Yonsei Med J.  2010 Nov;51(6):943-948. 10.3349/ymj.2010.51.6.943.

Features of Facial Asymmetry Following Incomplete Recovery from Facial Paralysis

• Kim J
• Lee HR
• Jeong JH
• Lee WS

• KMID: 1779644
• DOI: http://doi.org/10.3349/ymj.2010.51.6.943

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 follow-up 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.

Keyword

Facial paralysis; sequelae; rehabilitation

MeSH Terms

Adolescent
Adult
Aged
Aged, 80 and over
Face/physiopathology
Facial Asymmetry/*physiopathology
Facial Nerve/pathology
Facial Nerve Injuries/physiopathology/therapy
Facial Paralysis/physiopathology/*therapy
Female
Humans
Male
Middle Aged
Reproducibility of Results
Treatment Outcome

Figure

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  Fig. 1 Four type of facial sequelae depending on the anatomical distribution of facial nerve branches. HB, House-Brackmann.

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