患者为女性,28岁。患小儿脊髓灰质炎后出现舌麻痹,咀嚼、吞咽和语言功能障碍,流涎,长期药物治疗和物理疗法无效。检查:舌位后移,呈扁平形,舌肌萎缩,舌面不平坦,触觉和痛觉存在,舌不能伸出口外,也不能做侧向运动,可见舌肌纤维性颤动。舌肌肌电图检查,电兴奋性降低,有变性反应。诊断双侧外周性舌麻痹。 利用双侧含血管神经的二腹肌前腹转移到舌肌的方法,治疗舌麻痹。气管内麻醉下在颏下部作倒T形切口,向上翻起两个三角形皮瓣,暴露双侧二腹肌前腹筋膜鞘,使二腹肌前腹、颏下血管和下颌舌骨肌神经包在筋膜鞘内,切断前腹在下颌骨的附着,同时把二腹肌中 The patient is female, 28 years old. Parotid paralysis, chewing, swallowing and speech dysfunction, salivation, long-term medical therapy and physical therapy are ineffective after suffering from poliomyelitis in children. Check: tongue posterior shift, was flat, tongue atrophy, tongue surface is not flat, tactile and pain exist, the tongue can not be extended outside the mouth, can not do lateral movement, showing tongue muscle fibrillation. Levator muscle electromyography, electrical excitability reduced, degeneration reaction. Diagnosis of bilateral peripheral lingual paralysis. Use of both sides of the ventral anterior ventral muscle-containing nerves transferred to the tongue muscle method of treatment of tongue paralysis. Under the endotracheal anesthesia in the submental inverted T-shaped incision, flip up two triangular flaps exposed bilateral anterior abdominal fascia sheath, so that the anterior quadrant of the abdominal muscles, submental blood vessels and hyoid muscle of the hypothalamus In the fascia sheath, cut off the anterior abdominal attachment in the mandible, while the biceps muscle