Maxillofacial Plastic and Reconstructive Surgery

  • 제12권2호
  • /
  • Pages.55-61
  • /
  • 1990
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  • 2288-8101(pISSN)
  • /
  • 2288-8586(eISSN)
대한악안면성형재건외과학회 (Korean Association of Maxillofacial Plastic and Reconstructive Surgeons)
권호 표지

외상에 의한 마비성 토안(兎眼)의 외과적 치험례

A CASE REPORT OF SURGICAL CORRECTION OF POSTTRAUMATIC LAGOPHTHALMOS

  • 이태영 (국립의료원 치과 구강 악안면외과) ;
  • 정봉준 (국립의료원 치과 구강 악안면외과) ;
  • 김명섭 (국립의료원 치과 구강 악안면외과)
  • Lee, Tae-Young (Div. of Oral And Maxillofacial Surgery, Dept. of Dentistry, National Medical Center) ;
  • Chung, Bong-Jun (Div. of Oral And Maxillofacial Surgery, Dept. of Dentistry, National Medical Center) ;
  • Kim, Myung-Sub (Div. of Oral And Maxillofacial Surgery, Dept. of Dentistry, National Medical Center)
  • 발행 : 1990.08.31
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초록

Patients with facial paralysis, in whom nerve damage is irreparable or in whom the innervation of the paralyzed musculature cannot be restored by nerve suture, grafting, or cross-face nerve transplantation, should be offered some form of reconstructive static and dynamic aid. Temporalis muscle-fascia unit used as a circumorbital sling and motor unit is a dynamic controlled reconstructive procedure, but it has several disadvantages such as wide surgical exposure, bulky-looking at lateral canthal area, insufficient voluntary control. This is a case report of facial palsy of posttraumatic lagophthalmos of 41-year-old male, which was corrected by temporalis muscle-tendon transfer with plantaris tendon transplantation.

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