<p>Quality of Life in Patients with Unresolved Facial Nerve Palsy and Exposure Keratopathy Treated by Upper Eyelid Gold Weight Loading</p>

Objectives: To investigate the effectiveness of make-up therapy for patients with facial nerve palsy. Methods: Seven female patients with facial nerve palsy who received specialist make-up therapy were enrolled. The objective of the make-up therapy was to obtain a symmetrical facial appearance. Results: Overall score for the Facial Clinimetric Evaluation (FaCE) scale was significantly improved after make-up therapy. There was a tendency for symptoms of depression to be improved among patients after make-up therapy. Conclusion: Make-up therapy to improve the symmetry of facial appearance could afford a noninvasive and low-cost treatment for patients with facial nerve palsy, especially in terms of patient quality of life and psychological condition.

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Upper Eyelid Gold Weight Implantation for Facial Nerve Palsy—Short-Term and Long-Term Results

Indian Journal of Surgery ◽

10.1007/s12262-018-1854-9 ◽

2019 ◽

Vol 81 (6) ◽

pp. 525-530

Author(s):

Hitesh Verma ◽

Sandeep Puthiya Koiloorveetil ◽

Veena Jain ◽

Namrata Sharma ◽

Alok Thakar

Keyword(s):

Facial Nerve ◽

Nerve Palsy ◽

Facial Nerve Palsy ◽

Long Term Results ◽

Short Term ◽

Upper Eyelid ◽

Gold Weight

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The Impact of Tinnitus and Vertigo on Patient-Perceived Quality of Life After Cerebellopontine Angle Surgery

Neurosurgery ◽

10.1227/01.neu.0000374725.19259.ea ◽

2010 ◽

Vol 67 (3) ◽

pp. 601-610 ◽

Cited By ~ 21

Author(s):

Juergen Grauvogel ◽

Jan Kaminsky ◽

Steffen K. Rosahl

Keyword(s):

Quality Of Life ◽

Hearing Loss ◽

Facial Nerve ◽

Cerebellopontine Angle ◽

Nerve Palsy ◽

Facial Nerve Palsy ◽

Classification Systems ◽

Hearing Function ◽

The Impact

Abstract BACKGROUND Quality of life (QOL) has come into focus after treatment for cerebellopontine angle (CPA) lesions. OBJECTIVE This study compared subjective (tinnitus, vertigo) and objective (hearing loss, facial palsy) results of CPA surgery with patient-perceived impairment of QOL. METHODS A retrospective analysis of a consecutive series of 48 patients operated on for either a vestibular schwannoma or a meningioma in the CPA was performed. Patient's subjective impairment of QOL by tinnitus, vertigo, hearing loss, and facial nerve palsy was assessed by a visual analog scale (VAS). Objective facial nerve and hearing function were determined using House-Brackmann and Gardner-Robertson classification systems, respectively. RESULTS The return rate of questionnaires was 64.4%, with mean follow-up time of 417.2 (± 46.4) days. Mean preoperative tinnitus score was 2.5 (± 0.5) and increased to 4.6 (± 0.7) postoperatively (P < .01). The vertigo score increased from 2.0 (± 0.3) to 5.8 (± 0.6) (P < .001). Pre- and postoperative values for hearing loss were 3.4 (± 0.6) and 5.9 (± 0.7), respectively (P < .01), and for facial nerve palsy 0.7 (± 0.4) compared with 3.1 (± 0.6) postoperatively (P < .01). House-Brackmann grade 1 or 2 was determined in 87.1% of patients before and in 80.6% after surgery. Serviceable hearing (Gardner-Robertson classes I-III) was found in 75% before and in 64.3% after surgery. CONCLUSION Preservation of facial nerve and hearing function are not the only important criteria defining QOL after CPA surgery. Tinnitus and vertigo may have a significant underestimated impact on the patient's postoperative course and QOL.

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EVALUATION OF THE TREATMENT PERIPHERAL FACIAL NERVE PALSY CAUSED BY COLD IN SUBACUTE AND RECOVERING STAGE BY ELECTROACUPUNTURE AND TRADITIONAL MEDI-CINE

Journal of Medicine and Pharmacy ◽

10.34071/jmp.2019.4.15 ◽

2019 ◽

pp. 104-110

Author(s):

Van Minh Doan ◽

Thi Kim Lien Nguyen ◽

Thi Thao Quyen Le ◽

Quang Tam Nguyen ◽

Thi Thanh Nhan Phan ◽

...

Keyword(s):

Quality Of Life ◽

Facial Nerve ◽

Traditional Medicine ◽

Nerve Palsy ◽

Facial Nerve Palsy ◽

Common Disease ◽

Clinical Forms ◽

Quality Life ◽

Peripheral Facial Nerve Palsy

Background: Peripheral facial nerve palsy is a relatively common disease in clinical practice, the major cause is cold which corresponding to Wind Cold clinical forms according to traditional medicine. The disease is divided into 4 stages, however the level of response to treatment in the later stages is often lower than in the acute phase. This study used acupuncture that were recommended combine with traditional medicine to treat this desease in subacute and recovering stage to bring about effective treatment as well as to return to normal face soon and it does not affect the patient’s quality life and aesthetics. Objectives: Evaluate the effect of treatment and quality of life of peripheral facial nerve palsy Wind-Cold clinical forms in subacute and recovering stage by electroacupunture combined with traditional medicine. Materials and method: Intervention studies, comparisons before and after treatment in 30 patients with definite diagnosis ofperipheral facial nerve palsy Wind-Cold clinical forms in subacute and recovering stage, from January to December 2018 in Thua Thien Hue Traditional Medicine Hospital. Result: The rate of complete recovery after treatment accounted for 6.7% (grade I). There are 10 cases of normal recovery of facial muscles function (normal 75-100%), accounting for 33.3%. About quality of life, after treatment, the score increased significantly, the difference was statistically significant (p < 0.05). Conclusion: The therapeutic effect of electroacupunturecombined with traditional medicine for disease peripheral facial nerve palsy Wind-Cold clinical forms in subacute and recovering stage is not high. Quality of life after treatment has improved better. Key words: Peripheral facial nerve palsy, Wind Cold, subacute stage, recovering stage, electroacupunture, traditional medicine

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Predicting Factors Influencing Visual Function of the Eye in Patients with Unresolved Facial Nerve Palsy after Upper Eyelid Gold Weight Loading

Journal of Clinical Medicine ◽

10.3390/jcm10040578 ◽

2021 ◽

Vol 10 (4) ◽

pp. 578

Author(s):

Izabela Nowak-Gospodarowicz ◽

Marek Rękas

Keyword(s):

Facial Nerve ◽

Nerve Palsy ◽

Facial Nerve Palsy ◽

Upper Eyelid ◽

Patient Age ◽

Corneal Sensation ◽

History Of ◽

Gold Weights ◽

Bell's Phenomenon ◽

Bell’S Phenomenon

Implantation of gold weights into the upper eyelid is a proven method of treating lagophthalmos and exposure keratopathy in patients with unresolved facial nerve palsy. The aim of this study was to evaluate the factors affecting visual acuity and corneal complications in patients after upper eyelid gold weight lid loading. Material and methods: This prospective consecutive clinical study was conducted in years 2012–2018. In total, 59 people (40 women, 19 men aged 55.5 ± 17.4 years) meeting the inclusion criteria were treated with gold weights. The ordered multinomial logit model was used to analyze the factors affecting best-corrected visual acuity (BCVA) and degree of exposure keratopathy after surgery. The influence of the following variables was analyzed: patient age, etiology and duration of the facial nerve palsy, history of the previous eyelid surgery, degree of lagophthalmos in mm, presence of Bell’s phenomenon, and corneal sensation, Schirmer test results. Results: Implantation of gold weights into the upper eyelid effectively reduced lagophthalmos and exposure keratopathy in the study group (p < 0.001). BCVA was maintained or better in 95% of patients after surgery. Patient age, presence of the Bell’s phenomenon, and corneal sensation significantly affected the final BCVA (p < 0.1). The presence of Bell’s phenomenon and corneal sensation had a positive effect on the degree of keratopathy after surgery (p < 0.1). In turn, patient age and history of tarsorrhaphy were significant negative prognostic factors of exposure keratopathy and BCVA after surgery (p < 0.05). Etiology and duration of facial nerve palsy, degree of corneal exposure in mm, and results of the Schirmer test did not have a significant impact on the outcome after surgery (p > 0.1). Conclusions: The results of our study may help to answer the question of how to direct ophthalmologists and other specialists who refer to ophthalmologists for management advice in patients with facial nerve palsy. Elderly patients with a history of tarsorrhaphy who present with poor Bell’s phenomenon and/or a lack of corneal sensation should be the first candidates for immediate correction of lagophthalmos.

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