Treatment considerations in facial paralysis

Eugene A. Chu, Patrick J. Byrne

Research output: Contribution to journalReview articlepeer-review

Abstract

Facial nerve paralysis and its sequelae are devastating to patients. For the reconstructive surgeon, the management of the patient with facial paralysis is challenging. There is a lack of consensus regarding the initial management. Then, there is the dizzying array of treatment options for each patient, including nonoperative observation, nerve transfers, static slings, dynamic muscle transfers, and chemodenervation. The appropriate timing of any intervention is often not clear. In this article, we will briefly outline some important considerations for the facial plastic surgeon in the management of facial paralysis. This includes the relevant anatomy and the initial evaluation. An overview of treatment options, with suggestions for the appropriate use of each option, is then provided.

Original languageEnglish (US)
Pages (from-to)164-169
Number of pages6
JournalFacial Plastic Surgery
Volume24
Issue number2
DOIs
StatePublished - May 1 2008

Keywords

  • Electrophysiologic testing
  • Facial nerve reanimation
  • Facial paralysis
  • Radiographic imaging

ASJC Scopus subject areas

  • Surgery

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