[Facial paralysis in oto-mandibular dysplasia. Clinical study and therapeutic implications].
The percentage of facial palsy in the otomandibular dysostosis is great. It varies from 12 to 50% in the literature. The OMENS classification embodies the muscular and facial nerve defects, and appears to represent the most inclusive classification. Few literature reviews have proposed a treatment of the facial palsy in the otomandibularis dysostosis. The authors proposed a treatment protocol depending on the patient's age. The patients before one year of age are treated with the Iñigo's technique, which provide reinnervation to the affected muscles through a crossed facial nerve graft. After one-year old, the surgical approach is realised at five to seven years old to permit a physical therapy. The upper lip is reanimated by the lengthening temporalis myoplasty or by free muscle transplantation with nerve graft. The orbital area treatment of the paralyzed side can included a lengthening of the upper eyelid levator muscle, an asymmetric lateral tarsorraphy and a chondromucous graft.
Labbé
D
D
Service de chirurgie maxillofaciale et chirurgie plastique, CHU de Caen, 14033 Caen, France. labbe-da@chu-caen.fr
Bénateau
H
H
D004431:Ear, External / Q000002:abnormalities* / Q000601:surgery*; D005158:Facial Paralysis / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008342:Mandibulofacial Dysostosis / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D012720:Severity of Illness Index
La paralysie faciale dans les dysplasies oto-mandibulaires. Etude clinique et implications thérapeutiques.