改进的胸锁乳突肌移位法修复晚期面瘫  

The restoration of chronic facial paralysis with a modified technique of sternocleidomastoid muscle transposition

作　　者：杨川[1] 王炜[1] 张群[1] 

机构地区：[1]第二医科大学附属第九人民医院整复外科,上海200011

出　　处：《中华整形外科杂志》2005年第2期104-106,共3页Chinese Journal of Plastic Surgery

摘　　要：目的　探讨应用带蒂胸锁乳突肌转位术 ,动态修复晚期面瘫的手术方法改进及效果。方法　保留胸锁乳突肌的乳突附丽点 ,将胸骨头及锁骨头附丽点切断 ,游离肌腹 ,经颊部皮下的弧形隧道转位与健侧上下唇的口轮匝肌缝合 ,替代瘫痪的口周肌肉 ,矫正口鼻歪斜畸形。结果　本组修复因各种原因所致晚期面瘫 4 2例 ,术后恢复了静态的口角对称及一定的自主口部活动 ,尚无失败病例。术后最长随访 3年 ,手术效果满意。结论　带蒂胸锁乳突肌转位术能修复晚期面瘫所致的口鼻歪斜畸形 。Objective To evaluate a modified technique of sternocleidomastoid muscle transposition for the dynamic reanimation of the chronic facial paralysis. Methods Both of the sternal and cleidus extremities of the sternocleidomastoid muscle were elevated from their bony attachment. The mastoid extremity was left in the place as a pedicle for the blood supply. The muscle stripes were then transposed into the face through the tunnel under the skin and the ends were sutured to the opposite orbicularis oris muscle of the upper and lower lips to correct the deformity of the mouth and nose. Results Forty-four patients with the chronic facial paralysis had successfully been treated by using the above-mentioned technique. The static asymmetry of mouth corner and the independent oral activity of the paralyzed side were corrected without any failure. With the follow-ups up to 3 years, the results were satisfied. Conclusions The chronic facial paralysis with the deformity of the mouth and nose could be corrected with the sternocleidomastoid muscle transposition technique. A part expression of the mouth could also be achieved.;

关 键 词：胸锁乳突肌 移位法 修复 晚期面瘫 

分 类 号：R622[医药卫生—整形外科]