表情肌

鼻唇沟皮下蒂真皮瓣悬吊及表情肌紧缩行颊部面瘫修复

Facial palsy reconstruction using both subcutaneous pedicle dermal flap of nasolabial fold and shortened muscles of facial expression

表情肌功能恢复时神经传导速度三者比较均无显著性差异（P0.05）。

After recovery of expression muscles function recovered , there was no obvious difference in the conductive velocity among the three .

大鼠失神经支配表情肌NT-3基因转染的实验研究

NT-3 gene transfer to facial muscle denervation in rats

肿瘤切除后即刻行耳大神经移植的患者，表情肌功能恢复时间为35.2周，与外伤性即刻修复比较有显著性差异（P0.01）。

The recovery time of the patients who undertook great auricular nerve transplantation was 35.2 weeks . There was obvious difference between the three ( P0.01 ) .

FES的出现使我们有可能通过电刺激恢复瘫痪表情肌功能来治疗面瘫。

The emergence of FES makes it possible to treat facial paralysis through restore function of facial muscle by electrical stimulation .

1例表情肌功能有改善，表情肌EMG平均峰值为健侧的55%，疗效评价为差。

In 1 case achieving poor result , the function of mimetic muscle was improved slightly , and the EMG peak value of mimetic muscle was 55 % of normal side .

结论1.大鼠耳廓肌适合作为FES恢复瘫痪表情肌功能实验研究的动物模型。

Pinnae muscles of rat are suitable for using as animal models in experimental studies for restoring facial expressions muscles ' function from facial paralysis by using of FES . 2 .

结果：TD发生率26.78%，好发部位依次为舌部、唇部和口周部、颌部、上肢、下肢、面部表情肌、颈、肩、臀。

Results : The incidence of TD was 26.78 % . The predilection site is the tongue 、 lip and mouth 、 jaw 、 upper limb 、 lower limb , facial expression muscle 、 neck shoulder buttocks in turn .

结论穴位电针刺激促进面神经再生的机理可能与表情肌及面神经组织中的NT-3表达增强有关。

Conclusion It is shown that electroacupuncture stimulation on acupoints can promote the regeneration of facial nerve . Enhancing the expression of NT-3 in mimetic muscle and facial nerve tissue is one of mechanisms probably .

但部分纤维较表情肌纤维粗大。

But part fiber is more thick than normal masseter muscle fiber .

目的探讨临床上面神经损伤表情肌功能的修复时间及影响因素。

Objective To study recovery time and influent factors of expression muscle function after repairing the injured facial nerves .

外伤后超过6个月行Ⅱ期修复者，表情肌功能未能恢复。

If injured time was above 6 months , the function of expression muscle cannot be recovered after repairing .

术中放疗对豚鼠面神经损伤后表情肌酶组织化学的影响

Effect of intraoperative radiation therapy on enzyme histochemistry of expression muscle of guinea pigs after injury of facial nerve

结果表明：横跨面部神经移植用以支配对侧表情肌是可行的。

The results showed that it was feasible to use the cross facial nerve transplant for the control of contralateral facial expressive muscle .

结果①首次对少数国人与鼻唇沟区域相关的各表情肌逐块进行长、宽、厚的显微解剖测量。

Results ① The data about the length , width and thickness of each mimetic muscle were obtained and presented in the paper .

所以如何恢复机体对每块表情肌的精确调控，一直是临床面瘫治疗中所面临的瓶颈。

How to restore the precisely control of each facial muscle has been the bottleneck of the clinical treatment for facial paralysis all the time .

结果两组动物的表情肌及面神经组织中，NT-3mRNA表达高峰在神经损伤后第6周；

Results The peak of mRNA expression of NT-3 in mimetic muscle and facial nerve tissue of both groups was in sixth week after nerve injury .

主要观察指标：观察面部表情肌功能恢复的时间，检测面神经传导速度的动态变化。

MAIN OUTCOME MEASURES : The rehabilitation time of facial expression muscle function was observed and the dynamic changes of conduction velocity of facial nerve were assayed .

两种方法修复面神经损伤，表情肌功能恢复后检测面神经传导速度差异无显著性意义（P>005）。

The conduction velocity of the repaired facial nerves had no obvious differences between the new repairing method and the traditional method ( P > 0 05 ) .

目的：采用肌电图测定颞肌与表情肌的干扰型，为晚期面瘫施行颞肌筋膜瓣转移筛选功能指标。

OBJECTIVE : To determine the interference pattern ( IP ) of temporalis and mimetic muscle by electromyography ( EMG ) and screen functional index for transferring tem poral musculofascial flap in advanced facial paralysis .

新生儿面神经在腮腺内的分支以二干型居多（78.34%），至表情肌的总支数为6～11支，其中多见为9支型。

The facial nerve in the parotid gland bifurcated into two trunks inmost of the cases ( 78.34 % ), and divided further into 6 ~ 11 ( mostly 9 ) branches , before innervating the fa-cial muscles .

对30例面神经损伤患者采用传统神经端吻合法修复，术后不同时间观察面部表情肌功能恢复及肌电图的动态变化。

The other 30 patients of facial nerve injury received traditional neural end anastomose rehabilitation . The functional recovery of facial expression muscle over time after surgery and the dynamic changes in electromyography ( EMG ) were observed .

方法对外伤Ⅰ、Ⅱ期和腮腺恶性肿瘤切除面神经后即刻行耳大神经移植的患者，动态观察神经修复后不同时期表情肌功能恢复的效果及监测神经传导速度的变化。

Methods To the patients who undertook stage ⅰ and ⅱ repairing after injury and immediate great auricular nerve transplantation after operation of malignant parotid tumor , we observed recovery of expression muscles function in different time after repairing injured nerves and monitor nerves conductive velocity .

结果外伤后Ⅰ期立即修复和外伤后Ⅱ期修复的患者，表情肌功能恢复时间分别为22.5周和31.2周，两者比较差异有显著性（P<0.01）。

Results The recovery time of expression muscles function of the patients who undertook stage ⅰ repairing was 22.5 weeks . The recovery time of the patients who undertook stage ⅱ repairing was 31.2 weeks . There was obvious difference between them ( P < 0.01 ) .

目的：模拟腮腺癌手术保留面神经，观察术中放疗后表情肌有氧代谢能力、神经递质传递、线粒体及运动终板超微结构变化，为术中放疗后面神经的恢复提供实验资料。

PURPOSE : To explore the mechanism of facial nerve recovery after radiotherapy by simulating surgical treatment of parotid gland carcinoma with reserving facial nerve and studying the ability of aerobic metabolism , transmission of neurotransmitter , variation of ultrastructure of motor end and mitochondrion after radiotherapy during operation .

3例动、静态表情基本对称，表情肌EMG平均峰值为健侧的60%~90%，疗效评价为良；

In 3 cases achieving fair result , the dynamic look and static look of face were basically symmetric , and the EMG peak value of mimetic muscle was 60 % - 90 % of normal side .

面部表情变化是面神经支配下由颜面部表情肌共同作用产生。

Facial expression is generated from the muscles which are dominated by facial nerve .