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Pediatric facial reanimation: An algorithmic approach and systematic review

Archives of Plastic Surgery 2020년 47권 5호 p.382 ~ 391
Deramo Paul J., Greives Matthew R., Nguyen Phuong D.,
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 ( Deramo Paul J. ) - University of Texas Health Science Center at Houston Department of Surgery
 ( Greives Matthew R. ) - University of Texas Health Science Center at Houston Department of Pediatric Surgery
 ( Nguyen Phuong D. ) - University of Texas Health Science Center at Houston Department of Pediatric Surgery

Abstract


Facial palsy has a broad clinical presentation and the effects on psychosocial interaction and facial functions can be devastating. Pediatric facial palsy, in particular, introduces unique familial and technical considerations as anatomy, future growth potential, and patient participation influence treatment planning. Though some etiologies of pediatric facial palsy are self-limiting, congenital and long-standing facial palsies pose difficult challenges that require a combination of surgical, adjunctive, and rehabilitative techniques to achieve facial reanimation. Given the spectrum of ages and symptom severity, as well as the various surgical options available for facial palsy, a tailored approach needs to be developed for each child to restore facial balance and function. Here, we review the etiologies, workup, and treatment of pediatric facial palsy and present our novel algorithmic approach to treatment.

키워드

Facial paralysis; Child; Gracilis muscle; Nerve transfer; Algorithm

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