Facial Paralysis: A Comprehensive Rehabilitation Approach

Facial Paralysis: A Comprehensive Rehabilitative Approach provides a thorough review of facial plastic surgery techniques utilized in various subspecialties. Through contributions from a range of experts - facial plastic surgeons to head and neck oncologic reconstructive surgeons - this text addresses ways to evaluate all aspects of facial nerve paralysis: diagnosis, individual etiology and management, surgical procedures, as well as preferred reconstructive modalities. Also included is a surgical atlas that illustrates the techniques used to repair or ameliorate the effects of the paralysis.

Spanning several surgical subspecialties, Facial Paralysis: A Comprehensive Rehabilitative Approach is a one-stop resource for any surgeon performing facial plastic surgery.

Review

• Liam M Flood, FRCS, FRCSI, Journal of Laryngology and Otology(November 2014):
  "I confess that I start most reviews of any textbook by just flicking through it and scanning the pictures. The quality of the images immediately impressed me here. Despite a multi-author input, these are consistently relevant, they have much novelty and they are reproduced to a very high standard. I keep going back to Fig 5.2 which shows a facial neuroma, before and after mastoid-approach excision. Nice photography here. There are many views of the nerve in various degrees of separation or grafting, in the parotid and, again, the clarity of the illustrations is remarkable. For once, we are largely spared those black boxes over the eyes which can ruin such textbooks....
  
  Every such book starts with the basic science, but even that shows novelty here. How many of us can associate the various facial reflexes with their respective brainstem pathways? Did you know that the facial nerve fibres occupy as much as 83% of the cross sectional area at the meatal foramen of the internal canal, but only 23% in the tympanic and 64% in the mastoid segments? The second chapter looks at various aetiologies, but gives a nice brief overview of electrophysiologic testing. Under complications of facial paralysis, we will all think about the cornea, but may overlook epiphora, nasal valve collapse and synkinesis....
  
  Now, the rest of the book is what makes for a unique piece of work. It is a surgical manual, covering every procedure imaginable, in restoration of the paralysed face. There are chapters on Nerve repair, on grafting, management of the upper and then lower eyelid, the lips, the nasal valve. A final (and really clever) additional chapter drifts off subject, into correction or avoidance of that soft tissue defect, the hollow so prevalent after parotidectomy. Fig 13.2 is described as showing "an acceptable" cosmetic result. Well, let's say that the scar is just visible and most of us would be pleased with this outcome.
  
  There are several books currently in print on facial palsy. This is particularly good at showing the role of the cosmetic and reconstructive surgeon in restoration of function, or at least, cosmesis. An inspiring book and an excellent read."

  Details: 280 pages, Colour Illustrations (4 Colour), Hardcover, 7 x 10"

  Illustrations: 150

  ISBN13: 978-1-59756-560-8

  Release Date: 07/11/2014