PDF(Pubmed)
Abstract：
Chronic paralysis of the facial nerve leads to degenerative facial muscle and surrounding soft tissue alterations on the involved side, making the affected patients seem older than their actual age. Moreover, contralateral facial hypertrophy worsens facial asymmetry. Correction of the drooping or wrinkled face due to aging, trauma, or other pathology has been successfully treated with the thread-lifting technique. Here, we present the case report of a 23-year-old female patient suffering from oncologic post-surgery complications associated with chronic facial nerve paralysis. She also suffered from old and new cerebellar syndromes on the right side and lesions of the oculomotor, trochlear, and abducens nerves. Based on the patient history, the condition was treated under local anesthesia by the use of APTOS minimally invasive threads with barbs made from non-absorbable material. Correction and sculpting of the affected cheek area were performed by insertion of a light lift needle, and lifting of the superficial fat pads was secured by subdermal insertion of the light lift thread method. The jowl area was lifted by the superficial insertion of both types of threads. As a result, we significantly improved facial symmetry at rest, a more symmetric smile, a lifted corner of the mouth, and an anatomically sculpted cheek appearance.
摘要：
面神经慢性麻痹导致受累侧面部肌肉和周围软组织的退行性改变，使受影响的患者看起来比他们的实际年龄大。此外，对侧面部肥大恶化面部不对称。由于老化导致的下垂或皱纹的面部矫正，创伤,或其他病理已成功治疗与线程提升技术。这里,我们提供一例23岁女性患者的病例报告,该患者患有与慢性面神经麻痹相关的肿瘤术后并发症.她还患有右侧新老小脑综合征和动眼病变，滑车，和外展神经。根据患者病史,这种情况是在局部麻醉下通过使用APTOS微创线和由不可吸收材料制成的倒钩治疗的。通过插入轻型提升针，对受影响的脸颊区域进行校正和雕刻，浅表脂肪垫的提升是通过轻提线法皮下插入来确保的。通过两种类型的线的表面插入来抬起下颚区域。因此,我们在休息时显著改善了面部对称性，更对称的微笑，抬起的嘴角，和解剖雕刻的脸颊外观。
