Modern management of facial palsy: a review of current literature

Stew, Benjamin; Williams, Helen

doi:10.3399/bjgp13x663262

Cited by 35 publications

(31 citation statements)

References 8 publications

(3 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…As seen in other pathologies, the evaluation is a fundamental part in the control of the evolution of the disease, in determining the prognosis, treatment decision, and treatment to be followed in each case, as well as for monitoring of the results (11) . The diagnosis of the PFP is usually made by exclusion and observation of the signs and symptoms related to the innervated structures by the facial nerve, and the medical treatment with high doses of corticosteroids and antivirals is started, regardless of the prognosis or other rehabilitation and/or surgical treatments to be performed (5,12,13) . Based on evidence-based practice, it is important to use standardized and validated evaluations to relate the interventions adopted and the results, thus, verify their efficacy (14) .…”

Section: Introductionmentioning

confidence: 99%

Paralisia facial periférica: atividade muscular em diferentes momentos da doença

Wenceslau

Sassi

Magnani

et al. 2016

CoDAS

View full text Add to dashboard Cite

RESUMO Objetivo : Avaliar, por meio da eletromiografia de superfície (EMGs), a atividade dos músculos risório e zigomático, durante a produção do sorriso voluntário, comparando os dados em dois grupos de indivíduos com tempos diferentes de início da paralisia facial periférica (PFP). Métodos : 140 adultos distribuídos em três grupos: G1 (35 indivíduos com início da PFP entre 0 e 3 meses); G2 (35 indivíduos com início da PFP entre 3 e 6 meses); GC (70 controles saudáveis). Todos os participantes foram submetidos à avaliação que consistiu na aplicação de uma escala clínica para avaliação da mímica facial e na realização da EMGs em região de músculos risório e zigomático. Resultados: Os resultados indicaram que os grupos com paralisia facial, independentemente do tempo de início da doença, se diferenciaram significativamente do grupo de indivíduos saudáveis quanto à atividade muscular captada durante o repouso e no sorriso voluntário para ambas as regiões musculares testadas. Os grupos com paralisia facial não se diferenciaram significativamente quando considerada a ativação muscular para nenhuma das avaliações realizadas. O grupo com maior tempo de paralisia facial apresentou ativação muscular mais assimétrica durante o sorriso voluntário quando comparado aos demais grupos. A assimetria muscular foi mais evidente considerando o funcionamento do músculo risório. Conclusão: Os resultados da EMGs não evidenciaram diferenças entre os grupos de acordo com o tempo de início da doença.

show abstract

Section: Introductionmentioning

confidence: 99%

Paralisia facial periférica: atividade muscular em diferentes momentos da doença

Wenceslau

Sassi

Magnani

et al. 2016

CoDAS

View full text Add to dashboard Cite

show abstract

“…About 70% of Bell's palsy has a favorable prognosis with spontaneous resolution within 3 mo, without sequelae. The paralysis severity at onset can influence the degree of recovery: a severe paralysis hardly obtains a complete recovery of nerve function [4][5][6][7] . Congenital facial paralysis can result from developmental defects or delivery traumas.…”

Section: Epidemiology and Etiopathogenesismentioning

confidence: 99%

Facial Nerve Paralysis in Children

Licameli¹,

Tunkel²

2013

Pediatric Otorhinolaryngology

View full text Add to dashboard Cite

Facial nerve palsy is a condition with several implications, particularly when occurring in childhood. It represents a serious clinical problem as it causes significant concerns in doctors because of its etiology, its treatment options and its outcome, as well as in little patients and their parents, because of functional and aesthetic outcomes. There are several described causes of facial nerve paralysis in children, as it can be congenital (due to delivery traumas and genetic or malformative diseases) or acquired (due to infective, inflammatory, neoplastic, traumatic or iatrogenic causes). Nonetheless, in approximately 40%-75% of the cases, the cause of unilateral facial paralysis still remains idiopathic. A careful diagnostic workout and differential diagnosis are particularly recommended in case of pediatric facial nerve palsy, in order to establish the most appropriate treatment, as the therapeutic approach differs in relation to the etiology.

show abstract

“…Therefore, the younger the age, the better the prognosis of full recovery [23]. The degree or severity of the paralysis at onset affects prognosis also, a severe paralysis will hardly have a full recovery of nerve function [24] The recovery rate ultimately will depend on the cause of the FNP.…”

Section: Introductionmentioning

confidence: 99%

Facial Nerve Palsy: A Report on the Prevalence, Intervention and Outcome in a Tertiary Hospital in the South- South Region of Nigeria

Ibekwe

2019

JAMMR

View full text Add to dashboard Cite

Background: The facial nerve is an important and complex nerve whose course predisposes to various affectations. Most work has been focused mainly on Bell’s palsy and not much has been done on other aspects of the nerve affectation. Aim: To determine the prevalence of facial nerve palsy, possible aetiology and the treatment outcome in our environment. Patients and Methods: This is a retrospective study of all patients diagnosed with facial nerve palsy seen in the ENT Surgery department and the Physiotherapy department of Teaching hospital university of Port Harcourt within the period of January 2015 to January 2018. The patients` case files, clinic and ward registers were the source of data. The patients` demographics, presenting complaints, side affected, type of lesion, aetiology, intervention and outcome, were sought from these records. Data was analyzed with IBM SPSS version 20 and results presented in statistical tables. Results: There were altogether 76 patients seen within the period under study. There were more females than males 57.9% and 42.1% with a ratio of 1.4:1. Age ranged from 20-83 years with a mean age of 48.9+/- 14.1 years. Highest incidence was among the age range 50-59 years. Commonest presenting complaint was facial weakness-80.3% outright facial deviation was seen in 17.1%. The left side was more affected and upper motor neuron lesion was the commonest type of facial nerve palsy encountered 80.3%. Hypertension was the commonest aetiology. About 69.7% had a good response to management. The outcome of treatment in relation to the type was statistically significant. Conclusion: Facial nerve paralysis is not rare in this region and hypertension is a common aetiology with UMNL as the commonest type. Majority recover after the paralysis with steroid treatment.

show abstract

Modern management of facial palsy: a review of current literature

Cited by 35 publications

References 8 publications

Paralisia facial periférica: atividade muscular em diferentes momentos da doença

Paralisia facial periférica: atividade muscular em diferentes momentos da doença

Facial Nerve Paralysis in Children

Facial Nerve Palsy: A Report on the Prevalence, Intervention and Outcome in a Tertiary Hospital in the South- South Region of Nigeria

Contact Info

Product

Resources

About