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J Reconstr Microsurg 2008; 24(6): 379-389
DOI: 10.1055/s-0028-1082897
© Thieme Medical Publishers

Facial Palsy: Anatomy, Etiology, Grading, and Surgical Treatment

Gedge D. Rosson1 , Richard J. Redett1
  • 1Department of Surgery, Division of Plastic, Reconstructive, and Maxillofacial Surgery, The Johns Hopkins University School of Medicine, Baltimore, Maryland
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Publication History

Publication Date:
29 July 2008 (online)

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ABSTRACT

The modern microvascular reconstructive surgeon has quite an arsenal when managing the paralyzed face and injury to the facial nerve. After a brief description of the anatomy, etiology, facial nerve syndromes, and grading schemes, we detail our approach to the patient with facial paralysis. In reviewing our methods, we discuss the organ-based timing protocol, along with recent advancements in surgical technique.

KEYWORDS

Facial palsy - facial paralysis - facial reanimation - facial nerve - CN VII - Bell's palsy

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Gedge D RossonM.D. 

Division of Plastic, Reconstructive, and Maxillofacial Surgery, Johns Hopkins Outpatient Center

McElderry 8161, 601 North Caroline Street, Baltimore, MD 21287

Email: gedge@jhmi.edu