Facial nerve palsy and facial paralysis

The facial nerve controls most of the muscles of the face.  If this nerve is damaged due to injury or from birth (congenital palsy), it can result in facial asymmetry, drooping, or paralysis.  Facial paralysis can lead to eye issues (corneal exposure) and irritation from the eye being incompletely able to close.  It can also cause issues with breathing through the nose and issues with social interaction.  Nerve palsy can affect both pediatric and adult patients and Dr. Purnell treats all age groups.

 

Treatment of facial paralysis and facial nerve palsy is complicated and must be customized to each patient’s situation.  We recommend that we see patients as early as possible so we can determine what surgical and nonsurgical options are available for treatment.  

 

Dr. Purnell offers many options for treatment of paralysis, including:

1. Nerve repairs, nerve grafts, and nerve transfers

2. Placement of eyelid weights to help the eyelid close

3. Sling procedures to support the lower eyelid

4. Brow lifting

5. Free gracilis muscle transfer (free microvascular flap/facial reanimation)

6. Sling and myoplasty procedures

7. Botulinum toxin (Botox) injections

 

We recommend you make an appointment to discuss which, if any, of these treatment options are available to you.  If you have questions regarding facial nerve palsy and paralysis, or would like to schedule an appointment, follow one of the links below: