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首页> 外文期刊>Plastic and reconstructive surgery >Facial Reanimation with Gracilis Muscle Transfer Neurotized to Cross-Facial Nerve Graft versus Masseteric Nerve: A Comparative Study Using the FACIAL CLIMA Evaluating System.
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Facial Reanimation with Gracilis Muscle Transfer Neurotized to Cross-Facial Nerve Graft versus Masseteric Nerve: A Comparative Study Using the FACIAL CLIMA Evaluating System.

机译：用神经化的面神经移植到面神经与咬肌神经的Gracilis肌肉进行面部修复：使用FACIAL CLIMA评估系统的比较研究。

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: Longstanding unilateral facial paralysis is best addressed with microneurovascular muscle transplantation. Neurotization can be obtained from the cross-facial or the masseter nerve. The authors present a quantitative comparison of both procedures using the FACIAL CLIMA system.: Forty-seven patients with complete unilateral facial paralysis underwent reanimation with a free gracilis transplant neurotized to either a cross-facial nerve graft (group I, n = 20) or to the ipsilateral masseteric nerve (group II, n = 27). Commissural displacement and commissural contraction velocity were measured using the FACIAL CLIMA system. Postoperative intragroup commissural displacement and commissural contraction velocity means of the reanimated versus the normal side were first compared using the independent samples t test. Mean percentage of recovery of both parameters were compared between the groups using the independent samples t test.: Significant differences of mean commissural displacement and commissural contraction velocity between the reanimated side and the normal side were observed in group I (p = 0.001 and p = 0.014, respectively) but not in group II. Intergroup comparisons showed that both commissural displacement and commissural contraction velocity were higher in group II, with significant differences for commissural displacement (p = 0.048). Mean percentage of recovery of both parameters was higher in group II, with significant differences for commissural displacement (p = 0.042).: Free gracilis muscle transfer neurotized by the masseteric nerve is a reliable technique for reanimation of longstanding facial paralysis. Compared with cross-facial nerve graft neurotization, this technique provides better symmetry and a higher degree of recovery.: Therapeutic, III.
机译：：长期单侧面部麻痹最好用微神经血管肌肉移植治疗。神经化可以从跨面神经或咬肌中获得。作者使用FACIAL CLIMA系统对这两种方法进行了定量比较。：47例完全性单侧面瘫的患者接受了神经纤维化的自由性横纹肌移植术复活（无论是I组，n = 20）还是经皮神经系统移植。到同侧的咬肌神经（第二组，n = 27）。使用FACIAL CLIMA系统测量连合位移和连合收缩速度。使用独立样本t检验比较复活侧与正常侧的术后组内连合移位和连合收缩速度平均值。使用独立样本t检验比较两组之间两个参数的平均恢复百分比。：在第一组中，观察到了恢复侧和正常侧之间的平均连合移位和连合收缩速度的显着差异（p = 0.001和p = 0.014），但不在第二组中。组间比较显示，II组的连合位移和连合收缩速度均较高，连合位移有显着差异（p = 0.048）。 II组中两个参数的平均恢复百分比均较高，连合移位的差异显着（p = 0.042）：由咬肌神经神经化的游离gra肌转移是恢复长期面瘫的可靠技术。与跨面神经移植神经化相比，该技术具有更好的对称性和更高的恢复度。

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