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在行吻合血管神经的游离肌肉移植术修复晚期面瘫的４６例中，选择有适应证的２８例行带神经血管的背阔肌肌束移植术。该术式对肌束形态的特殊设计，不仅能作为动力重建，恢复患侧口角活动，使口角呈动态对称，而且由于带神经血管肌束对尖神经肌肉有再神经化的作用，使口周及眼周多块失神经肌肉恢复神经支配及收缩功能，收到了以往手术未能达到的良好效果。详细介绍了手术适应证，手术方法及术后处理。讨论了对再生神经再教育的重要性及进行二期调整手术的必要。
Among the 46 patients with late facial paralysis who underwent free muscle grafting for vascular anastomosis, 28 patients with neurovascular debridement were selected. The special design of the muscle bundle morphology, not only as a dynamic reconstruction, restoration of ipsilateral side mouth activity, the mouth was dynamic symmetry, and because of the vascular fascicle with neurovascular muscle neurons have neuroregeneration, the mouth circumference And multiple denervation muscles around the eye to restore innervation and contractile function, received the past surgery failed to achieve good results. Details of the surgical indications, surgical methods and postoperative management. Discusses the importance of regenerative nerve re-education and the need for second-phase adjustment.