16. Ear, Nose, and Throat
“How great was the humiliation when one who stood beside me heard the distant sound of a shepherd’s pipe, and I heard nothing; or heard the shepherd singing, and I…
Facial Neuromuscular Retraining for Synkinesis
Introduction We rarely think of facial movement. It is spontaneous and emotional as it morphs effortlessly from one mood and expression to the next. Facial palsy devastates normal function, often…
Instructions for Sonography of the Mimic Musculature
Based on the German version from Maik Sauer, Jena 2013 (Sauer M. 2013. Statische und dynamische Sonographie der mimischen Muskulatur bei Probanden und Patienten mit peripherer Fazialisparese – Erhebung geschlechtsspezifischer…
Surgical Management of Post-FacialParalysis Synkinesis
Introduction Features of a natural smile include spontaneity, symmetric simultaneous superolateral excursion of the oral commissure, appropriate orientation of the nasolabial fold, and symmetrical upper and lower teeth show. ,…
Eyelid Rehabilitation in Post-Facial Paralysis With Synkinesis
Periorbital Synkinesis Background Eyelid paralysis, related to facial nerve injury, is a debilitating condition that causes significant functional impairment and cosmetic disfigurement. The most common eyelid and ocular sequelae resulting…
Objective Measurement of Outcomes inFacial Palsy
Acknowledgement We thank Fabian Bachl and Jakob Hochreiter for recording and editing the EMG-Videos. Parts of the presented work were supported by the German Federal Ministry of Education and Research…
The Role of Botulinum Toxin in Facial Palsy Management
Introduction Facial palsy may cause functional, aesthetic, psychological, and social consequences. The commonest cause, Bell’s palsy, will affect approximately 1 in 60 of the population over a lifetime, with almost…
Assessment and Grading of Synkinesisand Facial Palsy
Introduction Facial palsy affects many areas of life for the individual: social, aesthetic, functional, and psychological. Management of such patients has been overwhelmingly directed to physical interventions and in order…
Smile Analysis for Facial Nerve Disorders
Introduction Facial palsy is a devastating event in a patient’s life and can result in disfiguring permanent flaccid paralysis or synkinesis, a long-lasting muscle discoordination caused by aberrant facial nerve…
Facial Nerve Consultation
Introduction Facial paralysis and its sequela is a complex medical issue that can be both physically and emotionally distressing. Patients may present to us at any time along the continuum…
