Facial nerve repair
From Standard of Care
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| + | Facial nerve paralysis associated with psychosocial distress, poor self-image and interpersonal relationship impairment. | ||
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| + | Functional concerns primarily involve adequate protection of the eye, with a real risk of exposure keratitis if not properly addressed. | ||
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| + | Swallowing, drooling, and speech difficulties may arise. | ||
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| + | Repair of the facial nerve is generally a concern in cases of permanent complete facial paralysis. This may involve all or selected branches of the facial nerve. Frustration arises in the difficulty often found in achieving an excellent result. Synkinesis and hypofunction are an expected result, and these problems are among the challenges to be overcome with future improved techniques. | ||
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| Facial paralysis has many causes, and the etiology determines the likelihood of spontaneous return of function, as in most cases of idiopathic facial paralysis. | Facial paralysis has many causes, and the etiology determines the likelihood of spontaneous return of function, as in most cases of idiopathic facial paralysis. | ||
Revision as of 15:58, 20 February 2012
Facial nerve paralysis associated with psychosocial distress, poor self-image and interpersonal relationship impairment.
Functional concerns primarily involve adequate protection of the eye, with a real risk of exposure keratitis if not properly addressed.
Swallowing, drooling, and speech difficulties may arise.
Repair of the facial nerve is generally a concern in cases of permanent complete facial paralysis. This may involve all or selected branches of the facial nerve. Frustration arises in the difficulty often found in achieving an excellent result. Synkinesis and hypofunction are an expected result, and these problems are among the challenges to be overcome with future improved techniques.
Facial paralysis has many causes, and the etiology determines the likelihood of spontaneous return of function, as in most cases of idiopathic facial paralysis.
The transected or severely damaged nerve requires repair in order to achieve return of function.
Weakness and synkinesis is a component of the healing process.
Repair of the facial nerve involves several choices of procedures including: direct repair, cable nerve grafting, and nerve crossover techniques.
