Impact of early eyelid weight placement on the development of synkinesis and recovery in patients with idiopathic facial paralysis

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 Fa...

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Autores principales:	Keon M. Parsa, Caroline Rieger, Dara Khatib, Jennifer R. White, Jodi Barth, Chad C. Zatezalo, Michael J. Reilly
Formato:	article
Lenguaje:	EN
Publicado:	KeAi Communications Co., Ltd. 2021
Materias:	Facial paralysis Synkinesis Eyelid weight Otorhinolaryngology RF1-547 Surgery RD1-811
Acceso en línea:	https://doaj.org/article/6d513391a9a94ed1b8c136aabf281894
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spelling	oai:doaj.org-article:6d513391a9a94ed1b8c136aabf2818942021-12-02T18:53:55ZImpact of early eyelid weight placement on the development of synkinesis and recovery in patients with idiopathic facial paralysis2095-881110.1016/j.wjorl.2020.05.005https://doaj.org/article/6d513391a9a94ed1b8c136aabf2818942021-10-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2095881120300652https://doaj.org/toc/2095-8811Purpose: 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.Keon M. ParsaCaroline RiegerDara KhatibJennifer R. WhiteJodi BarthChad C. ZatezaloMichael J. ReillyKeAi Communications Co., Ltd.articleFacial paralysisSynkinesisEyelid weightOtorhinolaryngologyRF1-547SurgeryRD1-811ENWorld Journal of Otorhinolaryngology-Head and Neck Surgery, Vol 7, Iss 4, Pp 270-274 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Facial paralysis Synkinesis Eyelid weight Otorhinolaryngology RF1-547 Surgery RD1-811
spellingShingle	Facial paralysis Synkinesis Eyelid weight Otorhinolaryngology RF1-547 Surgery RD1-811 Keon M. Parsa Caroline Rieger Dara Khatib Jennifer R. White Jodi Barth Chad C. Zatezalo Michael J. Reilly Impact of early eyelid weight placement on the development of synkinesis and recovery in patients with idiopathic facial paralysis
description	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.
format	article
author	Keon M. Parsa Caroline Rieger Dara Khatib Jennifer R. White Jodi Barth Chad C. Zatezalo Michael J. Reilly
author_facet	Keon M. Parsa Caroline Rieger Dara Khatib Jennifer R. White Jodi Barth Chad C. Zatezalo Michael J. Reilly
author_sort	Keon M. Parsa
title	Impact of early eyelid weight placement on the development of synkinesis and recovery in patients with idiopathic facial paralysis
title_short	Impact of early eyelid weight placement on the development of synkinesis and recovery in patients with idiopathic facial paralysis
title_full	Impact of early eyelid weight placement on the development of synkinesis and recovery in patients with idiopathic facial paralysis
title_fullStr	Impact of early eyelid weight placement on the development of synkinesis and recovery in patients with idiopathic facial paralysis
title_full_unstemmed	Impact of early eyelid weight placement on the development of synkinesis and recovery in patients with idiopathic facial paralysis
title_sort	impact of early eyelid weight placement on the development of synkinesis and recovery in patients with idiopathic facial paralysis
publisher	KeAi Communications Co., Ltd.
publishDate	2021
url	https://doaj.org/article/6d513391a9a94ed1b8c136aabf281894
work_keys_str_mv	AT keonmparsa impactofearlyeyelidweightplacementonthedevelopmentofsynkinesisandrecoveryinpatientswithidiopathicfacialparalysis AT carolinerieger impactofearlyeyelidweightplacementonthedevelopmentofsynkinesisandrecoveryinpatientswithidiopathicfacialparalysis AT darakhatib impactofearlyeyelidweightplacementonthedevelopmentofsynkinesisandrecoveryinpatientswithidiopathicfacialparalysis AT jenniferrwhite impactofearlyeyelidweightplacementonthedevelopmentofsynkinesisandrecoveryinpatientswithidiopathicfacialparalysis AT jodibarth impactofearlyeyelidweightplacementonthedevelopmentofsynkinesisandrecoveryinpatientswithidiopathicfacialparalysis AT chadczatezalo impactofearlyeyelidweightplacementonthedevelopmentofsynkinesisandrecoveryinpatientswithidiopathicfacialparalysis AT michaeljreilly impactofearlyeyelidweightplacementonthedevelopmentofsynkinesisandrecoveryinpatientswithidiopathicfacialparalysis
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Impact of early eyelid weight placement on the development of synkinesis and recovery in patients with idiopathic facial paralysis

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