A closer look at the paralyzed face; a narrative review of the neurobiological basis for functional and aesthetic appreciation between patients with a left and a right peripheral facial palsy

Tieman, Thomas E.; Chaiet, Scott R.; Luijmes, Robin E.; Sanches, Elijah E.; Jongh, Frank W. de; Ingels, K.J.A.O.; Beurskens, Carien H. G.; Monstrey, Stan; Siemann, Ietske; Erasmus, Corrie E.; Verhage-Damen, Godelieve W. J. A.; Kunst, Dirk; Pouwels, Sjaak

doi:10.1016/j.bjps.2020.03.030

Cited by 8 publications

(7 citation statements)

References 49 publications

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“…Facial palsy (paralysis) can be caused by several factors, e.g., viral, iatrogenic, neoplasms, traumatic, and inflammatory [14]. Only in one-third of the cases an exact diagnosis is found [14].…”

Section: Facial Nerve Paralysis and The Application Of E-healthmentioning

confidence: 99%

“…When the seventh cranial nerve (facial nerve, n. facialis, or NVII) is damaged, a form of facial nerve paralysis (FNP) could occur [6]. The facial nerve is responsible for the innervation of the mimic muscles, the secretomotor function of several glands (palatine, nasal, salivary, and lacrimal), and the gustatory organ [14]. The most evident symptom of the FNP is facial asymmetry, but FNP also presents with decreased saliva production, changes in taste, dysarthria, and synkinesis (happens when voluntary movements causes involuntary movements of muscle fibers due to erroneously regrowth of the nerve fibers after the initial damage) [14].…”

Section: Facial Nerve Paralysis and The Application Of E-healthmentioning

confidence: 99%

“…The facial nerve is responsible for the innervation of the mimic muscles, the secretomotor function of several glands (palatine, nasal, salivary, and lacrimal), and the gustatory organ [14]. The most evident symptom of the FNP is facial asymmetry, but FNP also presents with decreased saliva production, changes in taste, dysarthria, and synkinesis (happens when voluntary movements causes involuntary movements of muscle fibers due to erroneously regrowth of the nerve fibers after the initial damage) [14]. Corneal damage and difficulties regarding food manipulation and oral continence can be the consequence [15][16][17][18][19][20][21][22][23].…”

Section: Facial Nerve Paralysis and The Application Of E-healthmentioning

confidence: 99%

“…There is also a significant change in facial appreciation in patients with FNP [14]. The symptoms of FNP could have a serious negative effect on patient quality of life [14,24].…”

Section: Facial Nerve Paralysis and The Application Of E-healthmentioning

confidence: 99%

“…There is also a significant change in facial appreciation in patients with FNP [14]. The symptoms of FNP could have a serious negative effect on patient quality of life [14,24]. Tieman et al try to explain several hypotheses about, among others, the facial appreciation of patients with FNP [14].…”

Section: Facial Nerve Paralysis and The Application Of E-healthmentioning

confidence: 99%

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e-Health and telemedicine implementation in facial paralysis: challenges and pitfalls

et al. 2021

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During the current Covid-19 pandemic, a lot of changes had to be made in the care of patients with facial nerve paralysis (FNP). FNP is a life-changing condition with effects on both physical (both esthetic and functional) and psychological aspects of the patient’s life. Telemedicine could be a suitable alternative in the therapy for these patients, since it is often not possible to travel to outpatient clinics or to have normal face-to-face appointments with treating physicians because of pandemic restrictions. This review provides an overview of the current literature in the treatment of FNP during the pandemic and the role of telemedicine/e-Health. Secondly, we will discuss the challenges and pitfalls of implementing e-Health and telemedicine applications in clinical practice. Level of evidence: Not ratable

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Section: Facial Nerve Paralysis and The Application Of E-healthmentioning

confidence: 99%

Section: Facial Nerve Paralysis and The Application Of E-healthmentioning

confidence: 99%

Section: Facial Nerve Paralysis and The Application Of E-healthmentioning

confidence: 99%

“…There is also a significant change in facial appreciation in patients with FNP [14]. The symptoms of FNP could have a serious negative effect on patient quality of life [14,24].…”

Section: Facial Nerve Paralysis and The Application Of E-healthmentioning

confidence: 99%

Section: Facial Nerve Paralysis and The Application Of E-healthmentioning

confidence: 99%

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e-Health and telemedicine implementation in facial paralysis: challenges and pitfalls

et al. 2021

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Creating and Transferring an Innervated, Vascularized Muscle Flap Made from an Elastic, Cellularized Tissue Construct Developed In Situ

Kohyama

Sato

Uchibori

et al. 2023

Adv Healthcare Materials

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Reanimating facial structures following paralysis and muscle loss is a surgical objective that would benefit from improved options for harvesting appropriately sized muscle flaps. The objective of this study is to apply electrohydrodynamic processing to generate a cellularized, elastic, biocomposite scaffold that could develop and mature as muscle in a prepared donor site in vivo, and then be transferred as a thin muscle flap with a vascular and neural pedicle. First, an effective extracellular matrix (ECM) gel type is selected for the biocomposite scaffold from three types of ECM combined with poly(ester urethane)urea microfibers and evaluated in rat abdominal wall defects. Next, two types of precursor cells (muscle‐derived and adipose‐derived) are compared in constructs placed in rat hind limb defects for muscle regeneration capacity. Finally, with a construct made from dermal ECM and muscle‐derived stem cells, protoflaps are implanted in one hindlimb for development and then microsurgically transferred as a free flap to the contralateral limb where stimulated muscle function is confirmed. This construct generation and in vivo incubation procedure may allow the generation of small‐scale muscle flaps appropriate for transfer to the face, offering a new strategy for facial reanimation.

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Measuring outcomes in facial palsy treatment: adding extra dimensions to a complex matter

et al. 2022

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A closer look at the paralyzed face; a narrative review of the neurobiological basis for functional and aesthetic appreciation between patients with a left and a right peripheral facial palsy

Cited by 8 publications

References 49 publications

e-Health and telemedicine implementation in facial paralysis: challenges and pitfalls

e-Health and telemedicine implementation in facial paralysis: challenges and pitfalls

Creating and Transferring an Innervated, Vascularized Muscle Flap Made from an Elastic, Cellularized Tissue Construct Developed In Situ

Measuring outcomes in facial palsy treatment: adding extra dimensions to a complex matter

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