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Reanimation following facial palsy: present and future directions

Published online by Cambridge University Press:  15 June 2010

Y Ramakrishnan ,
S Alam ,
A Kotecha ,
D Gillett  and
A D'Souza
Y Ramakrishnan*
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, University Hospital Lewisham, London, UK
S Alam
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, University Hospital Lewisham, London, UK School of Translational Medicine, Dermatological Sciences, University of Manchester, UK
A Kotecha
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, University Hospital Lewisham, London, UK
D Gillett
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, University Hospital Lewisham, London, UK
A D'Souza
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, University Hospital Lewisham, London, UK
*
Address for correspondence: Dr Yujay Ramakrishnan, c/o Mr Ian Johnson's secretary, ENT Department, Freeman Hospital, High Heaton, Newcastle Upon Tyne NE7 7DN, UK. E-mail: [email protected]
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Abstract

Background:

An understanding of the management of chronic facial palsy is vital for otolaryngologists, due to its common presentation to ENT surgeons. There is currently a lack of consensus on the optimum management of this condition. This article reviews the existing literature and offers a perspective on current management, as well as an insight into future treatments.

Methods:

A literature search was performed, using the Medline, Embase and Cochrane databases from 1966 to the present, using the keywords listed below. Articles were reviewed. Selection was limited to English language articles on human subjects.

Results and conclusion:

A tailored, multidisciplinary approach using combinatorial therapy should be used for reanimation of the face following facial palsy. Advances in surgical and non-surgical techniques, and the exchange of information from centres of excellence via global databases, will enable objective appraisal of results and the development of an evidence-based approach to facial reanimation.

Keywords

Facial ReanimationFacial PalsyFacial WeaknessFace TransplantDynamic ReanimationStatic ReanimationSynkinesis
Type
Review Article
Information
The Journal of Laryngology & Otology , Volume 124 , Issue 11 , November 2010 , pp. 1146 - 1152
Copyright
Copyright © JLO (1984) Limited 2010

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