动力性肌肉游离移植治疗晚期面瘫的历史和研究进展

History and progress in dynamic surgical correction of late facial paralysis by freee muscle transplantation

面瘫给患者的生活、工作和社交都带来了极大困难。通过相关学者多年的努力，探索出很多治疗面瘫的新方法、新理论，应用这些方法可使面瘫患者表情肌功能得到明显改善，其中动力性肌肉游离移植重建表情肌功能是最有效的方法之一。不同的肌肉采用不同的方法游离移植治疗面瘫的效果不同，不同的肌肉采用相同的方法游离移植治疗面瘫亦存在各自的优缺点。需要对肌肉、面神经供支、手术方式三者综合考虑动力性治疗面瘫的方法。

Late facial palsy is a depressing condition for the sufferer. During the past 30 years, attempts have been made to improve the reanimation of these patients. Neurovascalar free-muscle transfer for facial reanimation is one of the best methods. The great difference results from various transplanted muscles the different operateive techniques; the respective features are different various muscles by the same operateive technique. The best treatment for facial paralysis must consider muscle, operateive method, and donor nerve together