Notice: Surgical decompression (reduction of pressure) is not recommended in the acute phase of the disease. There is no convincing evidence of success, and potential complications are severe.
1st order
- In severe form of facial nerve palsy, microsurgical reconstruction of the facial nerve may be indicated; cross-face nerve suture vs. hypoglossal facial jumper nerve suture vs. free muscle transfer
2nd order
- In persistent incomplete closure of the eyelid: eyelid loading (internal), ie, insertion of gold weight implants into the upper eyelid.
Further notes
- Direct fascial suturing produces the best functional results and is considered the gold standard, especially for facial nerve paresis due to injury.
