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Static Facial Reconstruction with Fascia Latae Grafts and Gold Lid-Load in Facial Palsy: A Case Report and Literatures Review

靜態顏面表情重建手術-利用擴張筋膜懸吊術及眼瞼黃金植入術來治療顏面神經麻痺-病例報告及文獻回顧

摘要


因外科手術造成的顏面神經痲痺,至今仍沒有完美的治療方式,由於顯微神經血管接合手術的進步,治療面神經完全痲痺的方法有長足進展,有許多文章的報告結果令人滿意,但是仍有一些情形使得病人無法接受上述耗時又冗長的手術。所以靜態顏面表情重建手術就可提供病人另外的選擇。本文提出利用擴張筋膜懸吊術來改善臉頰及嘴角的外觀,眼瞼黃金植入術治療不能閉眼的問題,就功能及外觀而言,本病例之結果令人滿意,故提出報告及相觀文獻回顧。

並列摘要


No procedure perfectly restores a face paralyzed by surgical ablation of the facial nerve. Although dynamic reconstructive procedures are preferred for treating patients with complete facial paralysis, various conditions contraindicate their use, making static suspension of the paralysed face a reasonable surgical alternative. Fascia latae graft was used to help correct midfacial and perioral asymmetries in a patient with complete unilateral facial paralysis for 15 months. Upper-lid loading procedures using gold prostheses were also used to treat the lagophthalmos. The results were satisfactory in function and cosmesis. The case is presented and the literature reviewed.

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