bell's palsy - congenital absence of right facial nerve
My son is born with absence of right facial nerve (7th nerve). This has been confirmed from MRI scan. The report of MRI scan specifies Congenital absence of right facial nerve.
His current age is 1.5 years.
He is having difficulty in closing the eyelid and expressing facial movements when smiling or crying.
As per ophthalmologist, since his problem is congenital, he has adopted 50% of eye movement on his own. And only eye drops/ointment are needed to avoid the dryness of his right eye.
I have also consulted with Plastic surgeon as per advice of neurologist. Plastic surgeon's opinion is after the completion of 2 years, he can undergo a surgery of a Temporalis muscle transfer.
I wanted to know, is really surgery required for my sonís case? Will he adopt something naturally without surgery, as he grows. Are there any similar cases of absence of facial nerve? And can I get information from earlier cases on remedial actions taken on such cases? What problems may occur in my son's future with or without surgery? What treatment will be beneficial?