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Semin Plast Surg
DOI: 10.1055/a-2782-6209
Review Article

Contemporary Surgical Techniques for Facial Paralysis: A Review of the Chang Gung Experience

Authors

  • Tiffany W. Han

    1   Division of Reconstructive Microsurgery, Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Chang Gung University, Taoyuan, Taiwan

  • Tommy Nai-Jen Chang

    1   Division of Reconstructive Microsurgery, Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Chang Gung University, Taoyuan, Taiwan

  • Jerry Tsung-Kai Lin

    1   Division of Reconstructive Microsurgery, Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Chang Gung University, Taoyuan, Taiwan

  • Luccie Woo

    2   Division of Plastic and Reconstructive Surgery, Department of Surgery, Yale School of Medicine, New Haven, Connecticut, United States of America

  • David Chwei-Chin Chuang

    3   Division of Plastic and Reconstructive Surgery, Department of Surgery, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan

  • Johnny Chuieng-Yi Lu

    1   Division of Reconstructive Microsurgery, Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Chang Gung University, Taoyuan, Taiwan
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Abstract

Facial paralysis can cause profound functional and psychological impact. Management strategies have evolved significantly, with advances in understanding facial nerve anatomy, nerve physiology, and microsurgical techniques. This review provides a comprehensive overview of surgical strategies for both acute and chronic facial paralysis, highlighting contributions from Chang Gung Memorial Hospital that have shaped contemporary practice. Indications, timing, and selection of interventions—including nerve grafting, nerve transfers, and free functioning muscle transplantations—are examined with emphasis on techniques that restore facial symmetry. Recent developments in the management of acute facial paralysis following oncologic resection and in eyelid reanimation are also discussed. By integrating evidence from published research and institutional experience, this review aims to guide the selection of surgical strategies to enhance facial movement and symmetry.

Keywords

facial paralysis - facial palsy - cross-facial nerve graft - functioning free muscle transplantation


Publication History

Article published online:
06 February 2026

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