非神经材料(干热变性骨骼肌)修复面神经缺损:附一例报告

The Use of Muscle Autograft Denatured by Microwave for Repair of Gap in Removal of Facial Neuroma

目的探讨骨骼肌作为一种非神经材料在修复面神经缺损方面的临床应用价值。方法经动物实验证实,经微波变性处理后的骨骼肌作为桥接材料修复面神经缺损,具有较好的效果。在此基础上,对一例较大面神经瘤患者采取经乳突进路面神经鞘膜瘤切除术,同时采用经微波干热变性骨骼肌移植修复面神经缺损。结果术后随访一年,面肌功能恢复满意。结论提示干热变性骨骼肌作为一种非神经材料,在修复面神经缺损方面,具有较好疗效,值得进一步研究和应用。

Objective To study the clinical value of muscle autograft denatured by microwave for repair of gap in removal of facial neuroma.Methods A case of patient with a larger facial nerve Schwann cell neuroma was reported.Based on the good results of our experimental research on rats recently,we completed the operation by transmastoid approach for removal of facial neuroma,and the gap of the nerve was repaired with muscle autograft denatured by microwave.Results The patient was followed up for one year,and her facial function recovery on the affected side was satisfactory.Conclusion Muscle autograft denatured by microwave technique is convenient,highly efficient for repairing facial nerve gap after removal of facial neuroma.