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应用颞肌瓣转移术矫正面瘫,传统转移方法的缺点是需广泛分离颞肌肌腹,术后往往在颞区遗留明显凹陷,而颧弓区明显突出。由于广泛分离使肌腹受损,术后不会产生随意的表情运动,只能出现单一肌块运动(mass movement),有时还会发生联带运动(咀嚼或讲话时)。作者报告一种改进的颞肌转移技术,可避免以上不良后果的产生。 手术方法 全麻,患者取仰卧倒Trendelenberg位。在颞区作垂直切口,向下延伸至耳前皱折或达耳屏平面。从颞顶筋膜浅面翻开皮瓣,切开颞浅、颞深筋膜,显露该平面的所有肌肉。向下分离颞肌,直达颧弓内
Application of temporal muscle flap surgery to correct facial paralysis, the shortcomings of the traditional transfer method is the need to widely separated the temporal muscle levator ani, postoperative tend to remain in the temporal area significant depression, and prominent zygomatic arch area. Due to the extensive separation of the muscle belly, there is no random movement of expression after surgery, with only a single mass movement occurring, sometimes associated with jugular movements (when chewing or speaking). The authors report an improved temporal muscle transfer technique that avoids the above adverse effects. Surgical anesthesia, patients were supine down Trendelenberg bit. In the temporal region for vertical incision, down to the ear before the fold or darling plane. Open the flap from the superficial temporal fascia, incise the superficial temporal and deep fascia, revealing all the muscles in the plane. Downward temporal muscle, direct zygomatic arch