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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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Detalles Bibliográficos
Autores principales: Parsa, Keon M., Rieger, Caroline, Khatib, Dara, White, Jennifer R., Barth, Jodi, Zatezalo, Chad C., Reilly, Michael J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: KeAi Publishing 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8486693/
https://www.ncbi.nlm.nih.gov/pubmed/34632338
http://dx.doi.org/10.1016/j.wjorl.2020.05.005
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author Parsa, Keon M.
Rieger, Caroline
Khatib, Dara
White, Jennifer R.
Barth, Jodi
Zatezalo, Chad C.
Reilly, Michael J.
author_facet Parsa, Keon M.
Rieger, Caroline
Khatib, Dara
White, Jennifer R.
Barth, Jodi
Zatezalo, Chad C.
Reilly, Michael J.
author_sort Parsa, Keon M.
collection PubMed
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.
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spelling pubmed-84866932021-10-08 Impact of early eyelid weight placement on the development of synkinesis and recovery in patients with idiopathic facial paralysis Parsa, Keon M. Rieger, Caroline Khatib, Dara White, Jennifer R. Barth, Jodi Zatezalo, Chad C. Reilly, Michael J. World J Otorhinolaryngol Head Neck Surg Research Paper 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. KeAi Publishing 2020-06-12 /pmc/articles/PMC8486693/ /pubmed/34632338 http://dx.doi.org/10.1016/j.wjorl.2020.05.005 Text en © 2020 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Research Paper
Parsa, Keon M.
Rieger, Caroline
Khatib, Dara
White, Jennifer R.
Barth, Jodi
Zatezalo, Chad C.
Reilly, Michael J.
Impact of early eyelid weight placement on the development of synkinesis and recovery in patients with idiopathic facial paralysis
title 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_short 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
topic Research Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8486693/
https://www.ncbi.nlm.nih.gov/pubmed/34632338
http://dx.doi.org/10.1016/j.wjorl.2020.05.005
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