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REINNERVATION OF FACIAL MUSCLES METHOD
专利权人:
Federalnoe gosudarstvennoe byudzhetnoe uchrezhdenie "Tsentralnyj nauchno-issledovatelskij institut stomatologii i chelyustno-litsevoj khirurgii" Ministerstva zdravookhraneniya Rossijskoj Federatsii
发明人:
Salikhov Kamil Salamovich (RU),Салихов Камиль Саламович (RU),Visaitova Zulikhan Yusupovna (RU),Висаитова Зулихан Юсуповна (RU),Zukhrabova Gyulzada Magaramovna (RU),Зухрабова Гюльзада Магарамовна (RU)
申请号:
RU2019131754
公开号:
RU0002714180C1
申请日:
2019.10.09
申请国别(地区):
RU
年份:
2020
代理人:
摘要:
FIELD: medicine.SUBSTANCE: present invention refers to medicine, namely to maxillofacial, reconstructive, plastic surgery, and can be used to form isolated movements of the middle and lower face zones in the patients with facial muscle paralysis. Disclosed is a method for reinnervation of facial muscles is performed by dissecting skin and subcutaneous fat on the injured and healthy sides with pre-bovine access, further along the hair growth line, delamination of the skin-fat flap to the front edge of the parotid gland with subsequent separation of the musculo-aponeurotic layer, separation and mobilization of the parotide posterior border from the cartilaginous part of the external tragola, the anti-tracheal and intercostal incision, then, on the involved side, the facial nerve is isolated and cut off within the exit of the ligamentous opening and the parenchyma of the parotid gland is excised. Trunk and branches of the facial nerve are isolated in the parotid gland and the facial nerve is divided into an upper part with temporal, bilge and cheek branches and a lower part with marginal and cervical branches. Hypoglossal nerve is separated in the region of the anterior portion of the two-abdominal muscle, and 30–40 % of its fascicles are incised with subsequent collection of the autograft autograft. It is conducted from the affected side to the healthy one under the previously isolated skin-fat flap through an oral cavity under the mucous membrane and sutured together with a buccal branch of the facial nerve with layer-by-layer suturing of the soft tissues.EFFECT: invention provides higher functional and aesthetic results in patients with damage of mastication branch of trigeminal nerve.1 cl, 1 dwg, 2 exДанное изобретение относится к медицине, а именно к челюстно-лицевой, реконструктивной, пластической хирургии, и может быть использовано для формирования изолированных движений средней и нижней зон лица у пациентов с параличом мимической мускулатуры. Предложен способ р
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