Facial Paralysis: A Comprehensive Approach to Current Management

Facial nerve palsy may arise from a myriad of conditions, some benign and some potentially life-threatening. Depending on the etiology, the paralysis and facial disfigurement may be temporary or permanent. Often a multidisciplinary team approach is needed for patient care. The oculoplastic surgeon plays a crucial role in the evaluation and rehabilitation of patients with facial palsy. Immediate attention must be aimed at corneal protection and maintenance of vision; however, long-term management of facial disfigurement, epiphora, and secondary effects of aberrant regeneration are significant elements in patient care. Use of a systematic and methodical approach to evaluation and management of facial paralysis, as described in this review, provides the oculoplastic surgeon with the ability to coordinate care for patients with this complex condition.