Facial paralysis reanimation

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Facial reanimation procedures help children move their face or make more even movements on both sides of their face. These two main nerves divide into many smaller branches that connect to different face muscles. Those muscles will be paralyzed.

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Correspondence Address : Dr. Bell's palsy is an idiopathic facial paralysis which is a lower motor neuron disorder. The ultimate goal of treatment is normalization of paralyzed hemi -face with symmetrical smile and face along with corneal protection.

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Skip to main content. It takes three days for distal nerve stimulability to be lost. Regenerative activity is the greatest at 21 days post-injury.

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Read more. Read clinical updates and the latest insights from Boston Children's specialists. Learn more. Talk to your healthcare provider about getting your child immunized today.

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Study record managers: refer to the Data Element Definitions if submitting registration or results information. Purpose of the trial is to study the activations of paralyzed facial muscles in a unilateral facial nerve palsy with a multi-channel electrical stimulator. The principle of the device is to measure muscle activity of the healthy side of the face by surface electromyography EMG and to use this information to stimulate the corresponding muscles of the paralyzed side.

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Facial reanimation surgery, sometimes called "smile surgery," is commonly used to treat facial paralysis caused by a brain tumorBell's palsytrauma or another cause. Facial paralysis or weakness can profoundly affect the way you function and interact with others. This can include losing the ability to smile, an important way people express themselves.

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With current advances in treatment for facial paralysis, most patients can benefit from one of the many diverse approaches that now are available, says UCLA facial plastic and reconstructive surgeon Irene Kim, MD. Kim, who helped to establish a multidisciplinary facial reanimation center at UCLA. While the manifestations of facial paralysis differ depending on the cause, the impact on quality of life is almost always substantial.

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The management of facial paralysis is one of the most complex areas of reconstructive surgery. Given the wide variety of functional and cosmetic deficits in the facial paralysis patient, the reconstructive surgeon requires a thorough understanding of the surgical techniques available to treat this condition. For acute facial paralysis, the main surgical therapies are facial nerve decompression and facial nerve repair. For facial paralysis of intermediate duration, nerve transfer procedures are appropriate.

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Patients with facial paralysis endure the profound social stigma and isolation associated with disfigurement. In the absence of functional nerves that animate the face, normal facial responses to social stimuli and emotion disappear. The inability to contract the orbicularis oris compromises the normal labial seal, resulting in oral incompetence and articulation difficulties.

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Initial experiments in animals show promising results with a "bionic face" approach to facial reanimation -- using electrical signals from the uninjured side of the face to trigger muscle movement on the paralyzed side. Hemifacial palsy is a "devastating clinical condition" leading to functional, aesthetic, and communication problems. While reconstructive surgery approaches such as nerve and muscle transfers can restore some facial movement, these techniques have important shortcomings.

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