Synkinesis and Communicative Participation

Okland, Tyler S.; Willens, Sierra Hewett; Pepper, Jon‐Paul

doi:10.1089/fpsam.2022.0094

Cited by 4 publications

(2 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…63 This tool has been used to assess the communication skills in adult patients who suffer from facial paralysis and its sequelae. 2,62,64…”

Section: Accepted Manuscriptmentioning

confidence: 99%

“…63 This tool has been used to assess the communication skills in adult patients who suffer from facial paralysis and its sequelae. 2,62,64 Future Directions A comprehensive clinical evaluation of facial palsy entails a patient-centered approach through quality-of-life questionnaires and an objective assessment through either clinician or computer-based instrument. 65 A combination of the mentioned metrics may provide a complete clinical picture, including the evaluation of disfigurement, facial asymmetry, spontaneous smile, layperson assessment, and patient satisfaction.…”

Section: Promsmentioning

confidence: 99%

See 1 more Smart Citation

Evidence-Based Medicine: Facial Reanimation

2023

Self Cite

View full text Add to dashboard Cite

This article provides a brief historical overview of the assessment instruments that have been developed to categorize the severity of disease in patients with facial palsy. Important advances in the quality of these instruments in discussed. The modern day instruments that are commonly required for evidenced-based patient assessment are then presented, with emphasis on the level of evidence of the studies that describe these instruments.

show abstract

“…63 This tool has been used to assess the communication skills in adult patients who suffer from facial paralysis and its sequelae. 2,62,64…”

Section: Accepted Manuscriptmentioning

confidence: 99%

Section: Promsmentioning

confidence: 99%

Evidence-Based Medicine: Facial Reanimation

2023

Self Cite

View full text Add to dashboard Cite

show abstract

Chemodenervation is Associated With Reduced Mental Health Disorders in Patients With Synkinesis

Lorenz,

Schopper,

Lighthall

2024

Otolaryngol.--head neck surg.

View full text Add to dashboard Cite

ObjectiveTo compare the prevalence of mental health disorders in individuals with facial synkinesis, facial paralysis alone, and the general population.Study DesignRetrospective cohort.SettingEighty‐two health care organizations across the United States.MethodsThe TriNetX Research Network was queried from 2011 to 2021 for patients with facial paralysis without synkinesis, facial paralysis and documented synkinesis, and controls, matched for age, sex, race, and ethnicity. Cases included infectious, iatrogenic, or idiopathic facial paralysis. Patients with pre‐existing depression or anxiety were excluded. Two‐year rates of newly diagnosed depression, anxiety, and mental health prescriptions were compared.ResultsAmong 127,573 patients with facial paralysis, 92.5% (n = 117,976) had facial paralysis alone, and 7.5% (n = 9597) also had documented synkinesis. Compared to controls, patients with facial paralysis alone had increased risks of new depression (8.9% vs 7.3%, P < .001) and anxiety (10.1% vs 9.6%, P < .001), with higher mental health medication rates (16.6% vs 13.1%, P < .001). Patients with documented synkinesis, in comparison to controls, had the highest risks of depression (19.8% vs 8.6%, P < .001), anxiety (20.5% vs 10.5%, P < .001), and prescriptions (28.1% vs 15.8%, P < .001). The 27.8% (n = 2669) of synkinetic patients treated with chemodenervation had lower rates of depression (8.5% vs 23.5%, P < .001), anxiety (9.0% vs 23.8%, P < .001), and prescriptions (21.6% vs 30.0%, P < .001) compared to synkinetic patients who were not.ConclusionFacial paralysis, particularly synkinesis, is linked to increased mental health disorders. Integrating mental health screening and treatment into a comprehensive approach is crucial. Chemodenervation is associated with decreased mental health disorders in synkinesis, highlighting its therapeutic potential.

show abstract

A Survey of 251 Facial Paralysis Patients to Assess Their Educational Preparedness and Symptom Management after Treatment of Vestibular Schwannoma

Barkhoudarian,

Sivakumar,

Voelker

et al. 2024

J Neurol Surg B Skull Base

View full text Add to dashboard Cite

Objective The aim of this study was to evaluate how patients with vestibular schwannoma (VS) were prepared for facial paralysis (FP). Study Design This study comprised an online survey of members of the Acoustic Neuroma Association of America who had FP. Methods A 28-question survey gathering information on the patient experience related to management of FP was created. Associations between treatment setting and presence of FP were analyzed using SAS Enterprise Guide 8.4. Significance was considered at p-values < 0.05 in a univariate and multivariable model. Results A total of 251 subjects with VS and FP responded. A total of 14% presented with FP, 70% were diagnosed with VS at least 6 months prior to treatment, and 61% were treated at academic centers. A total of 28% felt prepared for life with FP and 42% were confident their medical team understood management. Less than 30% of respondents received educational materials. After developing FP, speech and swallow difficulty and anxiety were common, but few respondents were referred for expert management. Subjects at academic centers were more often referred to specialists in the same location. Those with preoperative FP felt their medical teams better prepared them for it, had fewer complaints of difficulty speaking, and were happier with their recovery. Conclusion Significant gaps in preparation and management of FP were identified. Preoperative FP led to improved perception of care; however, the delivery was similar to those without it. Studies of surgeons who manage VS are needed to better understand how they prepare patients for the emotional and physical sequelae of FP.

show abstract

Synkinesis and Communicative Participation

Cited by 4 publications

References 18 publications

Evidence-Based Medicine: Facial Reanimation

Evidence-Based Medicine: Facial Reanimation

Chemodenervation is Associated With Reduced Mental Health Disorders in Patients With Synkinesis

A Survey of 251 Facial Paralysis Patients to Assess Their Educational Preparedness and Symptom Management after Treatment of Vestibular Schwannoma

Contact Info

Product

Resources

About