本文介绍颞骨外面神经重建的新方法及其近期效果。多年来,作者们采用一种改进的缝合技术,即Millesi等描述的包括切除神经外膜和缝合神经束膜进行舌下一面神经吻合术。这项研究表明口周肌群功能活动恢复理想,但面中部特别是眼周却无明显改善,而面神经端对端吻合或自体神经移植术后常不免出现联带运动,最常见的是闭眼时同侧口角不自主上提。为此,作者们创造了将面神经干仅和其颞支吻合,其颈支和舌下神经吻合的方法,结果运动性冲动可传递到与之吻合的神经所支配的区域,且能避免通常的联带运动——闭眼时伴随同侧口角上提的发生。然而遗憾的是与舌下神经吻合的下面部未能恢复表情运动。 This article describes a new method of temporal bone remodeling and its near-term effects. For many years, the authors used an improved suturing technique, described by Millesi et al., That included the removal of the epineurium and the suturing of the tunica albuginea for sublingual nerve anastomosis. This study shows that the perioral muscle group functional activity recovery ideal, but the middle of the face, especially in the eyes but no significant improvement, and facial nerve end-to-end anastomosis or autonomic nerve transplantation often inevitably appear ligament movement, the most common is closed eyes When the ipsilateral mouth when not on the mention. To this end, the authors have created a method of anastomosing the facial nerve only with its temporal branch, the anastomosis of its cervical and sublingual nerves, as a result of which the motor impulses can be delivered to the areas of the nerve to which they are fitted and the usual Joint movement - with eyes closed at the same side of the mouth when the mention occurred. However, it is a pity that the lower part anastomosed to the hypoglossal nerve fails to restore facial expression.