Pros and Cons of Gore Tex Suspension of the Paralyzed Face

When compared with the two most popular alternative procedures (hypoglossal to facial nerve crossover and temporalis muscle transposition) for facial rehabilitation (Table 22-1), Gore-Tex suspension has several advantages. It is a straightforward procedure, performed under conscious sedation on an outpatient basis. The results are immediate with no lag time before the nerve regenerates or the muscle starts to move. There is no donor site morbidity, such as ipsilateral tongue weakness or temporal depression, and it is easily reversible by explanting the Gore-Tex strip. It is also the only procedure that can ameliorate the symptoms of facial paralysis while an intact nerve with neuropraxia is regenerating.

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