Facial Rehabilitation Evaluation and Treatment Strategies for the Patient with Facial Palsy

被引:63
作者
Robinson, Mara Wernick [1 ]
Baiungo, Jennifer [1 ]
机构
[1] Massachusetts Eye & Ear Infirm, Facial Nerve Ctr, Facial Plast & Reconstruct Surg Dept, 9th Floor,243 Charles St, Boston, MA 02114 USA
关键词
Facial rehabilitation; Physical therapy; Neuromuscular retraining; Synkinesis; Postsurgical facial reanimation; QUALITY-OF-LIFE; GRACILIS MUSCLE TRANSFER; BOTULINUM TOXIN; GRADING SYSTEMS; NEUROMUSCULAR REEDUCATION; MASSETERIC NERVE; PARALYSIS; SMILE; REANIMATION; SYNKINESIS;
D O I
10.1016/j.otc.2018.07.011
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
This article describes the most widely used clinician-graded and patient reported outcome measures, and describes facial rehabilitation strategies for acute and chronic facial palsy, and rehabilitation following dynamic facial reanimation surgery. The multimodality rehabilitation of the facial palsy patient is determined by the extent of facial nerve injury, specific functional deficits, the presence of synkinesis, and the patient's individual goals. Appropriate intervention, including patient education, soft tissue mobilization, neuromuscular reeducation, and chemodenervation, decreases facial tension and improves facial muscle motor control, physical function, facial expression, and quality of life.
引用
收藏
页码:1151 / +
页数:18
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