Impact of early eyelid weight placement on the development of synkinesis and recovery in patients with idiopathic facial paralysis
| Autor: | Dara Khatib, Chad C. Zatezalo, Caroline Rieger, Jennifer R. White, Jodi Barth, Keon M. Parsa, Michael J. Reilly |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
RD1-811 Lagophthalmos Composite score Synkinesis Eyelid weight 03 medical and health sciences 0302 clinical medicine medicine In patient 030223 otorhinolaryngology Retrospective review business.industry medicine.disease Facial paralysis Surgery medicine.anatomical_structure RF1-547 Otorhinolaryngology 030220 oncology & carcinogenesis Eyelid sense organs business Grading scale Research Paper |
| Zdroj: | World Journal of Otorhinolaryngology-Head and Neck Surgery World Journal of Otorhinolaryngology-Head and Neck Surgery, Vol 7, Iss 4, Pp 270-274 (2021) |
| ISSN: | 2589-1081 2095-8811 |
| Popis: | Purpose Determine the impact of upper eyelid weight placement at 3 months post onset of idiopathic facial paralysis (IFP) on the recovery of facial function in patients with lagophthalmos. Methods This is a retrospective review of patients with incomplete recovery of IFP—defined as a Sunnybrook Facial Grading Scale (FGS) score of less than 100, 3 months after onset. Only patients with FGS and Facial Clinimetric Evaluation (FaCE) scores recorded at 3 and 12 months were included. Patients were categorized into 3 groups: Group A, lagophthalmos with eyelid weight placement; Group B, lagophthalmos without eyelid weight placement; Group C, complete eye closure (CEC) without eyelid weight placement. The eye comfort domain and composite score of the FaCE questionnaire were analyzed. Voluntary eye closure, synkinesis with eye closure, overall synkinesis and the composite score of the FGS were also analyzed. Paired two-tailed t-test was used to evaluate the data comparing the 3 and 12 month FaCE and FGS scores within and between the 3 groups. Results The change in composite FGS score significantly increased from month 3 to month 12 in Group A as compared to Group B (37 vs 4.25, P = 0.01). While Group A had significantly lower eye comfort (−12.5, P = 0.01), voluntary eye closure (−1.75, P = 0.05) and overall FGS scores (−28.75, P = 0.04) at 3 months compared to those in Group C, there were no differences between these two groups at 12 month follow-up. Conclusions For patients with lagophthalmos at 3 months, early eyelid weight placement may lead to improved facial function at 12 months. |
| Databáze: | OpenAIRE |
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