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颈深神经或副神经整复舌下神经临床效果初探
引用本文:李文,陈哲,雷晓旭,杨海刚.颈深神经或副神经整复舌下神经临床效果初探[J].临床耳鼻咽喉头颈外科杂志,2011,25(3).
作者姓名:李文  陈哲  雷晓旭  杨海刚
作者单位:1. 四川大学华西医院耳鼻咽喉头颈外科,成都,610041
2. 华西口腔医学院口腔疾病国家重点实验室
3. 四川省大邑县人民医院五官科
摘    要:目的:探讨舌下神经离断后应用颈深神经或副神经显微吻合重建的临床效果。方法:回顾性分析2例因副神经节瘤手术的患者,术中舌下神经离断,及时解剖颈深神经1支或副神经胸锁乳突肌支,与舌下神经远心端作外膜吻合,术后应用激素及神经营养药物治疗,并辅以早期功能锻炼。结果:术后1~2个月,2例患者舌体功能获得部分恢复,但病变侧舌体仍有轻微萎缩,患者自觉舌体活动能力逐渐增强。结论:以颈深神经分支或副神经分支整复舌下神经,可以成为舌下神经损伤后功能整复的方法。

关 键 词:舌下神经  颈深神经  副神经  整复  

Primary clinical outcome of the tongue mobility via deep cervical nerve or accessory nerve-restored sublingual nerve
LI Wen,CHEN Zhe,LEI Xiaoxu,YANG Haigang.Primary clinical outcome of the tongue mobility via deep cervical nerve or accessory nerve-restored sublingual nerve[J].Journal of Clinical Otorhinolaryngology,2011,25(3).
Authors:LI Wen  CHEN Zhe  LEI Xiaoxu  YANG Haigang
Institution:LI Wen1 CHEN Zhe2 LEI Xiaoxu2 YANG Haigang3(1Department of Otolaryngology Head and Neck Surgery,West China Hospital,Chengdu,610041,China,2State Key Laboratory of Oral Diseases,College of Stomatology,Sichuan University,3Department of Ophthalmotolaryngology,the Renmin Hospital of Dayi City,Sichuan)
Abstract:Objective:To explore the clinical prognosis of sublingual nerve anastomosis with a branch of the deep cervical nerves or accessory nerve.Method:To retrospectively analyze 2 cases of paraganglion tumor,in which the sublingual nerve were disconnected because of overdrawing of surrounding tissure and tumor invasion.One branch of deep cervical nerve or accessory nerve was dissected and anastomosed to the distal end of sublingual nerve.Steroids and nerve nutritional chemicals were given after operation,and early...
Keywords:sublingual nerve  deep cervical nerve  accessory nerve  restoration  
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