scholarly journals A New Neurorehabilitative Postsurgery Intervention for Facial Palsy Based on Smile Observation and Hand-Mouth Motor Synergies

2021 ◽  
Vol 2021 ◽  
pp. 1-13
Author(s):  
Elisa De Stefani ◽  
Anna Barbot ◽  
Chiara Bertolini ◽  
Mauro Belluardo ◽  
Gioacchino Garofalo ◽  
...  
Keyword(s):  
Motor Neurons ◽  
Longitudinal Design ◽  
Preliminary Test ◽  
Facial Nerve Paralysis ◽  
Synergistic Activity ◽  
Moebius Syndrome ◽  
Motor Representation ◽  
Nerve Paralysis ◽  
The Face ◽  
One Year

Objective. To perform a preliminary test of a new rehabilitation treatment (FIT-SAT), based on mirror mechanisms, for gracile muscles after smile surgery. Method. A pre- and postsurgery longitudinal design was adopted to study the efficacy of FIT-SAT. Four patients with bilateral facial nerve paralysis (Moebius syndrome) were included. They underwent two surgeries with free muscle transfers, one year apart from each other. The side of the face first operated on was rehabilitated with the traditional treatment, while the second side was rehabilitated with FIT-SAT. The FIT-SAT treatment includes video clips of an actor performing a unilateral or a bilateral smile to be imitated (FIT condition). In addition to this, while smiling, the participants close their hand in order to exploit the overlapped cortical motor representation of the hand and the mouth, which may facilitate the synergistic activity of the two effectors during the early phases of recruitment of the transplanted muscles (SAT). The treatment was also aimed at avoiding undesired movements such as teeth grinding. Discussion. Results support FIT-SAT as a viable alternative for smile rehabilitation after free muscle transfer. We propose that the treatment potentiates the effect of smile observation by activating the same neural structures responsible for the execution of the smile and therefore by facilitating its production. Closing of the hand induces cortical recruitment of hand motor neurons, recruiting the transplanted muscles, and reducing the risk of associating other unwanted movements such as teeth clenching to the smile movements.

Altered Distribution of Motor Neurons in Experimental Facial Nerve Paralysis

1992 ◽  
Vol 112 (6) ◽  
pp. 998-1003 ◽  
Author(s):  
Yoshiaki Nakao ◽  
Koji Matsumoto ◽  
Hidehaku Kumagami
Keyword(s):  
Facial Nerve ◽  
Motor Neurons ◽  
Facial Nerve Paralysis ◽  
Nerve Paralysis

scholarly journals A Prospective Study of Physical Therapy in Facial Nerve Paralysis: Experience at a Multispeciality Hospital of Kashmir

JMS SKIMS ◽  
2012 ◽  
Vol 15 (2) ◽  
pp. 145-148
Author(s):  
Sheikh Javeed Ahmad ◽  
Abdul Hamid Rather
Keyword(s):  
Physical Therapy ◽  
Facial Nerve ◽  
Prospective Study ◽  
Facial Nerve Paralysis ◽  
Partial Recovery ◽  
Early Management ◽  
Nerve Paralysis ◽  
Seventh Cranial Nerve ◽  
The Face ◽  
A Prospective Study

BACKGROUND: Bell's palsy is an acute weakness of seventh cranial nerve leading to loss of movement on one side of the face. It usually recovers of its own without treatment in most of the patients but not all. Physical therapy in the form of electrotherapy, massage and facial exercises is used as adjuvant to hasten recovery. OBJECTIVES: To analyze the role of physiotherapy in the form of electrotherapy in patients with peripheral facial paralysis attending multispecialty hospital in Kashmir. METHODS: A prospective study was carried out on 50 patients of facial nerve paralysis attending OPD between Jan 2009 and Jan 2010. All of the patients were subjected to medical treatment. The patients were put to Physical Therapy in the form of electrotherapy followed by facial exercises. All patients received electrotherapy to the paralyzed facial muscles for a period of 2 weeks but some were given extended doses for 4 weeks. 20 patients presented for the treatment in the first week, 12 in second week and 18 presented after three weeks or later. RESULTS: Fifty patients (30 female, 20 male) of facial nerve paralysis were included. Time span between medical diagnosis and physical therapy was from 1 week to 4 weeks. Patients were assessed at 4 weeks, 2 months and 6 months after the treatment. Out of 20 patients who presented in 1st week and received steroids and electrotherapy 19(95%) had fully recovered except for one case that was irregular for treatment. Out of 12 Patients who presented in 2nd week of illness, 8(66.6%) patients had full recovery and partial recovery in rest of 4 (33.4%) patients. Eighteen patients (100%) who presented in third week onwards of illness had partial recovery. CONCLUSION: Physiotherapy in the form of electrotherapy and facial exercises has a effective role in the early management of peripheral facial palarlysis. JMS 2012;15(2):145-48

M. A. Zakharchenko. About the treatment of facial nerve paralysis by anastomosis with the accessory nerve. Journal of neuropathology and psychiatry named after Korsakov, 1908, book. five

1909 ◽  
Vol XVI (1) ◽  
pp. 195-196
Author(s):  
P. Zhilin
Keyword(s):  
Facial Nerve ◽  
Accessory Nerve ◽  
Facial Nerve Paralysis ◽  
Nerve Paralysis ◽  
The Face

The author's impressions of this operation are not in her favor. The goal that the surgeon, resorting to such an operation, sets himself, namely, to return to the patient the lost symmetry of the face during rest, voluntary and affective movements, is not achieved at all.

Moebius' syndrome: a report of two cases

1988 ◽  
Vol 102 (4) ◽  
pp. 350-352 ◽  
Author(s):  
Mousa N. Jamal ◽  
Nabil S. Samara ◽  
Mohammed T. A. Al-Lozi
Keyword(s):  
Facial Nerve ◽  
Facial Nerve Paralysis ◽  
Moebius Syndrome ◽  
Nerve Paralysis

Two patients with Moebius' syndrome are described, a brother and a sister. In addition to bilateral congenital facial nerve paralysis, both had deafness, an external deformity of the auricles, and a latent squint. The deafness in both cases was sensorineural in type; although there was paralysis of the motor part of the facial nerve, taste and lacrimation were intact. This report shows that not all components of the facial nerve are always effected in this syndrome.

Psychometric Validation of the FACE-Q Craniofacial Module for Facial Nerve Paralysis

2021 ◽  
Author(s):  
Anne F. Klassen ◽  
Charlene Rae ◽  
Lucas Gallo ◽  
Jonathan H. Norris ◽  
Kathleen Bogart ◽  
...  
Keyword(s):  
Facial Nerve ◽  
Psychometric Validation ◽  
Facial Nerve Paralysis ◽  
Nerve Paralysis ◽  
The Face

scholarly journals The Epidemiology and Management of Bell’s Palsy in the Sudan

2018 ◽  
Vol 12 (1) ◽  
pp. 827-836 ◽  
Author(s):  
Ahmed Hassan Kamil Mustafa ◽  
Ahmed Mohammed Sulaiman
Keyword(s):  
Facial Nerve ◽  
Bell’S Palsy ◽  
Facial Nerve Paralysis ◽  
Age Group ◽  
Bell's Palsy ◽  
Cross Sectional ◽  
Nerve Paralysis ◽  
Dental Hospital ◽  
The Face ◽  
The Right

Background: Bell’s palsy is an acute idiopathic facial nerve paralysis of sudden onset. It is the most common cause of lower motor neuron facial nerve paralysis with an annual incidence of 15-30 per 100,000. The objective of this work is to study the prevalence and the management of Bell’s palsy in the Sudan. A descreptive retrospective cross-sectional study was carried at Khartoum Teaching Dental Hospital, Khartoum General Teaching Hospital. In the retrospective, the records and files of 698 patients with Bell’s palsy, were reviewed in relation to age, gender, site, risk factors, season, and type of treatment. In addition, 48 patients with Bell’s palsy were evaluated using the House–Brackman scale in relation to the above-mentioned variables. Therefore, a total number of 746 cases were studied. Fifty five percent of them were females and the remaining 45% were males, around 38% of them were in the age group 21-40 year. Fifty seven percent of the patients were affected on the right side of the face. Winter was the commonest season of onset where 53.5% of the cases occurred. Steroids are the commonly prescribed drugs in majority of the cases, accounting for 47.3%. Study Design: The study is a retrospective cross sectional hospital based study. The study was carried out in Khartoum Teaching Dental Hospital and in the Physiotherapy Department of Khartoum Teaching General hospital. The files and records of the patients with Bell’s palsy in Khartoum Teaching Dental Hospital in the years 1/1/2004 -31/12/2008, and Khartoum Teaching General Hospital (physiotherapy department) in the years 2007- July 2009 (total number 746). Results: A total number of 746 cases were studied . Fifty five percent of them were females and the remaining 45% were male. Around 38% of them were in the group 21-40 year. Fifty seven percent of the patients were affected on the right side of the face. Winter was the commonest season of the onset where 53.5% of the cases occurred. Conclusion: The study showed predominance of females. A peak incidence was seen in the age group 21-40 years. A predilection was found for the right side of face.

Validation of a Patient-Graded Instrument for Facial Nerve Paralysis: The FaCE Scale

2001 ◽  
Vol 111 (3) ◽  
pp. 387-398 ◽  
Author(s):  
Jeffrey B. Kahn ◽  
Richard E. Gliklich ◽  
K. Paul Boyev ◽  
Michael G. Stewart ◽  
Ralph B. Metson ◽  
...  
Keyword(s):  
Facial Nerve ◽  
Facial Nerve Paralysis ◽  
Nerve Paralysis ◽  
Face Scale ◽  
The Face

scholarly journals Idiopathic Facial Nerve Paralysis & Response to Physiotherapy in Pregnant Woman; A Case Report

2021 ◽  
Vol 35 (3) ◽  
pp. 75-77
Author(s):  
Wajida Perveen
Keyword(s):  
Case Report ◽  
Pregnant Woman ◽  
Facial Nerve ◽  
Nerve Palsy ◽  
Facial Nerve Palsy ◽  
Late Complication ◽  
Extreme Condition ◽  
Facial Nerve Paralysis ◽  
Nerve Paralysis ◽  
The Face

Facial nerve palsy is a common condition affecting both genders and all age group. However, its incidence in pregnant females needs greater care. It may affect only lower half of the face or full one side of the face or in extreme condition bilateral sides. Symptoms include deviation of angle of mouth towards sound side, flattening of nasolabial folds, loss of forehead wrinkles and inability to completely close the eyelid along with loss of taste on anterior two third of tongue. Here we present a rare case report of facial nerve palsy in a pregnant woman in third trimester of pregnancy. She was offered an evidence based physiotherapy treatment regime along with pharmacological treatment and she recovered; however late complication of “Ptosis” was reported.

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