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Arch Facial Plast Surg. 2000;2:249-251.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

MANAGEMENT of fixed facial paralysis following extirpative surgery of lateral skull base and parotid tumor malignant neoplasms has proven to be a difficult problem. Traditionally, this deformity has been managed in a delayed fashion, long after the development of the predictable sequelae that occur with such facial paralysis. Facial paralysis can be quite minimal in a younger patient but clinically significant in an older patient. In the younger patient, the youthful elastic skin tends to remain tight despite the paralytic loss of underlying muscle tone. Similarly, the lower eyelid region is less likely to develop the manifestations of paralytic ectropion. Conversely, in the aging patient, this loss of underlying muscle tone, in combination with previously existing inelastic and ptotic soft tissues, leads to significant cosmetic and functional deformities. These include oral commissure ptosis, facial soft tissue ptosis, and lower eyelid ectropion. Lower eyelid ectropion is believed to be secondary to . . . [Full Text of this Article]

RELATED ARTICLE

Early Perioperative Use of Polytef Suspension for the Management of Facial Paralysis After Extirpative Skull Base Surgery
Kevin A. Shumrick and Myles L. Pensak
Arch Facial Plast Surg. 2000;2(4):243-248.
ABSTRACT | FULL TEXT