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Updated: Aug 17, 2026

Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
Published on: March 1, 2015
[Infantile facial paralysis: diagnostic and therapeutic features]
Insights
This study reviewed 11 pediatric facial paralysis cases, finding complete clinical restoration in most patients. Electroneurography proved effective for diagnosis in children with facial nerve issues.
Area of Science:
- Neurology
- Pediatrics
- Otolaryngology
Context:
- Peripheral unilateral facial paralysis in children presents unique diagnostic and management challenges.
- Understanding the etiology and clinical course is crucial for effective treatment.
- Previous studies have limited data on pediatric facial nerve palsy.
Purpose:
- To analyze clinical and neurophysiological findings in pediatric peripheral unilateral facial paralysis.
- To evaluate the diagnostic utility of electroneurography in young patients.
- To discuss the etiology, diagnostic methods, and management strategies for pediatric facial paralysis.
Summary:
- This study presents a series of 11 pediatric cases (under 15 years) of peripheral unilateral facial paralysis.
- Parameters analyzed include age, sex, affected side, origin, medical history, clinical, and neurophysiological data (magnetic stimulation electroneurography).
- Complete clinical recovery was observed in all but one patient with cholesteatoma, highlighting the efficacy of timely interventions.
Impact:
- Provides valuable insights into the diagnosis and management of pediatric facial paralysis.
- Demonstrates the effectiveness of electroneurography in assessing facial nerve function in children.
- Contributes to the understanding of etiologies and outcomes, aiding clinical decision-making for pediatric facial nerve disorders.
Abstract:
This paper deals with a series of 11 cases of peripheral unilateral facial paralyses affecting children under 15 years. Following parameters are reviewed: age, sex, side immobilized, origin, morbid antecedents, clinical and neurophysiological explorations (electroneurography through magnetic stimulation) and the evolutive course of the cases. These items are assembled in 3 sketches in the article. Clinical assessment of face movility is more difficult as the patient is younger, nevertheless electroneurography was possible in the whole group. Clinical restoration was complete, excepting one complicated cholesteatomatous patient. Some aspects concerning the etiology, diagnostic explorations and management of each pediatric case are discussed.
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