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Of main consideration regarding the optimal management for a person with facial paralysis are the cause and duration of the paralysis. In cases of congenital (present since birth) facial paralysis, the facial nerve and facial muscles may not have developed appropriately or may be absent.Attempting to provide a new nerve source to these muscles, then, is not logical or possible, but other types of reconstruction are possible.nce a muscle has lost its nerve source for any reason, there is a window of opportunity to provide a nerve to those original muscles. After that window has passed, usually about 12-24 months, the original muscles can no longer accept a nerve. In those cases, a nerve supply as well as new muscle must be provided.
What Is Paralysis? Muscle is a special kind of tissue that enables our bodies to move. It is under the control of the nervous system, which processes messages to and from all parts of the body. Sometimes the nerve cells, or neurons, that control the muscles become diseased or injured. When that happens, a person loses the ability to move the muscles voluntarily, and we say that the person is paralyzed. Paralysis of the muscles of the face, arm, and leg on one side of the body is called hemiplegia (hemi means half) and usually results from damage to the opposite side of the brain. Damage to the nerves of the spinal cord affects different parts of the body, depending on the amount of damage and where it occurred.