Multiple facial suspensions in protracted facial palsy

Abstract

Primary objective of multidirectional tractions of the facial muscles for protracted facial paralysis is to restore the facial symmetry. The facial suspension by multiple fascial strips in conjunction with other complemental minor surgical procedures realizes these complex tractions. Deformities requiring surgical procedures, regionally classified, are indicated for surgery as follows: 1) drooping of the eyebrow and upper eyelid, and loss of frontal creases, 2) lagophthalmos and ptosis of the lower eyelid, and 3) drooping of the cheeks and lips, and loss of the nasolabial fold. The multifascial suspension is a valuable adjunct to facial nerve surgery. It is capable of alleviating facial asymmetry due to paralysis and suppresses abnormal associated movements subsequent to surgical repair of facial nerves.