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由于过去25年面神经外科的复兴,现在几乎每一个面瘫患者都可借一种或几种手术得到改善,理想的恢复标准是:安静时面部对称,自主及表情运动对称,恢复对口、鼻、眼括约肌的控制,以及无其他重要功能的丧失。但目前尚无一种手术能达到全部要求。一般讲,用神经重建运动功能优于静态方法,而面神经直接缝合及神经移植效果最好。当面神经的颅内、颞骨内外部分受到不可逆的破坏,而面肌还有功能时,采用与副神经、舌下神经或膈神经的吻合术已应用了75年,但由于造成的不协调运动及失去供给神经所支配的肌肉
Due to the revival of facial neurosurgery in the past 25 years, almost every patient with facial paralysis can now be improved by one or more surgeries. The ideal recovery criteria are facial symmetry at rest, symmetry of autonomic and facial expressions, restoration of counterparts, nose, eyes Sphincter control, and no other important loss of function. But at present there is not a single operation to meet all the requirements. In general, the use of nerve reconstruction motor function better than the static method, and direct facial nerve nerve graft and the best. When the facial nerve, intracranial and temporal bone inside and outside parts of the irreversible damage, while the facial muscles still have the function, the use of an accessory nerve, hypoglossal nerve or phrenic nerve anastomosis has been applied for 75 years, but due to the resulting uncoordinated movement and Loss of supply to the nerves of the muscles