论文部分内容阅读
应用自体神经吻合手术治疗面神经瘫痪已有80余年的历史。Kort在1903年最先报道了舌下神经与面神经吻合治疗面瘫,相继Sarget(1911),Tavernier(1961),Evans(1974),Conley(1955、1977、1979,Spira(1978),Hausamen离及(1974)先后报导了用舌下神经、嚼肌神经、耳大神经、腓肠神经等与面神经吻合或游横跨面部移植,均取得较满意的效果。近年来,随着显微神经吻合技术的提高,用游离肌肉瓣、带蒂肌肉弁或带蒂肌肉弁加软骨等方法治疗顽固性面瘫,国内外均有报告,而使面神经外科技术逐步提高。但操作较复杂,有时须分期手术,时间长,效果缓慢。我院于1980年6月为一面部火器伤后6个月右侧面部严重面瘫的病人施行右嚼肌神经及分枝与面神经下行枝及颧枝吻合。在弱电场作用下,经七个月观察,右面部恢复良好,现报告如下:
Application of autonomic anastomosis surgery facial paralysis has more than 80 years of history. Kort first reported in 1903 the hypoglossal nerve and facial nerve anastomosis in the treatment of facial paralysis, followed by Sarget (1911), Tavernier (1961), Evans (1974), Conley (1955,1977,1979, Spira (1978), Hausamen and 1974) has reported the use of the hypoglossal nerve, the masseter nerve, the great auricular nerve, the sural nerve and other facial nerve anastomosis or swim across the facial transplantation, have achieved more satisfactory results in recent years, with the micro-nerve anastomosis technology Improve, with free muscle flap, pedunculated muscle 弁 or pedunculated muscle 弁 plus cartilage and other methods of treatment of intractable facial paralysis, both at home and abroad have been reported, and gradually increase facial neurosurgery techniques.But the operation is more complicated, sometimes to be staged surgery, time Long, the effect is slow.Our hospital in June 1980 for a facial firearm injury in the right side of 6 months after severe facial paralysis of the right chewing muscle nerve and branches and the facial nerve branch and zygomatic branches of the anastomosis in a weak electric field After seven months of observation, the right side recovered well and the report is as follows: