The paralysis of the facial nerve is the interruption of the communication between the nerve and the facial nerve innervating the muscles, resulting in a functional deficiency.
The cranial nerve VII controls most of the muscles of the face: it allows the front to move, the eyelid to close and the mouth to smile. It also controls the salivary glands, the tears and is responsible for taste sensation felt on the tongue.
In case of paralysis, the tissues of the affected half of the face are no longer supported by the underlying musculature, and therefore yield: the forehead, eyebrow, cheek, lips, and the submandibular region tend to slide down. The functions of spontaneous closure of the eyelids and involuntary blink, vital for the lubrication of the eye, are lost.
A cardinal sign of facial paralysis is the lagophthalmos, which is the incomplete closure of the eyelids with constant exposure to the white surface of the eye (sclera), even while the patient sleeps.
The toneless cheek makes it difficult to eat and in addition inhibits the proper use of language.
Facial paralysis is a debilitating disease from a functional, aesthetic and psychological point of view
Patients turn to the oculoplastic surgeon because:
The operation will be adapted to the individual to preserve a natural look, reflect the patient’s personality and the individuality of his/her image. This will be discussed at the pre-surgical interview
Each patient will talked through and advised on the most suitable and innovative surgical treatments, based on the most up-to-date guidelines from the international surgical associations
Surgery can result in a significant improvement of defects.
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