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Updated: Jun 13, 2026

Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
Published on: March 1, 2015
[Bilateral facial palsy due to Epstein-Barr virus Infection]
M E Erro Aguirre1, J Urriza Mena, L Gila Useros
1Hospital de Navarra, Pamplona, Spain. elena.erro.aguirre@cfnavarra.es
Abstract:
Two young patients with bilateral facial palsy are described. They initially presented unilateral facial palsy, followed by contralateral facial nerve involvement a few days later, together with clinical and serologic evidence of acute Epstein-Barr virus infection. The outcome was favourable in one patient but severe sequels persisted in the second. These two cases show that this infrequent complication of Epstein-Barr virus infection may not always have a good outcome. The pathogenic mechanism of bilateral facial palsy is discussed.
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