Facial Nerve Consultation

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Management of Post-Facial Paralysis Synkinesis


Facial nerve paralysis and its sequela is a complex medical issue that can be both physically and emotionally distressing. No matter where a patient presents along the continuum of their recovery or lack of recovery, a thorough assessment must be completed. This includes a detailed history of the etiology associated with the facial dysfunction and a time course of the facial dysfunction. Eliciting the patient’s perception of their facial dysfunction is imperative for evaluation and management. Then a detailed physical examination describing the facial dysfunction, such as the presence of synkinesis, and photographic documentation is key. Finally, management of the facial dysfunction with a multidisciplinary approach and patient education is optimal. Here we discuss our approach to the evaluation and early management of patients with facial nerve paralysis or other facial nerve dysfunction.

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