Rekonstruktion und Reanimation der Periorbitalregion bei Fazialisparese

Die Rekonstruktion bei Fazialisparese erfordert die Wiederherstellung funktioneller und ästhetischer Aspekte vor dem Hintergrund einer zufriedenstellenden Lebensqualität. Insbesondere die Periorbitalregion stellt das Behandlungsteam vor große Herausforderungen. Dieser Beitrag stellt übersichtlich dar, welche Behandlungsmöglichkeiten für die Periorbitalregion zur Verfügung stehen und wann sie angewendet werden.

Abstract

Reconstruction of facial paralysis requires the restoration of both functional and aesthetic aspects while considering a satisfactory quality of life. The periorbital region in particular poses major challenges. The main symptoms of the periorbital region include increased tearing, lagophthalmos, recurrent keratoconjunctivitis, asymmetry and inability to blink spontaneously. Diagnostics as well as therapy must be carried out in an interdisciplinary setting. Conservative treatment is initiated immediately after occurrence of symptoms. The indication for surgical therapy depends on the etiology, severity and regenerative capacity of the paresis. If there are no signs of improvement, the function of the facial nerve can be restored surgically. Surgical reconstruction options include dynamic and static procedures. While the goal of static treatment is to protect the cornea and improve symmetry, dynamic procedures also aim to restore spontaneous motor skills and facial expressions. This article summarizes the range and timing of treatment options for the periorbital region.

Kernaussagen

• Diagnostik und Therapie erfolgen in einem interdisziplinären Setting.

• Für das Auge müssen konservative Maßnahmen unmittelbar nach Symptombeginn eingeleitet werden.

• Die operativen Therapien lassen sich in statische und dynamische Verfahren einteilen.

• Statische Verfahren haben in erster Linie den Schutz des Auges und der Kornea sowie eine Verbesserung der Symmetrie zum Ziel.

• Dynamische Verfahren werden eingesetzt, um die spontane Motorik und Mimik wiederherzustellen.

• Die Indikation der bestimmten Eingriffe oder einer Kombination aus diesen ist für jeden Patienten/jede Patientin individuell abzuwägen.

Schlüsselwörter

Fazialisparese - Gesichtsreanimation - rekonstruktive Gesichtschirurgie - periorbitale Rekonstruktion - periorbital reconstruction

Keywords

Facial paralysis - Gesichtsreanimation - facial reconstructive surgery

Publication History

Article published online:
03 March 2025

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