Minor Surgery with Major Impact; Correction of Patients with Facial Paralysis in Local Anesthesia

Klasson S and Mobargha N

Department of Plastic and Reconstructive Surgery, Skåne University Hospital, Sweden
Department of Clinical Sciences in Malmö, Lund University, Sweden
Department of Reconstructive Plastic Surgery, Karolinska University Hospital, Sweden
Department of Molecular Medicine and Surgery, Karolinska Institute, Stockholm, Sweden

^*Correspondance to: Nathalie Mobargha 

 PDF  Full Text DOI: 10.25107/2474-1647.3724

Abstract

Background: Facial Palsy (FP) often includes aesthetic and functional impairment. Minor surgery performed in Local Anesthesia (LA) is a safe way to treat asymmetry and functional concerns, either as enhancement of existent postoperative results or as primary treatment. Although patients with FP are challenging to treat, numerous improvements can be performed in LA.
Material and Methods: From February 2016 to April 2021, 93 patients with FP were treated in LA. Treatments targeted asymmetries, ocular and oral deficiencies. Eleven cases were combined with injection treatment, either with Botulinum toxin type A, hyaluronic acid, or both.
Results: Significant functional changes were primarily observed in patients with ophthalmological and oral symptoms. Aesthetic improvement was observed in a majority of patients. Six cases presented with complications, of which all were associated with ophthalmological symptoms.
Conclusion: Overall results imply that minor surgery performed in LA is a safe way to obtain satisfactory functional and aesthetic outcomes with low complication rates. Besides logistic advantages and cost efficacy, functional and esthetical improvement is achieved safely in an elderly population often associated with high morbidity.
Consequently, we suggest incorporation of minor surgery either as adjunctive therapy to primary repair of facial palsy or as main treatment for optimal outcomes.

Keywords

Facial palsy; Minor surgery; Local anesthesia; Asymmetry

Cite the article

Klasson S, Mobargha N. Minor Surgery with Major Impact; Correction of Patients with Facial Paralysis in Local Anesthesia. Clin Surg. 2024; 9: 3724..