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首页> 外文期刊>Plastic and reconstructive surgery >Facial Reanimation: Basic Surgical Tools and Creation of an Effective Toolbox for Treating Patients with Facial Paralysis. Part A: Functional Muscle Transfers in the Long-Term Facial Palsy Patient
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Facial Reanimation: Basic Surgical Tools and Creation of an Effective Toolbox for Treating Patients with Facial Paralysis. Part A: Functional Muscle Transfers in the Long-Term Facial Palsy Patient

机译：面部恢复：基本外科手术工具和创建一个有效的工具箱，用于治疗面部瘫痪患者。 A部分：长期面部麻痹患者的功能肌肉转移

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The literature on facial paralysis is vast; however, detailed videos of the basic tools of dynamic reanimation within the context of patient scenarios accompanied by detailed narrative emphasizing both technique and thought processes are not common. Although not all scenarios of facial paralysis can be discussed in one setting, videographic visualization of basic surgical procedures, including facial marking, facial dissection, donor nerve preparation, cross-facial nerve graft, nerve transfers, and muscle harvest and inset, may provide a strong toolbox. Using these tools in various combinations depending on the unique case details enables the surgeon to treat a great majority of facial palsy patients. Part A, with the first of two videos, concentrates on free functional muscle transfer in the setting of longstanding facial paralysis. It includes preoperative markings, preparation of the patient in the operating room before incision, facial dissection including exposure of the masseter nerve, partial gracilis muscle harvest, and perhaps most importantly, the inset of the muscle on the paralyzed side. Part B (with the second video) concentrates on the cross-facial nerve graft and nerve transfers, used in the context of acute facial palsy, providing the short-term goal of mimetic musculature salvage in addition to longer term specific regional reinnervation by means of cross-facial nerve grafting. We hope that these videos provide a strong learning tool for enthusiastic novice medical students, residents, and fellows wishing to prepare for their cases, and faculty level physicians who wish to use them as a refresher before surgery.
机译：面瘫的文献广阔;然而，详细的动态复苏的基本工具视频的陪同下详细叙述病人的情况都强调技术范围内和思维过程是不常见的。虽然不是面瘫的所有方案可以在一个设置中，基本的外科手术，包括面部标记，面部夹层，供体神经制剂，横面神经移植物，神经传递和肌肉收获和插入视频图形可视化地讨论的，可以提供强大的工具箱。在使用依赖于独特的案例细节上的各种组合，这些工具使外科医生能够治疗大多数面瘫患者。 A部分，与所述第一的两个视频，集中于在长期面瘫的设定游离官能肌肉传递。它包括术前的标记，切割前的准备在手术室患者的面部解剖包括咬肌神经的暴露，部分股薄肌的收获，也许最重要的是，麻痹侧的肌肉插图。 B部分（与第二视频）对交叉面神经移植物和神经传递的浓缩物，在急性面瘫的上下文中使用，借助于提供除了模拟肌肉打捞的短期目标较长期特定区域神经移植术跨面神经移植术。我们希望这些影片提供了谁希望在手术前把它们作为一个复习热情新手医学院学生，居民，并希望为他们准备的情况研究员和教师水平的医师较强的学习工具。

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