Correspondence Address : Dr. Bell's palsy is an idiopathic facial paralysis which is a lower motor neuron disorder. The ultimate goal of treatment is normalization of paralyzed hemi -face with symmetrical smile and face along with corneal protection. The aim of this article is to revisit all the current options available for management of facial nerve paralysis with main concentration on best surgical management in long-standing cases i. A Case Report of a 38 year old Indian male is reported with chronic facial palsy.
Facial sling byrne. The response is the superior and lateral rotation of the globe during eye closure. This results in lid coverage of the cornea and iris even when lid closure is absent. It utilizes needle electrodes placed transcutaneously into the muscles of facial expression where action potentials can be recorded. Electrical silence indicates a normal muscle in resting state, severe muscle wasting, or acute facial paralysis prior to day. I invite you to visit a very intimate meeting! I know how to give men what they lack in bed
Temporalis tendon transfer as part of a comprehensive approach to facial reanimation.
Facial paralysis can make it difficult to speak, blink, swallow or smile. When facial paralysis does not resolve on its own, surgery can address the problem. Result after two stage cross facial nerve graft and Gracilis flap for smile restoration to correct right sided facial paralysis resulting from resection of acoustic neuroma. To produce an engaging smile the procedure is tailored to lift the upper lip to show teeth, define the smile lines to match the unaffected side, raise the Malay fat pads to reflect light and raise the corners of the mouth evenly. Right eyelid procedures were also performed to match the size of the unaffected side.
Examples of smile patterns. Essential steps of the temporalis tendon transfer procedure. A, Temporalis tendon transfer incision. B, Temporalis tendon transfer with the arch retracted. C, Temporalis tendon transferred.