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面神经部分切除后面肌运动功能的再现,到目前为止,已有30例左右报告,这已成为争论课题,也是不解之迷。作者报告1例5个月女孩因腮腺恶性肿瘤作根治切除,术后钴~(60)照射总量3300伦琴。术前即有患侧面瘫,但于术后16个月术侧口角出现自主活动,患侧面部肌肉也逐渐恢复功能。2年后观察肿瘤未复发。平静时面部对称,哭笑时患侧面肌力弱,尤以下部明显。肌电图显示相应反应。
Partial facial nerve resection posterior facial motor function reproduction, so far, about 30 cases have been reported, it has become a controversial topic, but also puzzled fans. The authors report a case of 5-month girl for parotid malignancies for radical resection, postoperative cobalt ~ (60) irradiation total 3300 Roentgen. The patients had facial paralysis preoperatively, but at 16 months after operation, there was spontaneous activity at the side of the mouth and the affected side facial muscles gradually recovered. 2 years after the observation of tumor recurrence. Calm facial symmetry, dumbfruit side weakness, especially in the lower part obviously. EMG shows the corresponding response.