A Modified Technique for Rapid Restoration of Facial Paralysis-Short Cross-Face Nerve Graft, Short Waiting Period, and Free Muscle Transplantation

對於慢性顏面神經麻痺的重建，傳統上一般採用兩階段重建，(l)對側顏面神經做神經移植來延長。（一般取20-25公分長），第一階段(2)功能性肌肉瓣轉移，第二階段；中間有一年之神經再生等待期。自2001年十一月，開始使用10-15公分短神經移植，經過六個月，再作游離肌肉辦轉移。整個重建過程在一年內完成。經過追蹤，此更新技術相當不錯，優點包括在第一階段小腿取神經之傷口疤痕減少，開刀時間縮短。在第二階段，要找出埋入移植之神經，短，且快，安全，開刀之時間也因而縮短。即使在第三階段，作肌肉瓣修整，亦很安全。此更新技術，已採用在2002年迄今。在2002年及2003年，兩年間，共有五十八例均在一年內完成重建。其追蹤之結果，和過去的方法比較，沒有區別。換言之縮短了重建之時間，但最後效果是一樣的好。

關鍵字

無資料

並列摘要

Traditionally, reconstruction for chronic facial palsy was a two-stage procedure: long cross-face nerve graft (20-25cm in length) in the first stage, followed by functioning free muscle transplantation in the second stage with a one year interval. Since November 2001, we have started to use a short nerve graft (10-15cm) to cross the face in the first stage. After a 6-months waiting period, functioning free muscle transplantation was performed for the second stage of the reconstruction. This method, developed by chance, has shown encouraging results to achieve the goal of rapid restoration. Advantages of this evolution in technique include fewer scars on the donor leg and a shorter operative time in the first stage, a shorter interval (6 months) of waiting period required for nerve degeneration and regeneration, and safer, easier and faster dissection of the previous embedded cross-face grafted nerve in the second stage, making the operation safer and operative time shorter. Finally, revision of the flap if required is also safer than before. Between 2002 and 2003, a two-year period, 58 patients were operated on by using this new technique. All patients finished the operative restoration within one year. The functional results show no difference compared with the traditional method.

並列關鍵字

facial paralysis ； nerve graft ； muscle restoration

國際替代計量

A Modified Technique for Rapid Restoration of Facial Paralysis-Short Cross-Face Nerve Graft, Short Waiting Period, and Free Muscle Transplantation

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