What is the role of a static sling in the treatment of congenital facial paralysis?

Updated: Jan 07, 2019
  • Author: Alan D Bruns, MD, FACS; Chief Editor: Arlen D Meyers, MD, MBA  more...
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Answer

Children often have good facial symmetry at rest and do not significantly benefit from a static sling until the skin and subcutaneous tissue have matured and relaxed. Using a fascia lata sling to suspend the lower face from the zygoma provides symmetry at rest, but no voluntary or spontaneous movement is achieved. Functional improvement of chewing, fluid retention, speech articulation, smile symmetry, and ectropion is immediate. The psychological effect is also immediate, with achievement of self-esteem and acceptance by family and peers. [51, 52]


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