Facial Nerve Paresis Functional and Aesthetic Improvement with Min- Invasive Methods

Facial paresis is a condition associated with loss of VII cranial nerve function. The facial nerve has an intricated course from the brain to the periphery. It consists of afferent somatic efferent, parasympathetic and branchiomotor fibres. It innervates up to 20 muscles of the face and head. The severity of facial paresis manifestation depends on the underlying cause. Facial reconstructive surgery approaches treating severe facial paresis can be divided in two group groups static and dynamic. The dynamic treatment approach address’s function while static treats facial deformities. All up-mentioned techniques represent a major surgical intervention lasting up to 12 hours with limited outcomes. The mini-invasive procedures are aiming to reduce functional and aesthetic problems associated with facial paralysis without aggressive interventions. The methods described in an article are used in 10 patients with total and partial facial paresis. Patients Follow-up for ten years demonstrated functional and facial symmetry improvement. Problems associated with a disability of eye closer, mastication and speech production has been reduced, and facial symmetry and self-esteem has been improved in all cases.

Keywords:Facial paralysis; Aptos threads; Eye closer; Monography; Facial asymmetry; Mini-invasive; Facelift