应用部分颞肌瓣转位术治疗晚期不全面瘫患者的临床研究  

Clinical study of partial temporal muscle flap transposition for patients with late incomplete facial paralysis

作　　者：王宜梅 陈刚[2] 文辉才[1] 王炜[2] WANG Yimei;CHEN Gang;WEN Huicai;WANG Wei(Department of Plastic Surgery,the First Affiliated Hospital of Nanchang University,Nanchang 330006,China;Department of Plastic and Reconstructive Surgery,Shanghai Ninth People’s Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200011,China)

机构地区：[1]南昌大学第一附属医院整形美容科,江西南昌330006 [2]上海交通大学医学院附属第九人民医院整复外科,上海200011

出　　处：《中国耳鼻咽喉颅底外科杂志》2020年第3期250-254,共5页Chinese Journal of Otorhinolaryngology-skull Base Surgery

基　　金：申康发展中心(16CR3050A)。

摘　　要：目的探讨部分颞肌瓣转位术对晚期不全面瘫患者的临床应用疗效。方法收集2015年1月—2017年1月接受部分颞肌瓣转位术的患者15例,其中男3例,女12例;年龄26~53岁,平均(32.3±8.6)岁。均为听神经瘤术后并发晚期不完全面瘫患者。依据Terzis量表对患者手术前后口角歪斜程度进行评定,并对患者并发症进行分析。结果所有患者术后随访12~24个月。15例患者术后的静态评分(1.00±0.00)分明显低于术前的静态评分(2.73±0.46)分,差异具有统计学意义(P<0.001);术后的动态评分(3.93±1.03)分明显高于术前的动态评分(2.00±0.00)分,差异具有统计学意义(P<0.001)。此外,在所有患者中均未观察到颞部凹陷,少部分患者颧弓处出现轻微臃肿。结论部分颞肌瓣转位术可以作为听神经瘤术后并发晚期不完全面瘫的一种有效治疗手段。Objective To investigate the clinical effect of partial temporal muscle flap transposition(PTMFT)for patients with late incomplete facial paralysis.Methods A total of 15 patients(3 males and 12 females,aged 26~53 years old with an average of 32.2±8.6 years)who underwent PTMFT from Jan 2015 to Jan 2017 were collected.All the patients suffered from late incomplete facial paralysis after acoustic neuroma surgery.The degrees of mouth angle distortion were evaluated according to the Terzis scale before and after PTMFT,and their complications were studied.Results All the patients were followed up for 12 to 24 months postoperatively.The postoperative static score(1.00±0.00)was significantly lower than the preoperative one(2.73±0.46)(P<0.001),and the postoperative dynamic score(3.93±1.03)was significantly higher than the preoperative one(2.00±0.00)(P<0.001).In addition,no temporal depression was observed in all the patients,and a small number of the patients developed slight swelling at the zygomatic arch.Conclusion PTMFT can be used as an effective treatment for patients with late incomplete facial paralysis after acoustic neuroma surgery.

关 键 词：听神经瘤 晚期面瘫 颞肌瓣 并发症 

分 类 号：R739.91[医药卫生—肿瘤]