Comprehensive approach in surgical reconstruction of facial nerve paralysis: a 10-year perspective.
Facial paralysis presents diverse functional and aesthetic abnormalities. Reconstruction may be achieved by several methods. We reviewed the management and outcome of facial paralysis patients to establish principles on which a comprehensive reconstructive approach may be based. Records were reviewed of all patients operated for facial paralysis at our institution between 1998 and 2007. Ninety-five patients were included, of which 15 patients had static reconstruction alone, and 80 patients had dynamic reconstruction. Presented is our experience in reconstruction of facial paralysis over the past decade, delineating a comprehensive approach to this condition. Various surgical techniques are described.
Gur
Eyal
E
Department of Plastic and Reconstructive Surgery, The Microsurgery Unit, Tel-Aviv Sourasky Medical Center affiliated with Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel. eyalgur@netvision.net.il
Stahl
Shy
S
Barnea
Yoav
Y
Leshem
David
D
Zaretski
Arik
A
Amir
Aharon
A
Meilik
Beni
B
Miller
Ehud
E
Shapira
Eyal
E
Abu Jabel
Amin
A
Weiss
Jerry
J
Arad
Ehud
E
D000328:Adult; D000465:Algorithms; D000714:Anastomosis, Surgical; D002648:Child; D005146:Facial Asymmetry / Q000503:physiopathology; D005149:Facial Expression; D005158:Facial Paralysis / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D006801:Humans; D007431:Intraoperative Complications; D008297:Male; D018482:Muscle, Skeletal / Q000098:blood supply / Q000294:innervation / Q000637:transplantation*; D011183:Postoperative Complications; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps / Q000098:blood supply* / Q000294:innervation*; D013848:Thigh; D016896:Treatment Outcome