ABSTRACT
Irreversible facial palsy (IFP) presents a multitude of problems arising from a paretic
periorbital and facial complex, the solutions to which cross the spectrum of multiple
specialties. The process of facial rehabilitation can be simplified by subdividing
the face into functional units. These units consist of the brow complex, the periorbital
complex, the midface complex, and the lower face/oral complex. Although all of these
units are interrelated and influence each other, careful study of the deformity and
symptoms of each unit yields a coherent approach and customized surgical plan. The
following provides a complete evaluation method for the surgeon to review and customize
an approach to the individual patient's needs and desires. Facial rehabilitation must
be tailored to each individual, addressing both functional as well as aesthetic concerns
for each facial unit.
KEYWORDS
Irreversible facial palsy - seventh nerve palsy - paresis - exposure keratopathy
