Facial Nerve Paralyis
Paralysis of the facial nerve can be a consequence of birth or the removal of tumors in the brain. However, there are cases without apparent reason. There are different options for restoring eye closure and mouth movement.
Cross nerve operation. A part of young patient’s healthy facial nerve of the opposite side can be used and a symmetrical smile can further be established through transferring of healthy muscle tissue to the other side. The healthy nerve is then not affected. This technique takes two operations and offers a symmetrical smile if the new muscle starts to work.
Masseter nerve transfer. In this operation a new muscle is transferred to the affected side and hooked up to a part of the masseter nerve. This reanimates the smile but is quite not as symmetrical as the cross nerve operation. However this technique is also suitable for older patients or for patients who are affected on both facial nerves, such as patients suffering from the Moebius syndrome.
Eye closure. A so called Temporal muscle transfer can be done for to reconstruct the closure of the eyelids. Herefore parts of the temporal muscle can be transferred to the eye so that it can be closed by this muscle.
Further, there are possibilities to achieve a certain symmetry of the face by means of a static reconstruction of the corner of the mouth.
If you are interested in one of these operaticons please contact us for a consulation.