Facial Paralysis: Clinical Practice Guideline of the Spanish Society of Otolaryngology

Lassaletta, Luis; Morales‐Puebla, José Manuel; Altuna, Xabier; Arbizu, Álvaro; Arístegui, Miguel; Batuecas, Ángel; Cenjor, Carlos; Espinosa-Sánchez, Juan Manuel; García-Iza, Leire; García-Raya, Pilar; González-Otero, Teresa; Mañós, M.; Martín, Carlos; Moraleda, Susana; Roda, J.M.; Santiago, Susana; Benítez, Jesús Romero; Cavallé, Laura; Correia, Victor; Estévez, José Manuel Gálligo; Gómez, Justo R.; González, Rocío; Jiménez, Jorge; Lacosta, Jose Luis; Lavilla, María; Peñarrocha, Julio; Polo, Rubén; García‐Purriños, Francisco; Ramos, Francisco; Tomás, Manuel; Uzcanga, María; Vallejo, Luis A.; Gavilán, Javiér

doi:10.1016/j.otoeng.2018.12.002

Cited by 16 publications

(27 citation statements)

References 88 publications

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“…There is central paralysis that occurs when the central motor neuron is damaged, and peripheral paralysis that occurs when the peripheral motor neuron is damaged [27].…”

Section: Paralliesmentioning

confidence: 99%

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Methodological Approaches to Modeling the Pathology of the Nervous System

Bon¹

2022

JSCRI

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“…There is central paralysis that occurs when the central motor neuron is damaged, and peripheral paralysis that occurs when the peripheral motor neuron is damaged [27].…”

Section: Paralliesmentioning

confidence: 99%

“…Extension of the leg in the knee joint is possible, since the extensor of the lower leg (quadriceps muscle), innervated by the femoral nerve, is not paralyzed. Therefore, the animal can lean on the limb, although there is excessive dorsiflexion of the hock (ankle) join [3,21,27].…”

Section: Demonstration Of Peripheral Paralysismentioning

confidence: 99%

Methodological Approaches to Modeling the Pathology of the Nervous System

Bon¹

2022

JSCRI

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“…Patients with incomplete paresis have good prognosis. In contrast, the German and the Spanish guidelines recommend electrodiagnostics for all patients with Bell's palsy [17][18][19]. Some recommend electrodiagnostics for all patients with facial nerve disorder.…”

Section: Electrophysiological Diagnostic Evaluationmentioning

confidence: 99%

Facial nerve electrodiagnostics for patients with facial palsy: a clinical practice guideline

Guntinas‐Lichius

Volk

Olsen

et al. 2020

Eur Arch Otorhinolaryngol

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Purpose Facial nerve electrodiagnostics is a well-established and important tool for decision making in patients with facial nerve diseases. Nevertheless, many otorhinolaryngologist-head and neck surgeons do not routinely use facial nerve electrodiagnostics. This may be due to a current lack of agreement on methodology, interpretation, validity, and clinical application. Electrophysiological analyses of the facial nerve and the mimic muscles can assist in diagnosis, assess the lesion severity, and aid in decision making. With acute facial palsy, it is a valuable tool for predicting recovery. Methods This paper presents a guideline prepared by members of the International Head and Neck Scientific Group and of the Multidisciplinary Salivary Gland Society for use in cases of peripheral facial nerve disorders based on a systematic literature search. Results Required equipment, practical implementation, and interpretation of the results of facial nerve electrodiagnostics are presented. Conclusion The aim of this guideline is to inform all involved parties (i.e. otorhinolaryngologist-head and neck surgeons and other medical specialists, therapeutic professionals and the affected persons) and to provide practical recommendations for the diagnostic use of facial nerve electrodiagnostics.

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“…Facial palsy (FP) patients present with a wide array of muscular, connective, and soft tissue pathologies correlated with different severity levels and comorbidities [ 1 , 2 , 3 , 4 , 5 , 6 ]. Dysfunctional facial mimic movements constitute a hallmark of FP sequalae and can tremendously impair a patient’s psychological health, social interaction, and overall quality of life [ 7 , 8 , 9 , 10 ].…”

Section: Introductionmentioning

confidence: 99%

Using High-Resolution Ultrasound to Assess Post-Facial Paralysis Synkinesis—Machine Settings and Technical Aspects for Facial Surgeons

et al. 2022

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Background: Synkinesis of the facial musculature is a detrimental sequalae in post-paralytic facial palsy (PPFP) patients. Detailed knowledge on the technical requirements and device properties in a high-resolution ultrasound (HRUS) examination is mandatory for a reliable facial muscle assessment in PPFP patients. We therefore aimed to outline the key steps in a HRUS examination and extract an optimized workflow schema. Methods: From December 2020 to April 2021, 20 patients with unilateral synkinesis underwent HRUS. All HRUS examinations were performed by the first author using US devices with linear multifrequency transducers of 4–18 MHz, including a LOGIQ E9 and a LOGIQ S7 XDclear (GE Healthcare; Milwaukee, WI, USA), as well as Philips Affinity 50G (Philips Health Systems; Eindhoven, the Netherlands). Results: Higher-frequency and multifrequency linear probes ≥15 MHz provided superior imaging qualities. The selection of the preset program Small Parts, Breast or Thyroid was linked with a more detailed contrast of the imaging morphology of facial tissue layers. Frequency (Frq) = 15 MHz, Gain (Gn) = 25–35 db, Depth (D) = 1–1.5 cm, and Focus (F) = 0.5 cm enhanced the image quality and assessability. Conclusions: An optimized HRUS examination protocol for quantitative and qualitative facial muscle assessments was proposed.

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Facial Paralysis: Clinical Practice Guideline of the Spanish Society of Otolaryngology

Cited by 16 publications

References 88 publications

Methodological Approaches to Modeling the Pathology of the Nervous System

Methodological Approaches to Modeling the Pathology of the Nervous System

Facial nerve electrodiagnostics for patients with facial palsy: a clinical practice guideline

Using High-Resolution Ultrasound to Assess Post-Facial Paralysis Synkinesis—Machine Settings and Technical Aspects for Facial Surgeons

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