Extratemporal facial rehabilitation.

Treatment of the paralyzed face has made significant advances over the past 30 years. Evaluation of the paralyzed face with the concepts of early and delayed extratemporal facial rehabilitation and a review of the multiple methods of re-animation are discussed. Dynamic reconstruction is preferred to static methods except under special circumstnces. The many modalities of treatment include nerve grafting or crossover, regional muscle transposition or free muscle grafts, muscle interdigitation, and nerve implantation with the static methods of fascial stripping and rhytidectomy used in exceptional cases.