Facial Paralysis, Modification to Labbé Technique

Area of Science:

• Plastic Surgery
• Neurosurgery
• Otolaryngology

Background:

• Facial paralysis significantly impacts patients functionally, emotionally, and aesthetically.
• Various treatment techniques exist, with Labbé's technique noted for its remarkable outcomes.
• This study focuses on Labbé's technique for treating facial paralysis.

Purpose of the Study:

• To present modifications of the Labbé technique for easier execution.
• To evaluate the efficacy of the modified Labbé technique in treating facial paralysis.
• To demonstrate improved surgical outcomes and patient quality of life.

Main Methods:

• Presentation of three cases of facial paralysis (trauma, surgical, infectious).
• Introduction of four modifications to the Labbé technique: trans-zygomatic oblique osteotomy, descending coronoid osteotomy, radiated suture fixation, and orbicularis muscle fixation.
• Surgical procedures and post-operative results were documented.

Main Results:

• The proposed modifications facilitate a better surgical technique.
• Favorable results were observed in the treated cases.
• The modified technique demonstrated effectiveness in addressing facial paralysis.

Conclusions:

• The modified Labbé technique yields excellent results for permanent facial paralysis.
• Improvements include enhanced facial symmetry, reduced salivary incontinence, and restored facial tone.
• Patients regain facial movement, including the ability to smile, and improved speech.