Special Communication
Journal Club
Jul/Aug 2015

A Contemporary Approach to Facial Reanimation

Journal Club PowerPoint Slide Download
Author Affiliations
  • 1Facial Nerve Center and Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Boston
  • 2Harvard Medical School, Boston, Massachusetts

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JAMA Facial Plast Surg. 2015;17(4):293-300. doi:10.1001/jamafacial.2015.0399

The management of acute facial nerve insult may entail medical therapy, surgical exploration, decompression, or repair depending on the etiology. When recovery is not complete, facial mimetic function lies on a spectrum ranging from flaccid paralysis to hyperkinesis resulting in facial immobility. Through systematic assessment of the face at rest and with movement, one may tailor the management to the particular pattern of dysfunction. Interventions for long-standing facial palsy include physical therapy, injectables, and surgical reanimation procedures. The goal of the management is to restore facial balance and movement. This article summarizes a contemporary approach to the management of facial nerve insults.