面瘫后遗症：综合治疗,Plastic and Reconstructive Surgery

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面瘫后遗症：综合治疗
Plastic and Reconstructive Surgery ( IF 3.2 ) Pub Date : 2019-10-04 , DOI: 10.1097/prs.0000000000006079
Pierre Guerreschi ₁ , Daniel Labbé ₁

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学习目标：学习完本文后，参与者应该能够： 1. 识别不同类型的面瘫后遗症并定义当今常用的几种医疗和手术技术。2. 制定手术计划以恢复静态和动态表情时面部的对称性，并在通过区域或自由肌肉转移进行动态微笑复活后的微笑康复过程中对患者进行管理。3.了解面瘫后遗症的不同类型，了解当今常用的几种医疗和手术技术。4. 建立全面的治疗计划，以恢复静态和动态表情时面部的对称性，并在通过区域或自由肌肉转移进行动态微笑复活后的微笑康复过程中为患者提供支持。概括：面瘫后遗症对面部的美观和功能有负面影响。它们给患者的身体形象和社会关系带来严重后果。为了实现全面的面部对称，应该向患者建议许多药物和手术治疗。选择合适的治疗方法、为患者实现最佳治疗效果的关键是对瘫痪面部进行全面评估，并广泛了解文献中描述的几种技术。应告知患者不同的治疗方案、其影响和局限性。通过本文，读者将能够准确诊断不同类型的面瘫后遗症，从而制定适合每种情况的手术计划，以恢复静息和运动时的对称性。

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Sequelae of Facial Palsy: A Comprehensive Treatment

Learning Objectives: After studying this article, the participant should be able to: 1. Identify the different types of facial paralysis sequelae and define the several medical and surgical techniques commonly available today. 2. Develop a surgical plan to restore symmetry of the face at rest and in dynamic expressions and manage the patient during smile rehabilitation after dynamic smile reanimation with regional or free muscle transfer. 3. Understand the different types of facial paralysis sequelae and know the several medical and surgical techniques commonly available today. 4. Establish a comprehensive treatment plan to restore symmetry of the face at rest and in dynamic expressions and support the patient during smile rehabilitation after dynamic smile reanimation with regional or free muscle transfer. Summary: Sequelae of facial palsy have a negative impact on the cosmetic aspect and functions of the face. They bear severe consequences for patients with regard to their body image and social relationships. There are numerous medical and surgical treatments that should be proposed to patients to achieve comprehensive facial symmetry. The key to an adapted therapeutic choice, to achieve the best outcomes for patients, is to perform a comprehensive evaluation of the paralyzed face and have broad knowledge of the several techniques described over time in the literature. The patient should be informed of the different therapeutic alternatives, their implications, and their limits. With this article, readers will be able to accurately diagnose the different types of facial paralysis sequelae to develop a surgical plan adapted to each case to restore symmetry at rest and in motion.

更新日期：2019-10-04

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