Modified procedure for secondary facial rehabilitation following total bilateral irreversible peripheral facial palsy

J. Barabás, Gusztáv Klenk, György Szabó, Olga Lukáts, Sándor Bogdán, Iván Decker, Tamás Huszár

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

We present the case of a middle-aged gentleman who developed total bilateral irreversible peripheral facial palsy over a period of 10 years, starting with palsy of the marginal mandibular and buccal branches of the facial nerve and progressing to the zygomatic and temporal branches. The patient did not develop any other neurological symptoms, and all neurological and other tests have remained negative over the last 10 years. Dripping of saliva and inability to close the mouth necessitated reanimation of the perioral region with the help of a fascia lata graft fixed to the fascia of the masseter muscles. The increasing lagophthalmos and associated eye problems were alleviated with a temporal muscle transposition combined with a lengthening procedure using the temporal fascia, passed through the upper and lower eyelids and hooked around the medial canthal ligament. The fascia strips were sutured not to the canthal ligament itself, but to each other, thereby placing equal self-adjusted tension on the upper and lower eyelids. Both operations were successful and improved eating and eye closure functions, allowing resolution of the eye symptoms.

Original languageEnglish
Pages (from-to)169-176
Number of pages8
JournalJournal of Craniofacial Surgery
Volume18
Issue number1
DOIs
Publication statusPublished - Jan 2007

Fingerprint

Facial Paralysis
Fascia
Rehabilitation
Eyelids
Ligaments
Temporal Muscle
Fascia Lata
Masseter Muscle
Cheek
Facial Nerve
Saliva
Paralysis
Mouth
Eating
Transplants

Keywords

  • Facial paresis
  • Functional reconstruction

ASJC Scopus subject areas

  • Surgery

Cite this

Modified procedure for secondary facial rehabilitation following total bilateral irreversible peripheral facial palsy. / Barabás, J.; Klenk, Gusztáv; Szabó, György; Lukáts, Olga; Bogdán, Sándor; Decker, Iván; Huszár, Tamás.

In: Journal of Craniofacial Surgery, Vol. 18, No. 1, 01.2007, p. 169-176.

Research output: Contribution to journalArticle

Barabás, J. ; Klenk, Gusztáv ; Szabó, György ; Lukáts, Olga ; Bogdán, Sándor ; Decker, Iván ; Huszár, Tamás. / Modified procedure for secondary facial rehabilitation following total bilateral irreversible peripheral facial palsy. In: Journal of Craniofacial Surgery. 2007 ; Vol. 18, No. 1. pp. 169-176.
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