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Abstract：
BACKGROUND: This study analyzed the demographic characteristics of patients with facial palsy who were treated using either dynamic or static procedures. This study aimed to compare the frequency of procedure implementation and age distribution between the two groups.
METHODS: This study retrospectively analyzed the medical records of patients treated for facial palsy at a single institution from 2014 to 2022. Among cases included in our study, dynamic procedures involved cross-facial nerve graft and latissimus dorsi or gracilis muscle flap transfer. Static procedures included gold weight insertion, canthopexy, browlift, and thread lift/static slings.
RESULTS: Among the 31 patients included in our study, eight (25.8%) incorporated dynamic techniques, and the average age of patients was 44.75 years (range, 24-68 years) with a male to female ratio of 1:4. The remaining 23 patients (74.2%) underwent a static procedure, of which the average age was 59.17 years (range, 23-81 years) which was statistically significantly higher than the average age of 44.75 of dynamic patients (p= 0.013). Regarding the timing of treatment after diagnosis, no patient underwent dynamic procedures more than 20 years after initial diagnosis. A greater diversity in the timing of treatment was observed in the static group. All patients who underwent dynamic procedures were treated using static procedures during the study period.
CONCLUSIONS: Because aesthetics-based static techniques are typically quick outpatient procedures that can be performed under local anesthesia, our study shows that these are often preferred treatments for all age groups, especially for debilitated or older patients. Further research is required to investigate the long-term functional outcomes of these surgical techniques in a wider population of patients.
METHODS: This study retrospectively analyzed the medical records of patients treated for facial palsy at a single institution from 2014 to 2022. Among cases included in our study, dynamic procedures involved cross-facial nerve graft and latissimus dorsi or gracilis muscle flap transfer. Static procedures included gold weight insertion, canthopexy, browlift, and thread lift/static slings.
RESULTS: Among the 31 patients included in our study, eight (25.8%) incorporated dynamic techniques, and the average age of patients was 44.75 years (range, 24-68 years) with a male to female ratio of 1:4. The remaining 23 patients (74.2%) underwent a static procedure, of which the average age was 59.17 years (range, 23-81 years) which was statistically significantly higher than the average age of 44.75 of dynamic patients (p= 0.013). Regarding the timing of treatment after diagnosis, no patient underwent dynamic procedures more than 20 years after initial diagnosis. A greater diversity in the timing of treatment was observed in the static group. All patients who underwent dynamic procedures were treated using static procedures during the study period.
CONCLUSIONS: Because aesthetics-based static techniques are typically quick outpatient procedures that can be performed under local anesthesia, our study shows that these are often preferred treatments for all age groups, especially for debilitated or older patients. Further research is required to investigate the long-term functional outcomes of these surgical techniques in a wider population of patients.
摘要：
背景：这项研究分析了使用动态或静态程序治疗的面神经麻痹患者的人口统计学特征。本研究旨在比较两组患者的手术执行频率和年龄分布。
方法：本研究回顾性分析了2014年至2022年在一家机构接受面神经麻痹治疗的患者的病历。在我们研究的病例中，动态程序包括面神经交叉移植和背阔肌或股薄肌皮瓣转移。静态程序包括金重量插入，Canthopexy,browlift,和螺纹提升/静态吊索。
结果：在我们研究的31名患者中，八个(25.8%)结合了动态技术，患者平均年龄为44.75岁(范围，24-68岁），男女比例为1：4。其余23例患者（74.2%）接受了静态手术，其中平均年龄为59.17岁(范围，23-81岁），在统计学上显着高于动态患者的平均年龄44.75岁（p=0.013）。关于诊断后的治疗时机，没有患者在初次诊断后超过20年接受动态治疗.在静态组中观察到治疗时间的更大差异。在研究期间，所有接受动态程序的患者均使用静态程序进行治疗。
结论：因为基于美学的静态技术通常是可以在局部麻醉下进行的快速门诊手术，我们的研究表明，这些通常是所有年龄组的首选治疗方法，特别是对于虚弱或老年患者。需要进一步的研究来调查这些手术技术在更广泛的患者群体中的长期功能结果。
方法：本研究回顾性分析了2014年至2022年在一家机构接受面神经麻痹治疗的患者的病历。在我们研究的病例中，动态程序包括面神经交叉移植和背阔肌或股薄肌皮瓣转移。静态程序包括金重量插入，Canthopexy,browlift,和螺纹提升/静态吊索。
结果：在我们研究的31名患者中，八个(25.8%)结合了动态技术，患者平均年龄为44.75岁(范围，24-68岁），男女比例为1：4。其余23例患者（74.2%）接受了静态手术，其中平均年龄为59.17岁(范围，23-81岁），在统计学上显着高于动态患者的平均年龄44.75岁（p=0.013）。关于诊断后的治疗时机，没有患者在初次诊断后超过20年接受动态治疗.在静态组中观察到治疗时间的更大差异。在研究期间，所有接受动态程序的患者均使用静态程序进行治疗。
结论：因为基于美学的静态技术通常是可以在局部麻醉下进行的快速门诊手术，我们的研究表明，这些通常是所有年龄组的首选治疗方法，特别是对于虚弱或老年患者。需要进一步的研究来调查这些手术技术在更广泛的患者群体中的长期功能结果。
