Facial nerve palsy (facial paralysis)

We specialize in the treatment of facial nerve palsy and offer you a comprehensive range of treatment options. Our highly qualified team from various disciplines works closely together to find an individualized solution for each patient. Our aim is to restore both function and aesthetics in the best possible way.

• Interdisciplinary collaboration: Our specialists in plastic surgery, ENT medicine, neurology, oral and maxillofacial surgery, physiotherapy, speech therapy and psychology are on hand to offer innovative and targeted treatment options.
• Individualized treatment plans: We thoroughly analyze each case and develop customized treatment strategies tailored to the specific needs of each patient.
• Aftercare and support: Our team will support you not only during treatment, but also during aftercare to ensure the best possible healing process.

These operations serve to rehabilitate the function of the forehead, eye and mouth and restore symmetry to your face.

Nerve reconstruction:

• Primary nerve suturing: This method offers the best chance of successful reinnervation after trauma.
• Nerve transfer and nerve interposition: This involves relocating motor nerves (e.g. hypoglossal nerve) or transplanting cutaneous nerves (e.g. sural nerve) to restore continuity and function to the facial nerve.
• Cross-Face Nerve Graft (CFNG): In the absence of suitable central facial nerve stumps, a nerve graft (e.g. sural nerve) from the healthy side can be used to innervate the muscles of the paralyzed side. This technique can also be used as a supplement to functional muscle transfers.

Muscle transfer: This operation is used when your facial muscles have died and you need to replace not only the nerve but also the muscles. A muscle graft from the thigh is most commonly used (gracilis muscle).

Static replacement operations: This involves tightening the sagging side of the face to restore symmetry to the face at rest.

Sofortige Zuweisung:
Bei nicht erhaltenen oder durchtrennten Fazialisnerven (Trauma, iatrogen, Tumor).
 
Nach 6 Monaten:
Bei intaktem Nerv, wenn keine Erholung der Gesichtsmuskulatur eingetreten ist.
 
Auch bei langer Symptomdauer
Selbst nach Jahren kann eine Vorstellung sinnvoll sein, durch statische oder dynamische Rekonstruktionen lassen sich Funktion und Ästhetik oft deutlich verbessern.

For further information or to make an appointment for a consultation, please contact us at the following telephone number or e-mail address:

Make an appointment:
+41 61 265 73 00

Plastic Reconstructive and Aesthetic Surgery Team:
plast.chirurgie@usb.ch