In some cases, where there is postoperative facial paralysis in spite of preservation of the anatomical integrity of facial nerve, side-to-side FHA technique was employed to enhance the recovery process. Reconstructions do typically improve function and appearance, although success is never guaranteed. Trends in Cosmetic Surgery. Most authors agree that video assessment and panel judgment is important [ 9 , 10 , 29 - 32 ]; however, multiple outcome scales have been proposed [ 33 ]. How to cite this article. The aetiology may influence the choice of reconstruction, and generally the most important factors depend on the degree of smile impairment and the general condition of the patient.
Some surgical options involve using nerve tissue bridges to bring nerve impulses back to the muscles. In adults, Bell's palsy is by far the most common cause. The second part of the study consisted of clinical assessments in three patients in order to confirm the applicability of this muscle transfer. If you have facial paralysis you should make sure to see a specialist to determine the true cause of your paralysis. A woman's ability to smile is greatly improved after undergoing surgery to correct facial paralysis. In order to re-establish voluntary facial movements a symmetric smile , viable muscle must be transplanted into the paralysed side of the face. In some cases facial palsy may affect both sides of the face Moebius syndrome , which requires even further specialised treatment regimes.
Facial palsy and reconstruction. - PubMed - NCBI
What is Recovery Like? Reanimation of the paralyzed face is a microsurgical technique to reestablish voluntary facial movements dynamic reconstruction , for example, a symmetrical smile or eye closure in patients with long-lasting facial palsy, where the facial muscles are not present. When the dynamic muscles of the lip and cheek are compromised, the result is abnormal lip and oral function that affects chewing, retaining fluid while drinking, speech patterns, and communication. Synkinesis Synkinesis is the development of linked or unwanted facial movements that can occur after abnormal facial nerve regeneration associated with facial palsy. As we gain experience with the PMMT, it may be possible to use it as a first-line option for patients not eligible for free micro-neurovascular reconstruction. The muscle is then inset to the periorbital area, taking care not to injure the cross facial nerve.
Since his training at Harvard Medical School, he has helped hundreds of men, women and children afflicted with varying degrees of facial paralysis. The nerve graft serves like an extension cord, carrying more power to the paralyzed nerve. When treating facial paralysis, it is Dr. Using the gracilis muscle from the thigh does not impair leg function, as other muscles perform its same task. Azizzadeh took a piece of nerve from her leg and attached it to her non-paralyzed facial nerve. Synkinesis and spasm affect each individual differently.