Multidisciplinary Care of Patients with Facial Palsy: Treatment of 1220 Patients in a German Facial Nerve Center
To determine treatment and outcome in a tertiary multidisciplinary facial nerve center, a retrospective observational study was performed of all patients referred between 2007 and 2018. Facial grading with the Stennert index, the Facial Clinimetric Evaluation (FaCE) scale, and the Facial Disability...
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| Veröffentlicht in: | Journal of clinical medicine 2022-01, Vol.11 (2), p.427 |
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| creator | Steinhäuser, Jonathan Volk, Gerd Fabian Thielker, Jovanna Geitner, Maren Kuttenreich, Anna-Maria Klingner, Carsten M Dobel, Christian Guntinas-Lichius, Orlando |
| description | To determine treatment and outcome in a tertiary multidisciplinary facial nerve center, a retrospective observational study was performed of all patients referred between 2007 and 2018. Facial grading with the Stennert index, the Facial Clinimetric Evaluation (FaCE) scale, and the Facial Disability Index (FDI) were used for outcome evaluation; 1220 patients (58.4% female, median age: 50 years; chronic palsy: 42.8%) were included. Patients with acute and chronic facial palsy were treated in the center for a median of 3.6 months and 10.8 months, respectively. Dominant treatment in the acute phase was glucocorticoids ± acyclovir (47.2%), followed by a significant improvement of all outcome measures (
< 0.001). Facial EMG biofeedback training (21.3%) and botulinum toxin injections (11%) dominated the treatment in the chronic phase, all leading to highly significant improvements according to facial grading, FDI, and FaCE (
< 0.001). Upper eyelid weight (3.8%) and hypoglossal-facial-nerve jump suture (2.5%) were the leading surgical methods, followed by improvement of facial motor function (
< 0.001) and facial-specific quality of life (FDI, FaCE;
< 0.05). A standardized multidisciplinary team approach in a facial nerve center leads to improved facial and emotional function in patients with acute or chronic facial palsy. |
| doi_str_mv | 10.3390/jcm11020427 |
| format | Article |
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< 0.001). Facial EMG biofeedback training (21.3%) and botulinum toxin injections (11%) dominated the treatment in the chronic phase, all leading to highly significant improvements according to facial grading, FDI, and FaCE (
< 0.001). Upper eyelid weight (3.8%) and hypoglossal-facial-nerve jump suture (2.5%) were the leading surgical methods, followed by improvement of facial motor function (
< 0.001) and facial-specific quality of life (FDI, FaCE;
< 0.05). A standardized multidisciplinary team approach in a facial nerve center leads to improved facial and emotional function in patients with acute or chronic facial palsy.</description><identifier>ISSN: 2077-0383</identifier><identifier>EISSN: 2077-0383</identifier><identifier>DOI: 10.3390/jcm11020427</identifier><identifier>PMID: 35054119</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Bell's palsy ; Clinical medicine ; Decision making ; Electromyography ; Multidisciplinary teams ; Otolaryngology ; Paresis ; Patients ; Quality of life ; Ultrasonic imaging</subject><ispartof>Journal of clinical medicine, 2022-01, Vol.11 (2), p.427</ispartof><rights>2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2022 by the authors. 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c409t-89a2f61b836ac61fb65f738473fbc09113499480a80f862a664f01c34bb7673</citedby><cites>FETCH-LOGICAL-c409t-89a2f61b836ac61fb65f738473fbc09113499480a80f862a664f01c34bb7673</cites><orcidid>0000-0003-1245-6331 ; 0000-0001-9671-0784 ; 0000-0001-8815-3391</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8778429/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8778429/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27903,27904,53769,53771</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35054119$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Steinhäuser, Jonathan</creatorcontrib><creatorcontrib>Volk, Gerd Fabian</creatorcontrib><creatorcontrib>Thielker, Jovanna</creatorcontrib><creatorcontrib>Geitner, Maren</creatorcontrib><creatorcontrib>Kuttenreich, Anna-Maria</creatorcontrib><creatorcontrib>Klingner, Carsten M</creatorcontrib><creatorcontrib>Dobel, Christian</creatorcontrib><creatorcontrib>Guntinas-Lichius, Orlando</creatorcontrib><title>Multidisciplinary Care of Patients with Facial Palsy: Treatment of 1220 Patients in a German Facial Nerve Center</title><title>Journal of clinical medicine</title><addtitle>J Clin Med</addtitle><description>To determine treatment and outcome in a tertiary multidisciplinary facial nerve center, a retrospective observational study was performed of all patients referred between 2007 and 2018. Facial grading with the Stennert index, the Facial Clinimetric Evaluation (FaCE) scale, and the Facial Disability Index (FDI) were used for outcome evaluation; 1220 patients (58.4% female, median age: 50 years; chronic palsy: 42.8%) were included. Patients with acute and chronic facial palsy were treated in the center for a median of 3.6 months and 10.8 months, respectively. Dominant treatment in the acute phase was glucocorticoids ± acyclovir (47.2%), followed by a significant improvement of all outcome measures (
< 0.001). Facial EMG biofeedback training (21.3%) and botulinum toxin injections (11%) dominated the treatment in the chronic phase, all leading to highly significant improvements according to facial grading, FDI, and FaCE (
< 0.001). Upper eyelid weight (3.8%) and hypoglossal-facial-nerve jump suture (2.5%) were the leading surgical methods, followed by improvement of facial motor function (
< 0.001) and facial-specific quality of life (FDI, FaCE;
< 0.05). A standardized multidisciplinary team approach in a facial nerve center leads to improved facial and emotional function in patients with acute or chronic facial palsy.</description><subject>Bell's palsy</subject><subject>Clinical medicine</subject><subject>Decision making</subject><subject>Electromyography</subject><subject>Multidisciplinary teams</subject><subject>Otolaryngology</subject><subject>Paresis</subject><subject>Patients</subject><subject>Quality of life</subject><subject>Ultrasonic imaging</subject><issn>2077-0383</issn><issn>2077-0383</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpdkUlLQzEUhYMoKurKvQTcCFLN1AwuBClWhTqA3Ye8NLEpb6jJe0r_vSnaWs0mIefLyb33AHCM0QWlCl3ObIUxIogRsQX2CRKih6ik2xvnPXCU0gzlJSUjWOyCPdpHfYax2gfzx65swyQkG-ZlqE1cwIGJDjYevpg2uLpN8DO0Uzg0NpgyX5ZpcQXH0Zm2yuoSxISgXzrU0MA7FytTrx49ufjh4CDLLh6CHZ893NHPfgBeh7fjwX1v9Hz3MLgZ9SxDqu1JZYjnuJCUG8uxL3jfCyqZoL6wSGFMmVJMIiORl5wYzplH2FJWFIILegCuv13nXVG5ic1fR1PqeQxVblE3Jui_Sh2m-q350FKIPCSVDc5-DGLz3rnU6irPyJWlqV3TJU04IUT0mZIZPf2Hzpou1rm5JYUpoYzRTJ1_UzY2KUXn18VgpJdR6o0oM32yWf-aXQVHvwC_R5gB</recordid><startdate>20220114</startdate><enddate>20220114</enddate><creator>Steinhäuser, Jonathan</creator><creator>Volk, Gerd Fabian</creator><creator>Thielker, Jovanna</creator><creator>Geitner, Maren</creator><creator>Kuttenreich, Anna-Maria</creator><creator>Klingner, Carsten M</creator><creator>Dobel, Christian</creator><creator>Guntinas-Lichius, Orlando</creator><general>MDPI AG</general><general>MDPI</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-1245-6331</orcidid><orcidid>https://orcid.org/0000-0001-9671-0784</orcidid><orcidid>https://orcid.org/0000-0001-8815-3391</orcidid></search><sort><creationdate>20220114</creationdate><title>Multidisciplinary Care of Patients with Facial Palsy: Treatment of 1220 Patients in a German Facial Nerve Center</title><author>Steinhäuser, Jonathan ; 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< 0.001). Facial EMG biofeedback training (21.3%) and botulinum toxin injections (11%) dominated the treatment in the chronic phase, all leading to highly significant improvements according to facial grading, FDI, and FaCE (
< 0.001). Upper eyelid weight (3.8%) and hypoglossal-facial-nerve jump suture (2.5%) were the leading surgical methods, followed by improvement of facial motor function (
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| ispartof | Journal of clinical medicine, 2022-01, Vol.11 (2), p.427 |
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| source | Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central Open Access; MDPI - Multidisciplinary Digital Publishing Institute; PubMed Central |
| subjects | Bell's palsy Clinical medicine Decision making Electromyography Multidisciplinary teams Otolaryngology Paresis Patients Quality of life Ultrasonic imaging |
| title | Multidisciplinary Care of Patients with Facial Palsy: Treatment of 1220 Patients in a German Facial Nerve Center |
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