Archives of Plastic Surgery

Korean Society of Plastic and Reconstructive Surgeons (대한성형외과학회)
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Pediatric facial reanimation: An algorithmic approach and systematic review

  • Deramo, Paul J. (Division of Plastic Surgery, Department of Surgery, University of Texas Health Science Center at Houston, McGovern Medical School) ;
  • Greives, Matthew R. (Division of Pediatric Plastic Surgery, Department of Pediatric Surgery, University of Texas Health Science Center at Houston, McGovern Medical School) ;
  • Nguyen, Phuong D. (Division of Pediatric Plastic Surgery, Department of Pediatric Surgery, University of Texas Health Science Center at Houston, McGovern Medical School)
  • Received : 2020.04.28
  • Accepted : 2020.07.15
  • Published : 2020.09.15
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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.

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References

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