Rehabilitation of Long-standing Facial Nerve Paralysis With Percutaneous Suture-Based Slings. Archives of facial plastic surgery : official publication for the American Academy of Facial Plastic and Reconstructive Surgery, Inc. and the International Federation of Facial Plastic Surgery Societies [Arch Facial Plast Surg] Journal article | | Title | Rehabilitation of Long-standing Facial Nerve Paralysis With Percutaneous Suture-Based Slings. | | Author(s) | Alam D | | Institution | A71, Section of Facial Aesthetic and Reconstructive Surgery, Head and Neck Institute, Cleveland Clinic Foundation, 9500 Euclid Ave, Cleveland, OH 44195. alamd@ccf.org. | | Source | Arch Facial Plast Surg 2007 May-Jun; 9(3):205-9. | | Abstract | Long-standing facial paralysis creates significant functional and aesthetic problems for patients affected by this deficit. Traditional approaches to correct this problem have involved aggressive open procedures such as unilateral face-lifts and sling procedures using fascia and implantable materials. Unfortunately, our results with these techniques over the last 5 years have been suboptimal. The traditional face-lift techniques did not address the nasolabial fold to our satisfaction, and suture-based techniques alone, while offering excellent short-term results, failed to provide a long-term solution. This led to the development of a novel percutaneous technique combining the minimally invasive approach of suture-based lifts with the long-term efficacy of Gore-Tex-based slings. We report our results with this technique for static facial suspension in patients with long-standing facial nerve paralysis and our surgical outcomes in 13 patients. The procedure offers re-creation of the nasolabial crease and suspension of the oral commissure to its normal anatomic relationships. The recovery time is minimal, and the operation is performed as a short outpatient procedure. Long-term 2-year follow-up has shown effective preservation of the surgical results. | | Language | eng | | Pub Type(s) | Journal Article
| | PubMed ID | 17515497 |
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