Review of long-term results in supportive treatment of facial paralysis

We have reviewed approximately 150 patients who were treated with supportive measures for facial paralysis. We found that in the patient's view an adequate result requires establishment of a proper lip sphincter--either by restoring muscular tone, or by creating an anatomical framework to which can be added either a motor unit or stabilization to aid the opposite intact muscle. We also found lasting value from dampening contralateral spasticity, and from the use of such ancillary procedures as the face lift, the brow lift, and the creation of a nasolabial fold. It is important for the physician to help the patient acquire a tranquil face during speech and emotion by persevering in mirror training and mimetic gymnastics.