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  • 09.12.2017
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Before and after facial paralysis

After reviewing this article on facial paralysis, the reader should be able to do the following:. The loss of facial expression and the disfigurement of facial paralysis have serious implications for a patient's physical and psychological well being [ 1 ]. Numerous aetiologies of facial paralysis exist but once nerve recovery has been static for two years, interventional surgery is required to improve the situation [ 2 ]. Facial paralysis is often treated as an aesthetic problem but can also have real physical and psychological problems.
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Bell’s Palsy Facial Nerve Reconstruction

Before and after facial paralysis
Before and after facial paralysis
Before and after facial paralysis
Before and after facial paralysis
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Bell's Palsy Reconstruction NYC | Mount Sinai - New York

Facial paralysis can make it difficult to speak, blink, swallow or smile. When facial paralysis does not resolve on its own, surgery can address the problem. Result after two stage cross facial nerve graft and Gracilis flap for smile restoration to correct right sided facial paralysis resulting from resection of acoustic neuroma. To produce an engaging smile the procedure is tailored to lift the upper lip to show teeth, define the smile lines to match the unaffected side, raise the Malay fat pads to reflect light and raise the corners of the mouth evenly. Right eyelid procedures were also performed to match the size of the unaffected side. The first and second procedures were performed 6 months apart. Treatment : Dual innervation with a combination of cross facial nerve graft and hypoglossal nerve transfer.
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Facial Nerve Clinic

Gracilis muscle transfer with cross face nerve graft to restore facial movement to the left side of her face after paralysis from a stroke. Patient had gracilis free flap surgery both stages. Pictures are before and 6 weeks after 2nd stage surgery. A woman's ability to smile is greatly improved after undergoing surgery to correct facial paralysis. Months after the facial paralysis procedure, the patient continues to see improvement in facial reanimation and symmetry.
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Facial paralysis can make it difficult to speak, blink, swallow or smile. When facial paralysis does not resolve on its own, surgery can address the problem. Result after two stage cross facial nerve graft and Gracilis flap for smile restoration to correct right sided facial paralysis resulting from resection of acoustic neuroma. To produce an engaging smile the procedure is tailored to lift the upper lip to show teeth, define the smile lines to match the unaffected side, raise the Malay fat pads to reflect light and raise the corners of the mouth evenly.
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