Eutrophic Electrical Stimulation in Long-Standing Facial Palsy

Hussain, Sajjad; Winterburn, S. J.; Grace, A. R. H.

doi:10.1007/978-3-642-85090-5_40

Cited by 2 publications

(19 citation statements)

References 3 publications

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“…The case series by Choi et al (24) described three patients who achieved full recovery of facial function after treatment with physical therapy and electrical stimulation. The case series by Hussain et al (25) reported using electrical stimulation alone in 2 patients after otologic surgery. Outcomes were described using the Facial Paralysis Recovery Profile and Recovery Index.…”

Section: Delivery Of Esmentioning

confidence: 99%

“…Patients were treated for 60 weeks, and all demonstrated improvement. In the case series by Choi et al (24) and by Hussain et al (25) , the method of electrical stimulation (percutaneous or transcutaneous) and the target muscles were not reported. In a retrospective cohort study, Gittins et al (26) described transcutaneous electrical stimulation of the orbicularis oculi among eight patients with an HB grade of IV or worse after acoustic neuroma resection.…”

Section: Delivery Of Esmentioning

confidence: 99%

“…However, patients described some subjective improvement, including decreased use of artificial tears and improved facial tone. None of these three studies (24,25,26) described specific synkinesis symptoms or worsening of synkinesis due to electrical stimulation. (33) and Mosforth and Taverner (1958) (13)].…”

Section: Delivery Of Esmentioning

confidence: 99%

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Role of Electrical Stimulation Added To Conventional Therapy in Patients With Traumatic Facial Palsy

Sharma

2021

UPJOHNS

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Background: Facial nerve palsy can have ophthalmological, Otological, rhinological, taste, and swallowing consequences, in addition to the psychological impact of altered facial expression. Electrical Stimulation (ES) is one of the most debatable and non-evidence-based adjunctive therapies for facial palsy. MATERIAL/METHODS We retrieved the literature on ES in facial nerve injury using the Cochrane Database of Systematic Reviews, PubMed, and Google Scholar. Emphasis was placed on articles and randomised controlled trials (RCTs) published within the last 20 years. Results: The reviewed studies, clinical trials and systematic reviews did not support ES due to a lack of quality evidence to support significant b e n e fi t o r h a r m fr o m E S . T h e v a ri e d methodologies used and the small number of subjects included in the studies could not wholly prove the efficacy of electrotherapy for treating facial nerve injury. CONCLUSION T h o u g h m a n y s t u d i e s h a v e r e p o rt e d improvement of facial movement or function following ES for facial nerve injury, substantial evidence supporting the use of ES in facial palsy is lacking; well-designed rigorous research is required. KEYWORDS Electrical Stimulation, Facial Nerve Palsy, Facial Paralysis

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Section: Delivery Of Esmentioning

confidence: 99%

Section: Delivery Of Esmentioning

confidence: 99%

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Role of Electrical Stimulation Added To Conventional Therapy in Patients With Traumatic Facial Palsy

Sharma

2021

UPJOHNS

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“…Table 1 summarizes the included studies. There were 17 articles 5,8,9,15,20,21,[23][24][25][26][27][28][29][30][31][32][33] published on 15 studies; a total of 313 patients with iatrogenic FP were included in the systematic review. One study resulted in 3 articles, 15,20,24 and each was assessed for unique patient data for this systematic review.…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

“…Four studies 5,8,15,20,23,24 were RCTs, 7 studies 9,25-30 were retrospective cohort studies, 3 studies [31][32][33] were case series, and 1 was a prospective cohort study. 21 Quality Assessment eTable 1 in the Supplement (listing 11 studies 9,21,[25][26][27][28][29][30][31][32][33] ) and eTable 2 in the Supplement (listing 6 studies 5,8,15,20,23,24 ) summarize the study quality assessment. Eleven observational studies 9,21,[25][26][27][28][29][30][31][32][33] were…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

Physical Therapy for Iatrogenic Facial Paralysis

Wamkpah

Jeanpierre

Lieu

et al. 2020

JAMA Otolaryngol Head Neck Surg

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acial paralysis (FP) secondary to surgery has a reported incidence of 11% to 40%. 1 Rates of iatrogenic FP vary by surgery type: oral-maxillofacial surgery is the most common (40%), followed by head and neck surgery (25%), otologic surgery (17%), and cosmetic surgery (11%). 1 For patients, FP is associated with substantial functional, emotional, and financial consequences. [2][3][4] Given its detrimental impact, iatrogenic FP is an important complication for otolaryngologists, plastic surgeons, oral surgeons, and dermatologists to manage. Most iatrogenic FP is expected to be temporary 5 and is managed by watchful waiting.Treatment options to encourage facial function recovery are varied, including medical therapy (ie, corticosteroids) and physical therapy (PT). 5 Physical therapy is advantageous because it is noninvasive and encourages patients to actively participate in their recovery. 6 However, there is a paucity of literature on the effectiveness of PT. Although a 2011 Cochrane review by Teixeira et al 7 found no high-quality evidence supporting the benefit or harm of PT for idiopathic FP, studies of PT for iatrogenic FP are limited to a few randomized controlled trials (RCTs) 5,8 and observational studies. 9 Iatrogenic FP can occur despite meticulous surgical dissection and intraoperative confirmation of facial nerve continuity likely because of local manipulation. 1 Therefore, iatrogenic FP represents a pathogenesis unique from idiopathic FP, which is often stated to result from inflammation after viral infection. 7 The primary objective of this systematic review was to investigate whether noninvasive PT compared with no PT or other intervention improves facial nerve outcomes in adults with iatrogenic FP. Methods Study DesignThe Preferred Reporting Items for Systematic Reviews and Metaanalyses (PRISMA) 10 guidelines were followed in this systematic IMPORTANCE Facial paralysis (FP) after surgery has substantial functional, emotional, and financial consequences. Most iatrogenic FP is managed by watchful waiting, with the expectation of facial function recovery. A potential treatment is physical therapy (PT).OBJECTIVE To investigate whether noninvasive PT compared with no PT or other intervention improves facial nerve outcomes in adults with iatrogenic FP.LP;&-2QEVIDENCE REVIEW Patients with noniatrogenic FP, facial reanimation surgery, and invasive adjunctive treatments (acupuncture or botulinum toxin injection) were excluded. A systematic review was conducted for records discussing iatrogenic FP and PT; a search for these records was performed using

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Eutrophic Electrical Stimulation in Long-Standing Facial Palsy

Cited by 2 publications

References 3 publications

Role of Electrical Stimulation Added To Conventional Therapy in Patients With Traumatic Facial Palsy

Role of Electrical Stimulation Added To Conventional Therapy in Patients With Traumatic Facial Palsy

Physical Therapy for Iatrogenic Facial Paralysis

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