What is the optimal timing of reanimation 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

Much controversy exists regarding the timing of facial reanimation and the need for surgical exploration in children with congenital facial paralysis. Issues regarding the timing of reanimation are complex. Some health professionals advocate initial surgery during preschool to prevent the psychosocial aspects associated with a physical abnormality. However, waiting until adolescence when facial growth is mature and the child is able to understand the risks and benefits of surgery and participate in the decision making process also has merit.


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