen the multifaceted treatment model of facial paralysis,and then make patients have better aesthetic and functional recovery effects after surgery.
作者
周煦川
马戈甲
王文飞
刘宾
ZHOU Xu-chuan;MA Ge-jia;WANG Wen-fei;LIU Bin(Department of Burn,Plastic and Cosmetic Surgery,Xi'an Central Hospital,Shanxi Province,710003,China)
出处
《中国医疗美容》
2023年第5期72-76,共5页
China Medical Cosmetology
基金
西安市创新能力强基计划-医学研究项目(22YXYJ0077)。
关键词
陈旧性面瘫
面部修复
静力悬吊术
睑缘粘连术
上眼睑负载
评估
Chronic Facial Paralysis
Facial Reanimation
Static facial Suspension procedures
Tarsorrhaphy
Upper Eyelid Loading
Assessment
