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Evaluation and Management of Facial Palsy

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Albert and Jakobiec's Principles and Practice of Ophthalmology

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Abstract

Facial paralysis afflicts a significant number of individuals annually. Although Bell’s palsy is the most common cause of facial paralysis, that diagnosis can be hastily made, and life-threatening conditions and appropriate treatments for other causes can be missed. Facial paralysis increases the risk of ocular damage and poor vision; hinders the ability to eat, drink, and speak effectively; and often results in a negative self-image. Aberrant nerve regeneration with facial spasm, synkinetic movement, and excessive tearing are long-term problems that also need to be managed.

Proper diagnosis, evaluation of the deficits with physical examination and imaging when needed, and instituting proper multidisciplinary management early in the disease process will optimize patient care and reduce the risk of permanent injury and deficits especially involving the eye. Although every practitioner will not be able to address all the issues involved with facial paralysis patients, understanding what treatments and interventions are available will facilitate appropriate and early referral to centers that can provide comprehensive care for these patients.

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Author information

Authors and Affiliations

  1. Facial Nerve Center, Casey Eye Institute, Oregon Health and Science University, Portland, OR, USA

    Myriam Loyo, John D. Ng, Derek Louie & Margaret McReynolds

  2. Facial Plastics and Reconstructive Surgery, Department of Otolaryngology-Head & Neck Surgery, Oregon Health and Science University, Portland, OR, USA

    Myriam Loyo

  3. Department of Otolaryngology-Head & Neck Surgery, Oregon Health and Science University, Portland, OR, USA

    John D. Ng

  4. Medical Contact Lens, Casey Eye Institute, Oregon Health and Science University, Portland, OR, USA

    Derek Louie

  5. Rehabilitation Services, Oregon Health and Science University, Portland, OR, USA

    Margaret McReynolds

  6. Oculofacial Plastic, Orbital and Reconstructive Surgery, Casey Eye Institute, Oregon Health and Science University, Portland, OR, USA

    John D. Ng

Authors
  1. Myriam Loyo
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  2. John D. Ng
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  3. Derek Louie
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  4. Margaret McReynolds
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Corresponding author

Correspondence to John D. Ng .

Editor information

Editors and Affiliations

  1. Department of Ophthalmology, Oregon Health & Science University Department of Ophthalmology, Portland, OR, USA

    Daniel Albert

  2. Massachusetts Eye and Ear, Boston, MA, USA

    Joan Miller

  3. Department of Ophthalmology, University of Illinois at Chicago Department of Ophthalmology, Chicago, IL, USA

    Dimitri Azar

  4. Department of Ophthalmology, Harvard Medical School, Boston, MA, USA

    Lucy H. Young

Section Editor information

  1. No affiliation provided

    Eric Steele

  2. No affiliation provided

    John Ng

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Loyo, M., Ng, J.D., Louie, D., McReynolds, M. (2020). Evaluation and Management of Facial Palsy. In: Albert, D., Miller, J., Azar, D., Young, L.H. (eds) Albert and Jakobiec's Principles and Practice of Ophthalmology. Springer, Cham. https://doi.org/10.1007/978-3-319-90495-5_88-1

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  • DOI: https://doi.org/10.1007/978-3-319-90495-5_88-1

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  • Print ISBN: 978-3-319-90495-5

  • Online ISBN: 978-3-319-90495-5

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