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Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
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A Surgeon's Armamentarium for Ocular Management in Facial Paralysis: A Comprehensive Review
Tom Shokri1, Shivam Patel2, Christopher Weller3
1George Washington University School of Medicine and Health Sciences, Washington, DC.
The Journal of Craniofacial Surgery
|January 6, 2023
Summary
Ocular preservation is paramount in managing facial paralysis. Prompt assessment guides individualized treatment to protect vision and the ocular surface.
Area of Science:
- Ophthalmology
- Plastic Surgery
- Neurology
Background:
- Facial paralysis can lead to severe ocular complications, necessitating careful eye assessment.
- Management requires individualization based on paralysis severity and expected recovery.
Approach:
- A comprehensive literature review of ocular management in facial paralysis was conducted.
- Key search terms included "ocular," "facial," "synkinesis," "palsy," and "neurotization."
Key Points:
- Thorough assessment includes evaluating paralysis degree, lacrimal secretion, corneal sensation, and eyelid position.
- Conservative measures may suffice for temporary paralysis, while prolonged paralysis warrants surgical reconstruction.
- Eyelid reanimation is crucial for restoring protective functions and esthetics.
Conclusions:
- Prioritizing ocular preservation is essential in the initial management of facial paralysis.
- Accurate assessment is critical for classifying paralysis type and tailoring treatment plans.
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