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首页> 外文期刊>Otolaryngology--head and neck surgery: official journal of American Academy of Otolaryngology-Head and Neck Surgery >Bilateral simultaneous free gracilis muscle transfer: a realistic option in management of bilateral facial paralysis.
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Bilateral simultaneous free gracilis muscle transfer: a realistic option in management of bilateral facial paralysis.

机译：双边同时进行的自由鞭毛肌转移：管理双侧面部瘫痪的现实选择。

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OBJECTIVES: Bilateral facial paralysis patients have oral incompetence, poor articulation, and dental caries. This problem is frequently addressed by performing staged gracilis transplants without specific oral sphincter reconstruction. The purpose of this study is to describe the technique of bilateral simultaneous free gracilis muscle transfer with oral sphincter reconstruction, for one-stage facial reanimation in patients with bilateral facial paralysis. STUDY DESIGN: Case series. METHODS/RESULTS: One-stage bilateral gracilis transfer was performed in three patients with bilateral facial paralysis. Muscle transplants produced a meaningful smile in all transferred muscles. All patients reported improved speech and decreased drooling. CONCLUSIONS: Bilateral gracilis transplants with reconstruction of the oral commissure is a realistic option in management of the bilaterally paralyzed face. In this small series, it appears to improve oral competence, restore smiling, and contribute favorably to lower lip support. This technique has been made more feasible because the operative time for free tissue transfer has continuously declined with the use of two-team surgery, improved microsurgical techniques, and the advent of venous coupling devices.
机译：目的：双侧面部瘫痪患者口腔无力，咬合不良和龋齿。该问题通常通过进行分期的睫状肌移植而无需特殊的口腔括约肌重建来解决。这项研究的目的是描述双侧同时进行的自由gra肌转移与口腔括约肌再造的技术，用于双侧面部瘫痪患者的一阶段面部修复。研究设计：案例系列。方法/结果：3例双侧面部瘫痪患者进行了一期双侧斜视肌转移。肌肉移植在所有转移的肌肉中产生有意义的微笑。所有患者均报告言语改善，流口水减少。结论：双侧舌状肌移植重建口腔连合是治疗双侧瘫痪面部的现实选择。在这个小系列中，它似乎可以提高口腔能力，恢复微笑并有利于下唇支持。该技术已变得更加可行，因为随着两队手术，改进的显微外科技术和静脉连接装置的出现，用于自由组织转移的手术时间一直在减少。

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