Nerve Reconstruction after Trauma
Before: Young male who had a biking accident with facial fractures. Immediately after jaw surgery, he developed facial weakness.
After: Surgical exploration showed a cut nerve. The nerve ends were sutured with a nerve graft. An eyelid weight was also placed to help to close the eye. 1 year after surgery with good eye closure, and smile.
Eyelid weight procedure to help close the eye
Before: Young male who had a biking accident with facial fractures. He underwent cheek bone and TMJ surgery in Europe and developed flaccid facial weakness.
After: Surgical exploration showed a cut facial nerve. The nerve ends were sutured with a nerve graft. A platinum eyelid weight was placed to help to close the eye. His smile also returned.
Treatment of synkinesis (nonflaccid facial palsy) treated with surgical selective neurectomy
Before: Right sided Bell’s palsy with resultant synkinesis (frozen face).
Note tightness of face on right side.
After: Selective neurectomy of facial nerve branches with differential face lifting. Note, improved symmetry (right eye is more open, and lower face and smile is symmetric).