Paresis and paralysis of the facial nerve - resuscitation of a paralyzed face
Paralysis of the facial nerve (facial paresis) can follow various pathological events, after which the function (facial expressions) is impaired.
The most common causes:
- facial trauma
- a consequence of Bell’s (idiopathic) paralysis
- damage after ear and skull base surgeries, etc.
It is characteristic of a normal and healthy face that the muscles on both sides of the face act in a coordinated manner so that the tone and balance of external characteristics are as natural as possible. When paralysis of one side of the face occurs, the normal side is affected as a result. Damage to certain nerves in these cases can lead to loss of eye tone or a fall in the corner of the mouth on that side. This condition is already visible at rest. In some cases, certain types of movement are disabled, such as closing the eye.
Specialized head and neck plastic surgery techniques can improve some types of facial nerve and facial paralysis. This helps to improve the appearance and function of important segments of the face.
In order to improve the resulting deformation and prevent further deterioration, various techniques and materials help to improve the resulting defect.
Connective tissue (fascia) or muscle tissue is used for this purpose.
Special implants are adapted to the individual patient. They help to fill depressions caused by facial atrophy of facial muscles.
A small thin plate made of gold or titanium can be implanted in the upper eyelid to ensure normal eye closing function. This operation is performed separately under local anesthesia.
Also, facial nerve paralysis can be corrected with special techniques to improve the appearance and function of the lips and face.
Before deciding on the choice of surgical procedure, it is necessary to make a detailed consultation with an insight into the medical documentation (already implemented measures of conservative rehabilitation). The patient must be familiar with the goal and scope of treatment.