To Detect The Effects Of Function Training After The Surgery Of Temporal Muscle Island Flap To Repair Facial Paralysis

Purpose Temporal muscle island flap to repair the permanent facial paralysis can not only correct corner form, but can make more weeks to restore movement coordination.Postoperative results of the surgery depends on the facial muscle function training.The purpose of the thesis is, investigating the correction method of functional training after the surgical procedures for the facial deformity, and observing the effects of functional training in rehabilitation, then summarizing the characteristics of cases,putting forward the method of facial muscle function training, providing a reference basis for the clinical operation for correction of facial paralysis patients by obtaining the symmetrical resting state and coordinate with facial expressions recovery guide.Methods Select patients, one is with brain tumor resection and the other is with craniocerebral injury caused by facial paralysis. Repair of temporal muscle flap by the correction of ipsilateral quarrel thought-form and restore movement function.According to the characteristics of cases, develop the facial muscle function training programs for patients, give patients the treatment of psychological interventions to increase patients compliance in facial paralysis before surgery, after surgery, and facial muscle function training. Realize the facial muscle function training programs and guide the patients to choose the appropriate time and environment, begin the practice of a partial chewing muscles opening and occlusion in the face of the mirror in a planned and step by step at two weeks after operation, the most important part, do the facial expression muscle training, such as expression muscle drum, gills, smile, tooth in functional exercise, to restore and reconstruct at an early date facial morphology and function.Results Patients with temporal muscle island flap to repair facial paralysis surgery goes well, the static after operation on the side ipsilateral quarrel is carried within 2weeks. Through facial muscles functional training, opening and occlusion in patients with short term return to normal, then stop chewing muscles functional training,conduct a single expression of muscle function training. Facial expression muscle function training needs to be done by means of occlusal movement in the short term.After three months, patients can complete the quarrel with no lift completely depending on the occlusal movement. After six months, bilateral squabbles does not need to grind teeth, visible voluntary movement, the patients gain the recovery of motor function and coordination of facial for static nature, symmetry and face.Conclusion This surgery has the characteristics of simple operation, wound concealment, and less complications. Patients with facial deformities can be corrected static,re-establish the central nervous signaling pathways through the facial muscles after long-term, effective functional training, recovery of motor function in patients with facial expressions and muscle coordination. The facial muscle function training needs a long time, so the psychological intervention on patients with functional training is good to the functional training insist, increasing patients’ confidence in conquering disease, ensuring the treatment effect, promoting disease rehabilitation, and improving patients’ quality of life.