Korean Lepr Bull.  2010 Dec;43(1):27-34.

Surgical Correction of Paralytic deformity of the Lips in Hansen's Disease

• Ahn SY
• Park HJ
• Kim JP

Abstract

BACKGROUND
Damage of the facial nerve, especially buccal and marginal mandibular branches, causes facial palsy and paralytic deformity of the lips such as lower lip ectropion, lip drooping, deviation of the mouth, inability of closing mouth, and the loss of the nasolabial folds.
OBJECTIVE
To find out the best surgical method to correct paralytic deformity of the lips.
METHODS
We reviewed retrospectively the various surgical treatment modalities of the paralytic deformity of the lips performed in The Institute for Leprosy Research for 13 years.
RESULTS
One hundred and twenty five surgical procedures were performed in 80 patients with Hansen's disease. Of these, the static method, dermal suspension flap, was done in 15 cases, the dynamic methods were done in 64 cases, and others were done in 46 cases. All patients showed postoperatively clinical improvement above the average. Two patients received reoperation or additional procedures due to relapse of the condition.
CONCLUSIONS
The dynamic method using tensor fascia lata was superior to other treatment modalities.

Keyword

Facial palsy; Lip; Static; Dynamic

MeSH Terms

Congenital Abnormalities
Ectropion
Facial Nerve
Facial Paralysis
Fascia Lata
Humans
Leprosy
Lip
Mouth
Recurrence
Reoperation
Retrospective Studies