Rehabilitation of Facial Nerve Palsy

norosirurjiozel12-1-22kapak

Deniz PALAMARa
aİstanbul University-Cerrahpaşa, Cerrahpaşa Faculty of Medicine, Department of Physical Medicine and Rehabilitation, İstanbul, Türkiye

Palamar D. Rehabilitation of facial nerve palsy. In: Sanus GZ, Batıoğlu Karaaltın A, eds. Surgical Management of Facial Nerve Paralysis. 1st ed. Ankara: Türkiye Klinikleri; 2022. p.250-5.

Article Language: EN

ABSTRACT
Facial nerve palsy results in facial asymmetry and lack of facial expressions, as well as functional limitations, therefore frequently affects the individual’s quality of life. Clinically efficacious treatment approaches are required to prevent the development of synkinesis and to ensure normal symmetrical facial movements. Reliable and reproducible assessment of facial function is essential for monitoring the patient’s progress over time and for the treatment of synkinesis. Neuromuscular reeducation can improve the voluntary functions of the facial muscles and decrease synkinesis. The therapy should best be initiated with EMG biofeedback training and then consist of exercises with mirrors and going on with home exercise program. In facial palsy, neuromuscular electrical stimulation commonly produces ”mass action,” a generalized contraction of many of the facial muscles and may reinforce synkinetic patterns. Botulinum toxin injection can be used to eliminate inappropriate facial movements caused by synkinesis and also for asymmetry. Given the long recovery period of facial paralysis and synkinesis, long-term adherence to home exercise programs should be emphasized.

Keywords: Rehabilitation; facial nerve injuries; synkinesis; exercise therapy

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