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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.
Disruption of communication of nerve impulses anywhere along the pathway from the brain to the muscles can impair control of muscle movement and cause muscle weakness and loss of coordination. Muscle weakness can progress to paralysis, loss of the ability to move the muscles. Paralysis symptoms can occur anywhere in the body. They may occur on both sides of the body (bilateral) or one side (unilateral). Paralysis occurring in the lower half of the body, below the midsection, is known as paraplegia.