Ophthalmic Management of Facial Nerve Palsy: A Review

Rahman, Imran A.; Sadiq, S A

doi:10.1016/j.survophthal.2006.12.009

Cited by 92 publications

(143 citation statements)

References 212 publications

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“…8 The functional significance of the facial palsy extends to the eye region; a functionally dry eye with an inability to blink can result in corneal damage. 9 It has been noted that it is the inability to smile and express emotion that is most distressing to facial palsy patients. 10 Evidence in the literature shows that these problems lead to greater levels of anxiety, depression, maladaptive behaviours, and reduced emotional well-being, suggesting that a person's psychological adjustment to the facial disfigurement is a key indicator of overall recovery.…”

Section: Introductionmentioning

confidence: 99%

Psychological distress in people with disfigurement from facial palsy

Bundy

Sadiq

2011

Eye

160

109

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Aims Psychological distress is well documented in people with facial disfigurement. However, the prevalence of psychological distress in patients with facial palsy has not been studied. This study aims to establish the prevalence of psychological distress and the extent of anxiety and depression in a sample of facial palsy patients from the Northwest of England. Method A total of 103 participants with facial palsy completed a questionnaire pack comprising the Illness Perception Questionnaire-Revised (IPQ-R), a demographic questionnaire, and the Hospital Anxiety and Depression Scale (HADS). The severity of participants' facial palsy was measured by the House-Brackmann scale. Results In all, 32.7 and 31.3% of the sample had significant levels of anxiety and depression, respectively. The mean age of participants was 59, and 35.9% had grade 6 facial palsy. Significant associations were found between participants' perception of consequences, duration, timeline, and the level of distress. No significant associations were found between clinical severity of facial palsy and levels of distress. Females had significantly higher levels of anxiety compared with males. Conclusions There was a significant level of distress in this study group. The levels of psychological distress were higher than the levels found in other outpatient attenders. There were significant associations between participants' illness perceptions and their level of distress.

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Section: Introductionmentioning

confidence: 99%

Psychological distress in people with disfigurement from facial palsy

Bundy

Sadiq

2011

Eye

160

109

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“…These children did not have eyebrow ptosis even after substantial loss of frontalis function, while adults with FNP generally exhibit clinical brow ptosis. 2 This may be due to a laxity of the forehead and eyebrows that develops with age. 12 Impairment of facial nerve innervation of the cheek muscles almost certainly contributed to the mild cheek atrophy observed in five of the patients.…”

Section: Discussionmentioning

confidence: 99%

Entropion in children with isolated peripheral facial nerve paresis

Alsuhaibani¹,

Bosley²,

Goldberg³

et al. 2012

Eye

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Purpose Adults with facial nerve paresis (FNP) generally develop ectropion, but a recent report of children with syndromatic FNPs implies that entropion may be more common in this setting than ectropion. This study evaluates eyelid position and other periorbital changes in children with isolated, non-syndromatic FNP. Methods Charts were reviewed of 10 sequential children who presented to a major national eye referral centre with isolated FNP of variable aetiology. Severity of FNP was assessed according to the House-Brackmann scale. Results All 10 patients (4 males and 6 females; mean age at presentation, 4 years) had unilateral, isolated FNP. Mild lowereyelid entropion was present in four patients, and severe lower-eyelid entropion required surgical correction in three patients. All patients had lower eyelid retraction (mean 2.3 mm) and lagophthalmos (mean 2.9 mm). None had enophthalmos, lower eyelid ectropion, or brow ptosis. Conclusion Unlike adults, children with isolated FNP seem prone to develop entropion rather than ectropion. Entropion reported previously in five syndromic children with FNP seems more likely related to patients' age than to their congenital syndromes.

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“…Oculoplastic experts advocate a staged approach in the management of the ophthalmic complications of a CN VII paresis [3]. Supportive therapy with artificial tears and ointment prevents drying of the cornea, and a moisture chamber helps with significant corneal drying.…”

Section: Neuro-ophthalmologic Complications and Management Of Lower Mmentioning

confidence: 99%

Neuro-ophthalmologic Complications and Manifestations of Upper and Lower Motor Neuron Facial Paresis

Bhatti

Schiffman

Pass

et al. 2010

Curr Neurol Neurosci Rep

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The facial nerve (cranial nerve VII) courses a long pathway beginning in the precentral gyrus and ending at the facial muscles, lacrimal and salivary glands, and structures of the inner ear. Lesions along this pathway, clinically divided into upper and lower motor neuron lesions, present with unique characteristics that assist the physician in identifying the lesion site. The sequelae particularly of peripheral CN VII palsies, may result in significant and chronic damage to the cornea that may be challenging for the physician and patient.

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Ophthalmic Management of Facial Nerve Palsy: A Review

Cited by 92 publications

References 212 publications

Psychological distress in people with disfigurement from facial palsy

Psychological distress in people with disfigurement from facial palsy

Entropion in children with isolated peripheral facial nerve paresis

Neuro-ophthalmologic Complications and Manifestations of Upper and Lower Motor Neuron Facial Paresis

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