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Facial Reanimation, Bell's Palsy & Smile Surgery2023

Facial Reanimation

Hadlock TA, Jowett N

In: Bambakidis NC, Megerian CA, Spetzler RF, eds. Surgery of the Cerebellopontine Angle. 2nd ed. Springer

What Is This Study About?

This textbook chapter reviews facial-nerve anatomy, injury grading, and contemporary surgical and adjunctive techniques for reanimation after cerebellopontine-angle surgery. It presents a zonal algorithm covering hypofunction, hyperfunction, synkinesis, and the functional and psychosocial consequences of facial palsy.

Key Findings

  • Provides a zonal management algorithm for the paralyzed face after CPA surgery
  • Reviews nerve repair, substitution, regional muscle transfer, and free muscle transfer
  • Addresses corneal exposure, oral competence, nasal obstruction, and quality-of-life impact

What This Means for Patients

Patients facing acoustic-neuroma or other CPA surgery benefit from a planned pathway that protects the eye, restores smile and oral function, and treats synkinesis rather than leaving residual palsy untreated.

Citation & Links

Citation: Hadlock TA, Jowett N. Facial reanimation. In: Bambakidis NC, Megerian CA, Spetzler RF, eds. Surgery of the Cerebellopontine Angle. 2nd ed. Springer; 2023:207-221.

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