The etiologies, symptoms, and prognosis of facial palsy vary. For example, the facial nerve reconstruction for congenital paralysis is different from that for acquired disease.
Conditions of facial palsy include flaccid complete paralysis, incomplete paralysis, contracture, and mass movement.
The social status and general condition of the patients should also be considered during the management of facial palsy.
Surgical procedures for facial nerve reconstruction differ greatly, and there are numerous surgical options such as end-to-side neurorrhaphy, cross-facial nerve graft, hypoglossal or masseteric or accessory nerve cross-over, interpositional jump graft, babysitter procedure, cable graft and loop graft for defects in multiple branches of facial nerves, and neural signal augmentation in network type or cross-link surgeries.
Nerve reconstruction for the respective periorbital and perioral regions is a useful option for both new and established facial palsy.
Surgical procedures for facial nerve reconstruction are selected based on many factors.
We here present our surgical algorithm for nerve reconstruction for facial palsy.
