The response is the superior and lateral rotation of the globe during eye closure. This results in lid coverage of the cornea and iris even when lid closure is absent. It utilizes needle electrodes placed transcutaneously into the muscles of facial expression where action potentials can be recorded. Electrical silence indicates a normal muscle in resting state, severe muscle wasting, or acute facial paralysis prior to day
Temporalis Transfer | Temporalis Tendon Transfer | Facial Paralysis Institute
Static sling is a procedure that involves taking a piece of tissue taken from the thigh, called fascia lata, and placed into the face to resuspend the mouth and cheek. It is a rather old technique but effective if you want to simply keep the corner of the mouth elevated at rest. It can be combined with a number of other procedures, such as a facelift for facial paralysis , to maximize results. The effect of gravity in facial paralysis can advance the timetable on sagging of facial skin. The static sling can add another layer of suspension to counteract this effect to maintain suspension of tissues over a longer period of time. In most patients, dynamic options such as muscle and nerve transfers are available and preferred. However, in some individuals who have other health problems, the added operative time needed to perform these procedures may be too much to handle.