21. Institute For Athletic Medicine About IAM Clinics Maps Contact facial paralysis . Dealing with physical, psychological challenges.facial paralysis can affect more than a smile. It http://www.athletic-medicine.org/services/facialarticle.shtml

Facial Paralysis - Dealing with physical, psychological challenges Facial paralysis can affect more than a smile. It can also interfere with communication, diminish confidence and challenge self-esteem. Facial paralysis interrupts movements and expressions that come naturally, like closing and eye, eating or drinking. It may damage eyesight. “Facial paralysis can be difficult to deal with physically and psychologically,” says Jill Fahnhorst, a physical therapist at Fairview’s Facial Paralysis Clinic. “It’s important to respond to both aspects of the problem.” Damaged facial nerves The most common cause of facial paralysis is Bell’s palsy, a disorder of unknown origin leading to inflammation and compression of nerves on one side of the face. “Bell’s palsy can appear suddenly, sometimes overnight,” says speech-language pathologist Cynthia Landis, also with the Facial Paralysis Clinic. “Without the ability to move or control these facial muscles, normal expressions appear distorted.” Middle-ear growths or cholesteatomas, bacterial infections, cranial tumors, brain injury or trauma can also paralyze facial nerves. “In the vast majority of cases, just one side of the face is affected,” Landis says. The exception is neurofibromatosis Type II, a rare congenital disorder that sometimes damages facial nerves on both sides.

22. What Is Facial Retraining A program designed to retrain facial muscles for movement and expression after facial paralysis. Relevant to patients with residuals or incomplete recoveries. http://www.atlantaearclinic.com/facial.htm

What is facial retraining? A specific program designed to retrain facial muscles for movement and expression after the Facial Nerve has been paralyzed. Facial expression is one of the most important skills humans possess. The face shows expressions and facial muscles provide the ability to smile, pucker, blink and chew. What are the goals of facial retraining? Normalize movement of facial muscles Increase symmetrical movement patterns of the face Increase volitional movements of the face Inhibit undesired movements and synkinesis Normalize muscular tone What conditions can cause facial paralysis? Bell's Palsy and Ramsey Hunt Syndrome Facial, temporal bone or head traumas Acoustic neuromas, facial schwannomas and other tumors affecting facial movements Vascular damage Infections Cerebrovascular accidents (CVA) Congenital abnormalities What is involved in facial retraining therapy? A thorough evaluation of facial movements through observation, dual channel Electromyograph (EMG) and sensation. Active self training by the patient includes: Individualized specific functional facial exercises Dual Channel Electromyograph training using sensory, visual and auditory feedback to teach the brain to make new neurological connections for facial movements when the old ones have been damaged. The patient observes on a screen all increments of movements. Also, the graphs on the computer screen compare right and left sides of the face so the patient can work toward symmetry.

23. Facial Paralysis facial paralysis Menu. This is a webforum to discuss and comment on FacialParalysis. Click (7/13/98) 837 PM; Is it facial paralysis? (7 http://neuro-www.mgh.harvard.edu/forum/FacialParalysisMenu.html

Facial Paralysis Menu This is a webforum to discuss and comment on Facial Paralysis. Click here to Enter a new Neurology WebForum article... This Web Forum is not moderated in any sense. Anyone on the Internet can post articles or reply to previously posted articles, and they may do so anonymously. Therefore, the opinions and statements made in all articles and replies do not represent the official opinions of MGH and MGH Neurology. Neither is MGH or MGH Neurology responsible for the content of any articles or replies. No messages are screened for content. - Very Important Message! - Please Click Here to Read Current Posts: Nov 13, 1997 to Present Useful Websites can be found and posted here! (1/13/00) 7:09 PM RIGHT SIDED PARALYSIS (1/4/00) 9:27 AM reflex sympathetic distrophy (1/3/00) 4:20 PM ... cross face nerve graft surgery (11/14/97) 11:32 AM IMPORTANT: If this page seems to be missing recently added documents, click the "Reload Page" button on your Web Browser to update the menu. Return to the main Neurology WebForum Page. These forums are maintained by the Department of Neurology at Massachusetts General Hospital John Lester - Webspinner

24. Etiology Of Bell's Palsy of symptoms and risk factors associated with facial paralysis (Bell's palsy). Explanation of the connection with Herpes Simplex 1....... http://pbl.cc.gatech.edu/mindy/310

Etiology of Bell's Palsy ETIOLOGY OF BELL'S PALSY: As sited by numerous journals and references, Bell's Palsy is a diagnosis resulting from the process of elimination of other Facial Palsy causes. Left and right side paralysis occurs equally. Its etiology remains unknown, although various studies have lead people to believe that it is a mononeuritis cranialis or neuritis vestibularis induced by either a viral infection or an autoimmune disease(Schrader and Sumner, 1996). Acquisition of these recent infections and diseases are all considered to be associated factors to possible episodes of facial paralysis (Billue, 1997): - Upper Respiratory infections - Ear infections - Epstein-Barr virus - Cytomegalovirus - Group G Streptococcus - Mycoplasma - Kawasaki Disease - Chlamydia - HIV - Herpes Simplex Virus - Diabetes - Hypothyroidism - Hypertension - Cancer - Syphilis - Sarcoidosis - Multiple Sclerosis THE VIRAL ETIOLOGICAL HYPOTHESIS: ETIOLOGICAL THEORY OF THE HERPES SIMPLEX VIRUS AND BELL'S PALSY: RISK FACTORS: The onset of Bell's Palsy creates maximal unilateral motor deficits occurring over a few hours. Pain behind the ear is a common symptom that generally precedes paralysis by one or two days, as well as fever, tinnitus, and a slight hearing deficit. Voluntary and involuntary movements of the muscles are affected, and often impaired. Obvious physical signs that the patient exhibits are facial asymmetry, drooling, a widened palpebral fissure, smooth forehead, and a flattened nasolabial fold causing a depressed cheek. Symptoms not associated with Bell's Palsy are facial twitching, otorrhea, severe otalgia, and balance dysfunction.

25. Myastenia Gravis Facial Paralysis Myastenia Gravis facial paralysis. Email Address jenlee43@hotmail.comDoes anyone else have myastenia gravis with facial paralysis. http://neuro-www.mgh.harvard.edu/forum/FacialParalysisF/10.5.984.59AMMyasteniaGr

This article submitted by jenlee on 10/5/98. Email Address: jenlee43@hotmail.com Does anyone else have myastenia gravis with facial paralysis. I am trying to locate medical literature that states that this is a symptom of MG. I have found a few, but not many. I need this to appeal a medical decision, the problem is that they say I had the facial paralysis first and it had nothing to do with MG. Another insurer said that I could not be insured because the facial paralysis meant I already had MG. I am being denied on both sides. I really need websites. Can anyone help. Next Article Previous Article Return to Neurological Disorder Topic Menu Here is a list of responses that have been posted regarding this article... yes, it is I think (10/8/98) 10:48 PM If you want to post a completely new article on any topic you like, click here. If you would like to post a direct response to this article, fill out this form completely... Response Title: Name: Email: Remember that your Name and Email Address are optional...you don't have to enter them! You can remain completely anonymous if you like by leaving these fields empty. Response Text: Click HERE to return to the main Neurology WebForum Homepage.

26. NINDS Bell's Palsy Information Page Information sheet on Bell's Palsy (facial paralysis) compiled by NINDS, the National Institute of Neurological Disorders and Stroke. http://www.ninds.nih.gov/health_and_medical/disorders/bells_doc.htm

National Institute of Neurological Disorders and Stroke Accessible version Science for the Brain The nation's leading supporter of biomedical research on disorders of the brain and nervous system Browse all disorders Browse all health organizations More about Bell's Palsy Studies with patients Research literature Press releases Search NINDS... (help) Contact us My privacy NINDS is part of the National Institutes of Health NINDS Bell's Palsy Information Page Reviewed 10-26-2001 Get Web page suited for printing Email this to a friend or colleague Table of Contents (click to jump to sections) What is Bell's Palsy? Is there any treatment? What is the prognosis? What research is being done? ... Additional resources from MEDLINEplus What is Bell's Palsy? Bell's palsy is a form of facial paralysis resulting from damage to the 7th (facial) cranial nerve. This nerve disorder afflicts approximately 40,000 Americans each year. It can strike almost anyone at any age; however, it disproportionately attacks pregnant women and people who have diabetes, influenza, a cold, or some other upper respiratory ailment. In addition to one-sided facial paralysis with possible inability to close the eye, symptoms of Bell's palsy may include pain, tearing, drooling, hypersensitivity to sound in the affected ear, and impairment of taste. Researchers in Japan identified the common cold sore virus, herpes simplex, as the likely cause of most cases of Bell's palsy. Is there any treatment?

27. MEDLINEplus Medical Encyclopedia: Facial Paralysis facial paralysis. Definition Return to top facial paralysis is the totalloss of voluntary muscle movement of one side of the face. http://www.nlm.nih.gov/medlineplus/ency/article/003028.htm

Skip navigation Medical Encyclopedia Other encyclopedia topics: A-Ag Ah-Ap Aq-Az B-Bk ... Z Facial paralysis Contents of this page: Illustrations Alternative names Definition Considerations ... What to expect at your health care provider's office Illustrations Ptosis, drooping of the eyelid Facial drooping Alternative names Return to top Paralysis of the face Definition Return to top Facial paralysis is the total loss of voluntary muscle movement of one side of the face. Considerations Return to top Facial paralysis in adults is often due to Bell's palsy . This disorder (probably derived from a virus) is characterized by a drooping mouth, dribbling saliva from the mouth, and problems with tearing from the affected eye. The consequences of Bell's palsy are mostly cosmetic. While the facial distortion usually improves over time, there is often some permanent deformity. Sometimes there is loss of taste on the same side of the tongue which the face is affected. Sound may also be louder on the affected side. In facial paralysis due to stroke , the eye on the affected side can be closed and the forehead can be wrinkled. This is not possible with Bell's palsy. Other muscles on one side of the body are also often involved with a stroke.

28. A Multidisciplinary Approach To Facial Paralysis A Multidisciplinary Approach to facial paralysis. The Facial Nerve Centerof UPMC Health System, Pittsburgh, provides multidisciplinary http://www.upmc.edu/FacialNerve/approach.htm

Facial Nerve Center Facial Nerve Center Home Page A Multidisciplinary Approach to Facial Paralysis Physical Therapy for Facial Nerve Disorders Treatment: Facial Reanimation Referring Patients to the Center Research Interests at the Facial Nerve Center Facial Paralysis Support Group Expressions Newsletter Archive A Multidisciplinary Approach to Facial Paralysis The Facial Nerve Center of UPMC Health System, Pittsburgh, provides multidisciplinary evaluation of and treatment for all types of facial paralysis caused by injury or disease of the facial nerve or muscles. The importance of normal facial function has been emphasized in the American Medical Association (AMA) Guide to the Evaluation of Permanent Impairment (page 179), which states: The face is such a prominent feature of a person that it plays a critical role in [his or her] physical, psychological, and emotional makeup. Facial disfigurement can affect all these components and can result in social and vocational handicap. The AMA guide assigns a "percentage of whole person impairment" percentage of 10 to 15 percent and 30 to 45 percent, respectively, to describe the impairment imposed by permanent unilateral and bilateral facial paralysis.

29. Bell's Palsy & Facial Paralysis Forums Interactive discussions about Bells Palsy and facial paralysis. Find Questionsabout facial paralysis that isn't Bells palsy? Visit http://forum.bellspalsy.ws/

Interactive Forums where victims of Bell's palsy and other types of facial paralysis pool their knowledge and share their experience as they cope with this difficult and often misunderstood condition. Our forums are divided into several areas of focus, so that visitors easily find the information they seek. ABOUT OUR FORUMS... Our General Discussion Forum is the place to learn about Bells palsy as members discuss life with this condition. Find emotional support as you share with other members living through the Bell's palsy experience. Many longtimers have never had the opportunity to "meet" others in the same situation. Join the group in Focus: Longtimers , where you can discuss the differences and similarities, as well as share strategies for coping and potential improvement. Decisions about treatment can be difficult and frustrating. Focus: Treatment is the place to go. Our moderator is a physical therapist for patients with many types of facial palsies (facial paralysis). Discuss conventional, holistic and alternative treatment with people who have recently been diagnosed, as well as with longtimers seeking solutions for residuals of facial palsy. Questions about facial paralysis that isn't Bells palsy?

30. Bell's Palsy & Facial Paralysis Forums Interactive Bells Palsy and facial paralysis forums. Our moderator is a physicaltherapist for patients with many types of facial palsies (facial paralysis). http://forum.bellspalsy.ws/indexx.html

Interactive Forums where victims of Bell's palsy and other types of facial paralysis pool their knowledge and share their experience as they cope with this difficult and often misunderstood condition. Our forums are divided into several areas of focus, so that visitors easily find the information they seek. ABOUT OUR FORUMS... Our General Discussion Forum is the place to learn about Bells palsy as members discuss life with this condition. Find emotional support as you share with other members living through the Bell's palsy experience. Many longtimers have never had the opportunity to "meet" others in the same situation. Join the group in Focus: Longtimers , where you can discuss the differences and similarities, as well as share strategies for coping and potential improvement. Decisions about treatment can be difficult and frustrating. Focus: Treatment is the place to go. Our moderator is a physical therapist for patients with many types of facial palsies (facial paralysis). Discuss conventional, holistic and alternative treatment with people who have recently been diagnosed, as well as with longtimers seeking solutions for residuals of facial palsy. Questions about facial paralysis that isn't Bells palsy?

31. Bell's Palsy InfoSite & Forums - Bells Palsy / Facial Paralysis Treatment Center Causes, symptoms, residual effects, and treatment for Bells palsy,Ramsey Hunt syndrome and facial paralysis. Active Bell's Palsy http://www.bellspalsy.ws/centers.htm

United States Canada Europe Other The facilities on this list offer acute care, or treat longstanding cases of Bells palsy and other types of facial paralysis. A "bullet" ( indicates that the facility is known to use facial neuromuscular retraining as described elsewhere in this website. For more information, refer to " Exercises ", " Residuals " and " Facial Retraining ". Many of the other facilities listed state that their protocol includes NMR. Investigate your options and decide on short-term and long-term goals. When you contact these or other facilities, don't hesitate to ask questions. Reputable facilities will openly address questions about protocol, goals, treatment time frames, staff and financial matters. The following list is provided as information and for educational purposes only. It is not, nor can it be interpreted as an endorsement, recommendation or approval of any person, treatment or facility. USA - MIDWEST Neuromuscular Retraining Clinic Dept. of Rehabilitation Medicine University of Wisconsin Hospital and Clinics Madison, Wisconson

32. Facial Paralysis Ambulatory Healthcare Pathways for Ear, Nose, and Throat Disorders Terence M. Davidson,MD facial paralysis. facial paralysis Algorithm. Most prescribe steroids. http://www-surgery.ucsd.edu/ent/DAVIDSON/Pathway/Paralsys.htm

Find a Doctor Index of Patient Information Clinic Maps and Directions Ambulatory Healthcare Pathways for Ear, Nose, and Throat Disorders Terence M. Davidson, M.D. Facial Paralysis Facial Paralysis Algorithm Most prescribe steroids. The benefit is controversial. Conversely, 60mg of Prednisone for 7-10 days has only minor risks. The prognosis is so poor for Herpes Zoster Oticus cases that specialty consultation is required for patient satisfaction (that all possible was done) and for the PCP's medical legal protection. Possible Lyme disease in endemic areas. Overview of Facial Paralysis One must begin with the statement that Ònot all that does not move is Bell's." Bell's palsy properly known as "idiopathic facial paralysis," is by far the most common cause of facial paralysis, but it is a diagnosis of exclusion. Some of the causes of facial paralysis such as trauma are obvious, but others such as neoplasms are as commonly missed as they are diagnosed. Certainly, a good ENT exam will include palpation of the parotid and an examination of the ear, looking for chronic otitis media or other abnormality. There are those that believe that most Bell's palsy is caused by a Herpes virus, and that the appropriate treatment is prednisone, usually 60 mgs a day for 5-7 days, followed by 3 days of 40 mgs and 3 days of 20 mgs. Those who believe it is herpetic, will treat with acyclovir or one of the other antiviral medications. A thorough head and neck exam, including cranial nerves is always required. Herpes zoster can present similarly, has a poor prognosis and must be treated aggressively with antiviral agents. Multiple cranial nerve involvement speaks for herpes infection and argues for antiviral therapy.

33. Facial Paralysis facial paralysis. These videos may take up to a couple of minutes toload. facial paralysis is a devastating disorder. It is caused http://www.jkterzis.com/Facial paralysis.htm

Julia K. Terzis, M.D., Ltd. Home Feedback Contents Search Facial Paralysis Preop Postop If you would like to see a preop and a postop video just click on the above pictures. These videos may take up to a couple of minutes to load. Facial paralysis is a devastating disorder. It is caused when the facial nerve, which gives nerve impulses to the muscles of the face, loses function. It can present in any age and has no sex preference. Usually it presents in one part of the face , gradually or abruptly. One can notice that he or she cannot smile from one side of the mouth, or the eye on that side does not close completely and stays dry. Sometimes there is drooling from the corner of the mouth and in general, there is asymmetry and imbalance between the two sides of the face. If you are having trouble running the videos found in this website we recomend downloading Microsoft's Media Player Home Moebius Syndrome Chronic Ear Infections ... Posttraumatic Facial Nerve Injury Send mail to jkt2@erols.com

34. 1Up Health > Facial Paralysis > Common Causes Of Facial Paralysis (Paralysis Of Comprehesive information on facial paralysis (Paralysis of the face ). facial paralysis Common Causes. Alternative names Paralysis of the face. Definition http://www.1uphealth.com/health/facial_paralysis_info.html

1Up Health Symptoms Guide Facial paralysis Alternative Medicine ... Health Topics A-Z Search 1Up Health Symptoms Guide Facial paralysis Information Facial paralysis : Common Causes Alternative names : Paralysis of the face Definition : Facial paralysis is the total loss of voluntary muscle movement of one side of the face. Common Causes Bell's palsy Stroke Brain tumor Sarcoidosis Lyme disease Infection Birth trauma (newborns) Previous Next Jump to Another Section of this Guide Definition Common Causes Considerations Home Care and Treatment Call your Health Care Provider if What to Expect at your Health Care Provider's Office Related Tools and Utilities Search Books on Amazon: Read Articles on eLibrary: Health Products on drugstore.com: Review Date Reviewed By : Galit Kleiner-Fisman, M.D., FRCP(C), Department of Neurology, University of Toronto, Toronto, Ontario, Canada. Review provided by VeriMed Healthcare Network. Guide Definition Common Causes Considerations Home Care and Treatment Call your Health Care Provider if What to Expect at your Health Care Provider's Office ... More More Topics Blindness Drooling Headache Muscle cramps ... More Search 1Up Health A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org). URAC's

35. 1Up Health > Facial Paralysis (Paralysis Of The Face ) Information Comprehesive information on facial paralysis (Paralysis of the face). Covers more. 1Up Health Symptoms Guide facial paralysis. http://www.1uphealth.com/health/facial_paralysis.html

1Up Health Symptoms Guide Alternative Medicine Clinical Trials ... Health Topics A-Z Search 1Up Health Symptoms Guide Facial paralysis Information Guide Alternative names : Paralysis of the face Definition : Facial paralysis is the total loss of voluntary muscle movement of one side of the face. Jump to a Section of this Guide Definition Common Causes Considerations Home Care and Treatment ... What to Expect at your Health Care Provider's Office Related Tools and Utilities Search Books on Amazon: Read Articles on eLibrary: Health Products on drugstore.com: Bell's palsy Primary brain tumor Stroke More ... More More Topics Blindness Drooling Headache Muscle cramps ... More Search 1Up Health A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org). URAC's accreditation program is the first of its kind, requiring compliance with 53 standards of quality and accountability, verified by independent audit. A.D.A.M. is among the first to achieve this important distinction for online health information and services. Learn more about A.D.A.M.'s editorial reviewers . A.D.A.M. is also a founding member of Hi-Ethics (www.hiethics.com) and subscribes to the principles of the Health on the Net Foundation (www.hon.ch). Home Contact Us Privacy Links Directory

36. Aciclovir For Bell's Palsy (idiopathic Facial Paralysis) (Cochrane Review) Click here to order the full review. Aciclovir for Bell's palsy (idiopathicfacial paralysis) (Cochrane Review). Sipe J, Dunn L. ABSTRACT http://www.cochrane.org/cochrane/revabstr/ab001869.htm

Abstract from The Cochrane Library , Issue 1, 2003 Click here to order the full review Aciclovir for Bell's palsy (idiopathic facial paralysis) (Cochrane Review) Sipe J, Dunn L ABSTRACT A substantive amendment to this systematic review was last made on 28 August 2001. Cochrane reviews are regularly checked and updated if necessary. Background: The most common disorder of the facial nerve is acute idiopathic facial paralysis or Bell's palsy and there may be significant morbidity or incomplete recovery associated with severe cases. Although the cause remains unknown, recent evidence suggests a possible association with Herpes simplex virus (HSV) infection. To test this hypothesis clinically four clinical trials have used aciclovir, an antiviral agent, either alone or in combination with corticosteroids to treat Bell's palsy. Objectives: To assess the efficacy of aciclovir for treating Bell's palsy and to evaluate any adverse effects of the drug treatment. Search strategy: Search of the Cochrane Neuromuscular Disease Group register, MEDLINE, EMBASE and LILACS databases for randomised trials. We also contacted authors of identified trials. Selection criteria: Randomised or quasi-randomised trials of aciclovir therapy, alone or in combination with any other drug, in patients with Bell's palsy.

37. Corticosteroids For Bell's Palsy (idiopathic Facial Paralysis) (Cochrane Review) Corticosteroids for Bell's palsy (idiopathic facial paralysis) (CochraneReview). Salinas RA, Alvarez G, Alvarez MI, Ferreira J. ABSTRACT http://www.cochrane.org/cochrane/revabstr/ab001942.htm

Abstract from The Cochrane Library , Issue 1, 2003 Click here to order the full review Corticosteroids for Bell's palsy (idiopathic facial paralysis) (Cochrane Review) Salinas RA, Alvarez G, Alvarez MI, Ferreira J ABSTRACT A substantive amendment to this systematic review was last made on 15 October 2001. Cochrane reviews are regularly checked and updated if necessary. Background: Inflammation and oedema of the facial nerve are implicated in causing Bell's palsy. Corticosteroids have a potent anti-inflammatory action which should minimise nerve damage and thereby improve the outcome of patients suffering from this condition. Objectives: The objective of this review was to assess the effect of steroid therapy in the recovery of patients with Bell's palsy. Search strategy: We searched the Cochrane Neuromuscular Disease Group register for randomised trials, as well as MEDLINE, EMBASE and LILACS (to December 2000). We contacted known experts in the field to identify additional published or unpublished trials. Selection criteria: Randomised trials comparing different routes of administration and dosage schemes of corticosteroid or adrenocorticotrophic hormone therapy versus a control group where no therapy considered effective for this condition was administered, unless it was also given in a similar way to the experimental group.

38. Peripheral Facial Paralysis Peripheral facial paralysis Differential Diagnosis. Etiology. Incidence.Findings. 2030/10 5 ;. 80-90% of peripheral facial paralysis (PFP). http://icarus.med.utoronto.ca/carr/manual/afnptable.html

Peripheral Facial Paralysis Differential Diagnosis Etiology Incidence Findings Investigations (findings consistent with etiology) Treatment, Follow-up and Prognosis Bell's palsy classically idiopathic or (?) viral inflammation causes edema of nerve near its exit from internal auditory canal where periosteum is thicker 80-90% of peripheral facial paralysis (PFP) At least 13% of patients with PFP are mis-diagnosed as having Bell's palsy Hx: Acute onset Numbness of ear, face, neck or tongue Viral prodrome (60%) Recurrence (12%) Positive family history (14%) Hyperacusis (30%) P/E: Erythematous chorda tympani in first 10 days after onset (40%) Decreased stapes reflex (90%) Taverner's minimum criteria (1959): (1) paralysis or paresis of all muscle groups on one side of face (2) sudden onset (3) absence of signs of CNS disease (4) absence of signs of signs of ear or CPA disease (A more recent criteria is that the patient must have normal CT scan) "The diagnosis of idiopathic (Bell's) palsy should be reserved for those cases in which a careful history and a painstaking and exhaustive search for a cause have been fruitless." (Mark May, Director, Facial Paralysis Center, University of Pittsburgh) 1) Acoustic stapedial reflex testing (usually positive) 2) Audiology (normal or baseline values) 3) ENoG (electro-neuronography) - best measure for prognosis 4) "Topognostic" testing, esp. Schirmer's test (measures lacrimation - 30% unilateral reduction is a good estimation of risk for exposure keratitis) - not reliable for prognostication

39. Health Ency.: Symptoms: Facial Paralysis facial paralysis See images. Definition facial paralysis is the total loss of voluntarymuscle movement of one side of the face. Considerations. Common Causes. http://www.accessatlanta.com/shared/health/adam/ency/article/003028.html

SEARCH: The Web Yellow Pages HOME AJC.COM Illustrated Health Encyclopedia Important notice Ency. home Symptoms F Facial paralysis See images Overview Recovery Alternative names: Paralysis of the face Definition: Facial paralysis is the total loss of voluntary muscle movement of one side of the face. Considerations Common Causes Ency. home Symptoms F Please read this Important notice Also Check Out Subscribe to The Atlanta Journal-Constitution Home Autos Classifieds ... Our Sponsors By using AccessAtlanta.com you accept the terms of our Visitor Agreement . Please read it. Privacy statement Registered site users: edit your profile

40. Management Of Facial Paralysis After Intracranial Surgery Management of facial paralysis after Intracranial Surgery. It is of no valuein the late postoperative period. Ocular Management in facial paralysis. http://neurosurgery.mgh.harvard.edu/CranialBaseCenter/b95.htm

Members Referrals Newsletter Guestbook ... CBC HomePage Management of Facial Paralysis after Intracranial Surgery by Mack Chen, MD and Michael McKenna, M.D Stephen B. Tatter, M.D., Ph.D. , HTML editor Index Introduction Predicting Facial Nerve Recovery Facial nerve is transected at surgery and grafted Facial nerve is anatomically intact but does not stimulate at the brainstem and there is no facial movement in the immediate postoperative period ... References Although a variety of reconstructive methods for the management of facial paralysis have been described, the great majority of patients can be successfully managed with a few relatively simple and reliable techniques. Patient age, general health, skin laxity, neurological deficits, and expected nerve recovery must all be taken into consideration. Even under the best of circumstances, it is impossible to restore perfect dynamic facial symmetry. For this reason, it is essential to accurately assess the patient's expectations and counsel them as to reasonable expected results. The use of patient pre- and post-operative video tapes and discussion with other patients who have undergone similar procedures can be extremely useful.

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