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Surgical Management of the Patient with Facial Paralysis

Program Description: Patients with facial nerve paralysis suffer significant cosmetic and functional morbidity. Management of the eye involves both loading the upper eyelid and tightening the lower eyelid. Mid face reconstruction can be addressed by midface lifting or by nasal valve repair. The lower face functions to allow for proper articulation and deglutition. Reconstructive options are either dynamic, using a temporalis muscle sling, or adynamic with acellular suspension. Each panelist in this multidisciplinary presentation will present his preferred method of rehabilitation, and case scenarios will then be used to explore subtleties of each surgical approach. Educational Objectives: 1) Rehabilitate the paralyzed upper eyelid. 2) Assess and manage the nasal airway in patients with facial paralysis. 3) Apply a management paradigm for the lower face that will allow comparison of dynamic and adynamic reconstruction.