CAJ | 학술논문

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依4.1）分、（15.1依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（<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。
목적：탐토개량섭기근막판전이술치료만기면탄적료효。방법：채용섭기연합섭기근막판，동태회복환측면부표정기공능，대19례만기면탄환자（수술조）진행수술치료。동시선취내과비수술치료면탄환자22례위대조조。수방6~18월。결과：대조조화수술조치료후적개량Portmann량표평분분별위（11.2의4.1）분、（15.1의3.3）분，치료총유효솔분별위62.23%、84.17%，수술조료효우우대조조（<0.05）。결론：개량섭기근막판전이술시일충치료면탄적량호수술방식，우기대우내과치료무효적만기면탄환자구유현저료효。
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 ( <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.