舌下神经-面神经转接术治疗周围性面瘫研究

Hypoglossal Nerve- Facial Nerve Transfer in the Treatment of Peripheral Facial Paralysis

目的:探讨舌下神经-面神经转接术治疗周围性面瘫的临床效果。方法:对17例面瘫患者给予舌下神经-面神经转接术,在术后2个月、半年以及一年随访观察其临床效果和并发症。结果:17例患者面部表情肌活动术后逐步恢复,不同程度的显现效果;17例患者均未出现舌肌萎缩及伸舌偏斜等并发症。结论:面神经损伤导致的面瘫,经过神经电生理学检查确定该损伤不可逆后通过舌下神经-面神经转接未治疗确有效果,且未见明显不良反应。

Objective：To evaluate the clinical effects of hypoglossal nerve-facial nerve transfer in the treatment of peripheral facial paralysis.Methods：17 patients with facial paralysis were treated with hypoglossal nerve-facial nerve transfer surgery,2 months after surgery, six months and one year follow-up observation of clinical effects and complications.Results：17 patients after facial muscle activity gradually restored,show varying degrees of effeetiveness;genioglossus occurred in 17 patients no complications such as atrophy and Shenshe skew. Conclusions：Facial nerve injury caused by facial paralysis, after a neurological examination to determine the electrophysiological adopted after irreversible injury hypoglossal nerve-facial nerve transfer surgery does have effect,and no significant adverse reactions.