改良颞肌筋膜瓣转移术治疗晚期面瘫

Improved Temporalis Myofascial Transfer Flap for Treatment of Facial Reanimation

目的：探讨改良颞肌筋膜瓣转移术治疗晚期面瘫的疗效。方法：采用颞肌联合颞肌筋膜瓣，动态恢复患侧面部表情肌功能，对19例晚期面瘫患者（手术组）进行手术治疗。同时选取内科非手术治疗面瘫患者22例为对照组。随访6～18月。结果：对照组和手术组治疗后的改良Portmann量表评分分别为（11.2±4.1）分、（15.1±3.3）分，治疗总有效率分别为62.23%、84.17%，手术组疗效优于对照组（P〈0.05）。结论：改良颞肌筋膜瓣转移术是一种治疗面瘫的良好手术方式，尤其对于内科治疗无效的晚期面瘫患者具有显著疗效。

Objective：To observe the effect of improved temporal muscle fascia flap transfer operation on late facial paralysis. Methods： The temporal muscle and temporalis myofascial flap was used to dynamicly recover ipsilateral facial muscle function; the operation was performed on 19 patients with facial paralysis （operation group）. And 22 patients without operation treatment were included as control group. The follow-up time was 6~18 months. Results： After rehabilitation exercise for 6~18 months, the follow-up showed static appearance and dynamic expression of muscle activity was improved obviously. After the treatment, the Portmann scale of the=control group and the operation group were （11.2±4.1） and （15.1±3.3） respectively, and the total effective rate were 62.23% and 84.17% respectively. The effect of operation group was better than that of the control group （ P〈0.05）. Conclusion：Modified temporalis myofascial flap surgery is a good way to treat facial paralysis, especial-ly for patients with internal medicine treatment invalid.