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November 17, 2008

Facial ReanimationAn Invited Review and Commentary

Arch Facial Plast Surg. 2008;10(6):413-417. doi:10.1001/archfaci.10.6.413

Facial paralysis is a devastating condition, from both a functional and esthetic standpoint. While medical, surgical, and physical therapy strategies to improve the condition have been described and refined over the last century,1 clinicians remain frustrated with the lack of reliable prognostic indicators for the condition, the difficulty in precisely describing clinical deficits, the variability in spontaneous recovery, and the inconsistency of results using currently available rehabilitative techniques. Major efforts toward improving the care of the facial paralysis patient with respect to each of these arenas are ongoing, though as with other uncommon problems in facial plastic and reconstructive surgery, progress proceeds slowly. We describe herein the major advances in the management of facial paralysis over the last decade, summarize the major research advances in facial paralysis, and offer a perspective on the future of clinical and basic science research in facial nerve regeneration.

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