Social perception of morbidity in facial nerve paralysis

Li, Matthew Ka Ki; Niles, Navin; Gore, Sinclair M.; Ebrahimi, Ardalan; McGuinness, John; Clark, Jonathan

doi:10.1002/hed.24299

Cited by 36 publications

(28 citation statements)

References 16 publications

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“…Facial palsy increases social mobidity. 1 In cases of parotid gland malignancies or impossibility of dissecting the facial nerve trunk and branches, the sacrifice of facial nerve may be required to fulfill safe margins. 2 Immediate soft tissue reconstruction is necessary to prevent postoperative facial deformity and to restore facial symmetry at rest and in expression.…”

Section: Introductionmentioning

confidence: 99%

Facial functional outcomes analysis after reconstruction by vascularized thoracodorsal nerve free flap following radical parotidectomy with facial nerve sacrifice

et al. 2020

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Section: Introductionmentioning

confidence: 99%

Facial functional outcomes analysis after reconstruction by vascularized thoracodorsal nerve free flap following radical parotidectomy with facial nerve sacrifice

et al. 2020

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“…Facial paralysis can cause many changes in social cognition, especially changes in the whole body and the middle part of the face [17]. The evaluation of social function after facial paralysis and the patient's self-assessment are also important aspects of bedside assessment.…”

Section: Discussionmentioning

confidence: 99%

A Case Report of Functional Acupuncture in the Treatment of Senile Left Persistent Facial Paralysis

Bingxue¹,

Shao²,

Liu³

et al. 2021

IJCM

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Introduction: Idiopathic facial palsy, also known as Bell's palsy (BP) or facial neuritis, is an acute onset of peripheral facial neuropathy. The onset of this disease is rapid, and there is a history of cold, mostly on one side of the face. Objective: to introduce and analyze the method and curative effect of functional acupuncture on one case of senile left persistent facial paralysis. Methods: focus on the functional parts of the affected area that need to be improved, select the acupuncture areas with improved trigger function, and select the stimulation dose of electroacupuncture. In other words, functional acupuncture is the main acupuncture method in the treatment process, that is, to take a functional position before acupuncture on the paralyzed side of the cheek, that is, to lift the patient's left corner of the mouth outward to above the functional position with a surgical small retractor (the largest lifting mouth angle is tilted to the left side), to determine the left cheek muscle functional area (needle entry area), and to make corresponding adjustment on the left cheek Acupoints selected in functional areas: Xiaguan, zygomatic Luo, buccal Che, Yingxiang, Renzhong, Taiyang, sizhukong, Chengzhi, yangbai. The needle of 0.35 mm × 40 mm was selected, and 0.3-1 inch flat needling was used with electroacupuncture. The waveform was density wave. Five times a week, 10 times for a course of treatment. Results: after two courses of functional acupuncture treatment, the patient's left eyelid was basically closed, and the air leakage during the left cheek bulging was significantly improved. After eating, the food left in the left cheek disappeared, the left nasolabial groove appeared, the left frontal lines appeared, and the symptoms of the left mouth angle slanting to the right were significantly improved (see the figure below). Conclusion: the essence of functional acupuncture improvement is to re form a strong neuromuscular effect in muscles, destroy the paralysis and weakness of target muscles, and reconstruct the normal neuromuscular coupling mode. The aim of this balance mechanism is to destroy the reflex pattern of abnormal muscle paralysis and muscle weakness and reconstruct an orderly and normal neuromuscular reflex.

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“…Paralysis affecting the mouth is among the most notable Downloaded From: https://jamanetwork.com/ on 11/03/2020 of facial asymmetries, such that palsies of the zygomatic and marginal branches of the facial nerve are considered to have a significantly greater need for correction. 11,12 Interestingly, reanimation surgery of the lip significantly decreases the degree of attention to the mouth and can help decrease negative perceptions of patients with facial paralysis. 31 A universal finding for our patient population was lower perceived trustworthiness for the photographs of patients with facial paralysis vs their digitally altered counterparts.…”

Section: Discussionmentioning

confidence: 99%

Association of Facial Paralysis With Perceptions of Personality and Physical Traits

et al. 2020

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IMPORTANCE Facial paralysis has a significant effect on affect display, with the most notable deficit being patients' the inability to smile in the same way as those without paralysis. These impairments may result in undesirable judgements of personal qualities, thus leading to a significant social penalty in those who have the condition. OBJECTIVE To quantify the association of facial paralysis with the way smiling patients are perceived by others with respect to personality traits, attractiveness, and femininity or masculinity and to evaluate the potential association of facial palsy-related patient-reported outcome measures with how patients are perceived by others.

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Social perception of morbidity in facial nerve paralysis

Cited by 36 publications

References 16 publications

Facial functional outcomes analysis after reconstruction by vascularized thoracodorsal nerve free flap following radical parotidectomy with facial nerve sacrifice

Facial functional outcomes analysis after reconstruction by vascularized thoracodorsal nerve free flap following radical parotidectomy with facial nerve sacrifice

A Case Report of Functional Acupuncture in the Treatment of Senile Left Persistent Facial Paralysis

Association of Facial Paralysis With Perceptions of Personality and Physical Traits

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