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Reconstruction of the paralyzed face

, : Reconstruction of the paralyzed face. Ear, Nose, & Throat Journal 90(6): 267-275

Facial nerve paralysis can be difficult to treat because it presents a variety of functional, aesthetic, and psychosocial challenges. The goals of treatment include facial symmetry at rest, corneal protection, oral competence, restoration of voluntary and spontaneous facial movements, and minimal synkinesis. A multitude of static and dynamic procedures have been used to achieve these goals. Facial nerve reapproximation or interpositional grafting is associated with the best end results. The results of dynamic procedures are generally better than those of static procedures. Optimal reconstruction of the paralyzed face usually requires multiple surgeries with both types of procedures. Patients must be extensively counseled regarding expected results before they embark on what is an oftentimes lengthy reconstructive process. In this article, we discuss the anatomy of the facial nerve, the etiologic factors associated with facial nerve paralysis, the evaluation of the patient with facial paralysis, and the various surgical options for static and dynamic reconstruction of the paralyzed face. We also review the literature.


PMID: 21674470

Other references

Nuytincki, J.; Verbeken, A., 2003: Lactarius sanguifluus versus Lactarius vinosus: Molecular and morphological analyses. Lactarius vinosus is often considered as a variety of L. sanguifluus. Morphological (especially macroscopical characters and spore-ornamentation) and molecular arguments (based on ITS-sequencing) are given here to treat it as a separate species. I...

Yao, M.; Akiyama, K.; Tan, Y.; Sarker, A.H.; Ikeda, S.; Alam, S.S.; Tsutsui, K.; Yoshida, M.C.; Seki, S., 2000: Genomic structure of the rat major AP endonuclease gene (Apex) with an adjacent putative O-sialoglycoprotease gene (Prsmg1/Gcpl1) and a processed Apex pseudogene (Apexp1). Genomic sequencing and chromosomal assignment of the gene encoding rat APEX nuclease, a multifunctional DNA repair enzyme, were performed. An active Apex gene and a processed pseudogene were isolated from a rat genomic library. The active Apex gen...

Suvorov N.F.; Denisova A.S., 1978: Inhibitory and facilitating influences from the caudate nucleus on food conditional reflexes. Soviet Neurology & Psychiatry 11(2): 80-90

Naeser Charles W.; Naeser Nancy D.; Newell W.L.; Southworth; Weems Robert E.; Edwards L.E., 2004: Provenance studies in the Atlantic Coastal Plain; what fission-track ages of detrital zircons can tell us about the source of sediments. Fission-track (FT) analysis of zircon is helping to define the Paleozoic through Cenozoic history of the Allegheny Plateau, Valley and Ridge, Blue Ridge, Piedmont, and Coastal Plain provinces of the Eastern United States. The oldest single-grain z...

Blanchard, J.P.; House, D.E.; Blackman, C.F., 1995: Evaluation of Whole-Animal Data Using the Ion Parametric Resonance Model. Changes observed in the behavioral response of land snails from exposure to parallel ac and dc magnetic fields demonstrate limited agreement with the predictions of an interaction model proposed by Lednev and the predictions of a recently proposed...

Huntingford, F.A.; Adams, C.; Braithwaite, V.A.; Kadri, S.; Pottinger, T.G.; Sandoe, P.; Turnbull, J.F., 2007: Current issues in fish welfare (vol 68, pg 332, 2006). Journal of Fish Biology 70(4): 1311-1316

Stock, N.Katharina.; Petráš, P.; Melter, O.; Kapounová, G.; Vopalková, P.; Kubele, J.; Vaniš, Václav.; Tkadlec, J.; Bukáčková, E.; Machová, I.; Jindrák, V., 2016: Importance of Multifaceted Approaches in Infection Control: A Practical Experience from an Outbreak Investigation. This study presents the results of a multidisciplinary, nosocomial MRSA outbreak investigation in an 8-bed medical intensive care unit (ICU). The identification of seven MRSA positive patients in the beginning of 2014 led to the closure of the war...

Nakazawa, T.; Shimura, M.; Ryu, M.; Nishida, K.; Pagès, G.; Pouysségur, J.; Endo, S., 2007: ERK1 plays a critical protective role against N-methyl-D-aspartate-induced retinal injury. Excitotoxicity has been implicated in several ischemic diseases of the retina, including retinal vessel occlusion and diabetic retinopathy. Glutamate signaling mediated through the N-methyl-D-aspartate (NMDA) receptor contributes to ischemic cell...

Kaltenegger, E.; Eich, E.; Ober, D., 2014: Evolution of homospermidine synthase in the convolvulaceae: a story of gene duplication, gene loss, and periods of various selection pressures. Homospermidine synthase (HSS), the first pathway-specific enzyme of pyrrolizidine alkaloid biosynthesis, is known to have its origin in the duplication of a gene encoding deoxyhypusine synthase. To study the processes that followed this gene dupli...

Salm, E.; Hart, W., 1993: Hemochromatosis: various presentations of a changed disease picture. Nederlands Tijdschrift Voor Geneeskunde 137(34): 1697-1700