Facial paralysis reconstruction

Facial animation in children with Moebius and Moebius-like syndromes. The structure of the course is based on practical lectures followed by hands-on practice with cadavers. Single-stage facial reanimation in the surgical treatment of unilateral established facial paralysis. Facial paralysis can result from multiple causes, most commonly from trauma, congenital malformation, tumor resection or Bell's palsy. Since his training at Harvard Medical School, he has helped hundreds of men, women and children afflicted with varying degrees of facial paralysis. Muscle atrophy and fibrosis leads to an asymmetry of muscle volume in relation to the healthy side visible in MRI [ 9 ]. It is imperative that we determine the cause of the facial paralysis in order to treat it properly.
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Facial Paralysis

Seminars in Plastic Surgery. The facial nerve controls the movement and expression of the facial muscles, including the smile. The nerve graft serves like an extension cord, carrying more power to the paralyzed nerve. The procedure can be performed as long as there is vital muscle left to rescue in the paralysed part of the face. Nerve grafts or transfers may be used to recreate a nerve connection to an otherwise normal muscle. This is a preview of subscription content, log in to check access. Europe PMC requires Javascript to function effectively.
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Facial Nerve Reconstruction and its Prognosis - J. Sadé,

The merits of direct end-to-side anastomosis in terms of both procedure and outcomes should be kept in mind as a potentially useful method for facial reanimation. Autologic material like fascia lata or the tendon of the palmaris longus muscle is first choice in front of alloplastic material. Other donor nerves for cross-nerve suture motoric trigeminal nerve, accessory nerve, parts of the cervical plexus, ansa nervi hypoglossi cause more morbidity in the donor region and show less satisfactory results [ 20 ]. Synkinesis was found in eight patients, and facial contracture with synkinesis was found in two patients. Either your web browser doesn't support Javascript or it is currently turned off. The desire to regain active motion peri-orally versus just improving the static position of the mouth will influence the choice of surgery.
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The most important treatment objectives for individuals with facial paralysis are the prevention of unwanted eye complications, restoration and reconstruction of facial movement, restoration of a dynamic smile, and improvement of facial aesthetics. Published by Elsevier Editora Ltda. Hypoglossal-facial nerve anastomosis for reinnervation of the paralyzed face. In children, the majority of cases of facial palsy are of an idiopathic aetiology; however, congenital and obstetric injuries are also important causes. Botox Click here for more information. A segment of the gracilis muscle from the thigh is positioned in the face to provide smiling motion.
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