Facial paralysis

The commonest cause of facial palsy (paralysis) is Bell’s palsy which could be linked to a herpes viral infection. Facial palsy can also be present at birth, known as developmental or congenital palsy that affects one or both sides of the face (known as Moebius Syndrome).
Other causes of the condition include trauma to the facial nerve, as well as certain types of localised infections or inflammation. Some surgical procedures can also contribute towards facial palsy, for example tumours within the cranial region or face affecting the facial nerve (such as acoustic neuromas and parotid gland tumours).

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Weakness or complete paralysis of one side of the face

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Eyebrows may sag

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Eye closure is difficult

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Dry or watery eyes

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Drooping mouth (drinks can dribble out)

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Speech may be difficult

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Hearing can be sharp on the affected side

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Paralysis of the lower lip with upward pulling

There are several treatment options depending on the cause of facial paralysis and the time of evolution.

Among the available treatments it is possible:

- Improve the position of the eyebrow and eyelids

- Improve smile

- Treat the continence of liquids

- Improve the symmetry of the face

Among the techniques used to manage facial paralysis is reconstructive surgery, muscle and tendon transfers, grafts and nerve transfers, among others.