Static Sling Options for Facial Paralysis: Now Versus 10 Years Ago

Almoaidbellah Rammal; John Yoo; Damir Matic

doi:10.1016/j.fsc.2021.03.010

Static Sling Options for Facial Paralysis: Now Versus 10 Years Ago

Facial Plast Surg Clin North Am. 2021 Aug;29(3):375-381. doi: 10.1016/j.fsc.2021.03.010.

Authors

Almoaidbellah Rammal¹, John Yoo², Damir Matic³

Affiliations

¹ Department of Otolaryngology - Head and Neck Surgery, Western University, Victoria Hospital, London Health Science Centre, 800 Commissioners Road East, Room B3-429, London, ON N6A 5W9, Canada; Department of Otolaryngology - Head and Neck Surgery, King Abdul-Aziz University, Jeddah, Saudi Arabia.
² Department of Otolaryngology - Head and Neck Surgery, Western University, Victoria Hospital, London Health Science Centre, 800 Commissioners Road East, Room B3-429, London, ON N6A 5W9, Canada.
³ Division of Plastic and Reconstructive Surgery, Department of Surgery, Schulich School of Medicine and Dentistry, University of Western Ontario, Victoria Hospital, 800 Commissioners Road East, PO Box 5010, London, ON N6A 5W9, Canada. Electronic address: Damir.Matic@lhsc.on.ca.

PMID: 34217439
DOI: 10.1016/j.fsc.2021.03.010

Abstract

Static facial sling procedures are one of many facial reanimation options to address long-standing and irreversible facial paralysis. The primary goals of static reanimation are to provide symmetry at rest and improve static function at repose. Choosing the best option depends on patient factors, such as age, comorbidities, and injury factors. Different materials are available for static sling surgery; we believe autologous tendon offers the most reliable and long-lasting results. Static suspension procedures provide immediate results, improved resting position, and can augment other techniques. This article discusses available options for static reanimations to address the eye complex, midface, and mouth.

Keywords: Facial nerve paralysis; Facial reanimation; Static reanimation.

Publication types

Review

MeSH terms

Face / surgery
Facial Paralysis* / surgery
Humans
Plastic Surgery Procedures*