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Extratemporal Facial Paralysis

Terzis, Julia K. MD, PhD; Anesti, Katerina MD, MRCS

doi: 10.1097/SAP.0b013e3182352221
Peripheral Nerve Surgery and Research

Purpose This report summarizes our experience in the management of extratemporal facial paralysis with a variety of reconstructive techniques and explores those parameters which are considered to be useful in achieving better outcomes.

Methods In all, 56 patients with extratemporal facial paralysis were studied. All the patients had a mean follow-up of 5 years (standard deviation: 3.5). Video evaluation was performed by 3 independent assessors at the required follow-up intervals.

Results The final median score for the partial facial paralysis group was significantly higher (4.175) compared with the complete facial paralysis (3.3), P = 0.007. In this series, the only other factor that appeared to influence the final outcome was the denervation time and not the age group, type of facial nerve injury, or method of repair.

Conclusion The concept of dynamic panfacial reconstruction with an individual and tailored to patient’s needs approach is demonstrated in all and particularly in bilateral cases.

From the International Institute of Reconstructive Microsurgery, Department of Plastic Surgery, NYU Medical Center, New York, NY.

Received August 25, 2011, and accepted for publication, after revision, August 29, 2011.

This study has been approved by the Institutional Review Board at EVMS.

Conflicts of interest and sources of funding: none declared.

Reprints: Julia K. Terzis, MD, PhD, 27-28 Thomson Ave, Suite 620, Long Island City, New York 11101. E-mail:

© 2013 Lippincott Williams & Wilkins, Inc.