Sling facial paraylsis reconstruction
Static sling is a procedure that involves taking a piece of tissue taken from the thigh, called fascia lata, and placed into the face to resuspend the mouth and cheek. It is a rather old technique but effective if you want to simply keep the corner of the mouth elevated at rest. It can be combined with a number of other procedures, such as a facelift for facial paralysis , to maximize results. The effect of gravity in facial paralysis can advance the timetable on sagging of facial skin. The static sling can add another layer of suspension to counteract this effect to maintain suspension of tissues over a longer period of time. In most patients, dynamic options such as muscle and nerve transfers are available and preferred.
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Damir Matic , John Yoo. Daniel Buchbinder. This involves static suspension of the oral commissure and lateral ala to recreate a nasolabial fold. Approach in primary reconstruction is performed through the existing surgical exposure often a parotidectomy type incision. In secondary reconstruction hairline and nasolabial fold incision are required. It is beneficial to mark the nasolabial fold with the patient in sitting position prior to general anesthesia.
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If you have permanent paralysis of the muscles that support and move the face, you may be offered a procedure to try and lift the face to improve the symmetry between the two sides. The fascia lata sling procedure is an operation that can do this. This webpage explains more about the procedure and what to expect, including the benefits, risks, any alternatives and what you can expect when you come to hospital.
Bell's palsy is an idiopathic facial paralysis which is a lower motor neuron disorder. The ultimate goal of treatment is normalization of paralyzed hemi -face with symmetrical smile and face along with corneal protection. The aim of this article is to revisit all the current options available for management of facial nerve paralysis with main concentration on best surgical management in long-standing cases i. A Case Report of a 38 year old Indian male is reported with chronic facial palsy.