Combined protocol for treatment of secondary effects from facial nerve palsy

Monini, Simonetta; Carlo, Andrea De; Biagini, Michela; Buffoni, Antonella; Volpini, Luigi; Lazzarino, Antonio Ivan; Barbara, Maurizio

doi:10.3109/00016489.2011.577447

Cited by 37 publications

(32 citation statements)

References 21 publications

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“…10,26 Treatment often includes botulinum toxin, massage, and stretching to reduce synkinesis and hypertonus. 20,21 Specific exercises and compensation strategies are implemented also for the correct management of problems occurring when drinking, speaking (eg. slowing speech), eating, and smiling.…”

Section: Discussionmentioning

confidence: 99%

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Efficacy of Early Physical Therapy in Severe Bell’s Palsy

Nicastri

Mancini

Seta

et al. 2013

Neurorehabil Neural Repair

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Section: Discussionmentioning

confidence: 99%

“…15,16 In an attempt to prevent or reduce these residual deficits, continuous efforts have been made to identify the most effective therapeutic approaches, including medications, 17 physical therapy, 18 or a combination of both. 19-21…”

Section: Introductionmentioning

confidence: 99%

Efficacy of Early Physical Therapy in Severe Bell’s Palsy

Nicastri

Mancini

Seta

et al. 2013

Neurorehabil Neural Repair

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“…When used in conjunction with neuromuscular rehabilitation, botulinum toxin allows for isolation of coordinated movement patterns without the co-contraction and constraints of antagonizing muscle groups caused by synkinesis or hyperkinesis. 27,28 Both treatment modalities have been shown to be useful, particularly when used concomitantly, and have been associated with objective improvements in quality of life. 29 Despite this evidence, we found that botulinum toxin was provided to only 0.8% (296) of adults and 0.1% (3) of children within 2 years of the index date.…”

Section: Discussionmentioning

confidence: 99%

Trends in the Treatment of Bell's Palsy

et al. 2020

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The aim of the study is to: (1) evaluate national trends in care of facial paralysis, namely Bell's palsy, patients to identify the types of treatments patients are receiving and treatment gaps and (2) identify if newer, more complex surgical therapies published in the literature are being employed. Data were collected from the MarketScan Commercial Claims and Encounters Database by Truven Health. From the database, all inpatient and outpatient claims with International Classification of Diseases, 9th Revision, Clinical Modification diagnosis codes for facial paralysis/dysfunction between 2005 and 2013 were extracted. Trends in medical and surgical management were evaluated specifically cataloging the use of steroids, antivirals, botulinum toxin, surgical and rehabilitation service current procedural terminology codes. A total of 42,866 of patients with a formal diagnosis of Bell's palsy were identified with 39,292 (92%) adults and 3,754 (8%) children (< 18 years old), respectively. Steroids were provided to 50.1% of children and 59.8% of adults and antivirals were prescribed to 26.2 and 39.4% of the children and adults, respectively. Within the first 2 years after diagnosis, 0.5% of children and 0.9% of adults received surgery, 0.1% of children and 0.8% of adults received botulinum toxin treatments, and 10.9% of children and 21.5% of adults received rehabilitation services. Despite the limitations of a claims database study, results showing trends in care of facial paralysis are still nonsurgical with many patients receiving no treatment at all. Although limited literature has shown an increase in the use of pharmacotherapy as well as techniques including physiotherapy, chemodenervation, and various surgical therapies, these interventions may be underutilized.

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“…There are a limited number of clinical trials and research focused towards the efficacy of biofeedback therapy and BTX to treat sequelae facial nerve palsy ( 8 , 18 , 19 ). A comparison between the use of Kabat exercise or proprioceptive neuromuscular facilitation (PNF) alone and the combination of BTX and PNF with low sample size was reported in 2011 by Monini et al( 23 ). Patients graded House-Brackmann II and III were enrolled in this study and were treated by PNF and evaluated by partial FGS.…”

Section: Discussionmentioning

confidence: 99%