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Cited 3 times in

Features of facial asymmetry following incomplete recovery from facial paralysis

Authors
 Jin Kim  ;  Hyung Rok Lee  ;  Jun Hui Jeong  ;  Won Sang Lee 
Citation
 YONSEI MEDICAL JOURNAL, Vol.51(6) : 943-948, 2010 
Journal Title
 YONSEI MEDICAL JOURNAL 
ISSN
 0513-5796 
Issue Date
2010
MeSH
Adolescent ; Adult ; Aged ; Aged, 80 and over ; Face/physiopathology ; Facial Asymmetry/physiopathology* ; Facial Nerve/pathology ; Facial Nerve Injuries/physiopathology ; Facial Nerve Injuries/therapy ; Facial Paralysis/physiopathology ; Facial Paralysis/therapy* ; Female ; Humans ; Male ; Middle Aged ; Reproducibility of Results ; Treatment Outcome
Keywords
Facial paralysis ; sequelae ; rehabilitation
Abstract
PURPOSE: The purpose of this study is to investigate peculiar patterns of facial asymmetry following incomplete recovery from facial paralysis that require optimal physical therapy for effective facial rehabilitation, and to decrease the incidence of avoidable facial sequelae. MATERIALS AND METHODS: This study involved 41 patients who had facial sequelae following the treatment of various facial nerve diseases from March 2000 to March 2007. All patients with a followup of at least 1 year after the onset of facial paralysis or hyperactive function of the facial nerve were evaluated with the global and regional House-Brackmann (HB) grading systems. The mean global HB scores and regional HB scores with standard deviations were calculated. Other factors were also analyzed. RESULTS: Four patterns of facial asymmetry can be observed in patients with incomplete facial recovery. The most frequently deteriorated facial movement is frontal wrinkling, followed by an open mouth, smile, or lip pucker in patients with sequelae following facial nerve injury. The most common type of synkinesis was unintended eye closure with an effort to smile. CONCLUSION: We described common configurations of facial asymmetry seen in incomplete recovery following facial nerve injury in an attempt to develop an optimal strategy for physical therapy for complete and effective facial recovery, and to decrease the incidence of avoidable sequelae.
Files in This Item:
T201003142.pdf Download
DOI
10.3349/ymj.2010.51.6.943
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Jin(김진)
Lee, Won Sang(이원상)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/101999
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