【摘要】 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。更多还原

【Abstract】 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, especially for patients with internal medicine treatment invalid.更多还原