Neoplastic, Inflammatory and Degenerative Conditions

Facial Paralysis

A systematic algorithm for the management of lower lip asymmetry

Lindsay RW, Edwards C, Smitson C, et al (Massachusetts Eye and Ear Infirmary and Harvard Med School, Boston) Am J Otolaryngol 32:1-7, 2011^§

Abstract

Purpose

An asymmetric smile, caused by loss of function of the lip depressors, can be functionally and cosmetically debilitating. Although some surgeons report excellent results with muscle transfer to the lower lip, many facial reanimation surgeons find that dynamic techniques do not consistently address the lower lip. Our objectives were to retrospectively review our outcomes after treatment of the asymmetric lower lip, and to propose a progressive, stepwise algorithm for the management of lower lip asymmetry in facial paralysis.

Material/Methods

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