Archives of Plastic Surgery

Korean Society of Plastic and Reconstructive Surgeons (대한성형외과학회)
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Effects of electrostimulation therapy in facial nerve palsy

  • Sommerauer, Laura (Department of Plastic, Hand and Reconstructive Surgery, University Medical Centre Regensburg) ;
  • Engelmann, Simon (Department of Plastic, Hand and Reconstructive Surgery, University Medical Centre Regensburg) ;
  • Ruewe, Marc (Department of Plastic, Hand and Reconstructive Surgery, University Medical Centre Regensburg) ;
  • Anker, Alexandra (Department of Plastic, Hand and Reconstructive Surgery, University Medical Centre Regensburg) ;
  • Prantl, Lukas (Department of Plastic, Hand and Reconstructive Surgery, University Medical Centre Regensburg) ;
  • Kehrer, Andreas (Department of Plastic, Hand and Reconstructive Surgery, University Medical Centre Regensburg)
  • Received : 2020.05.31
  • Accepted : 2020.07.10
  • Published : 2021.05.15
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Abstract

Facial palsy (FP) is a functional disorder of the facial nerve involving paralysis of the mimic muscles. According to the principle "time is muscle," early surgical treatment is tremendously important for preserving the mimic musculature if there are no signs of nerve function recovery. In a 49-year-old female patient, even 19 months after onset of FP, successful neurotization was still possible by a V-to-VII nerve transfer and cross-face nerve grafting. Our patient suffered from complete FP after vestibular schwannoma surgery. With continuous application of electrostimulation (ES) therapy, the patient was able to bridge the period between the first onset of FP and neurotization surgery. The significance of ES for mimic musculature preservation in FP patients has not yet been fully clarified. More attention should be paid to this form of therapy in order to preserve the facial musculature, and its benefits should be evaluated in further prospective clinical studies.

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References

  1. Kehrer A, Engelmann S, Ruewe M, et al. Anatomical study of the zygomatic and buccal branches of the facial nerve: application to facial reanimation procedures. Clin Anat 2019;32:480-8. https://doi.org/10.1002/ca.23332
  2. Eviston TJ, Croxson GR, Kennedy PG, et al. Bell's palsy: aetiology, clinical features and multidisciplinary care. J Neurol Neurosurg Psychiatry 2015;86:1356-61. https://doi.org/10.1136/jnnp-2014-309563
  3. Kehrer A, Mandlik V, Taeger C, et al. Postoperative control of functional muscle flaps for facial palsy reconstruction: ultrasound guided tissue monitoring using contrast enhanced ultrasound (CEUS) and ultrasound elastography. Clin Hemorheol Microcirc 2017;67:435-44. https://doi.org/10.3233/CH-179224
  4. Paternostro-Sluga T, Herceg M, Frey M. Conservative treatment and rehabilitation in peripheral facial palsy. Handchir Mikrochir Plast Chir 2010;42:109-14. https://doi.org/10.1055/s-0029-1243215
  5. Kehrer A, Engelmann S, Ruewe M, et al. Perfusion maintains functional potential in denervated mimic muscles in early persistent facial paralysis which requires early microsurgical treatment: the histoanatomic basis of the extratemporal facial nerve trunk assessing axonal load in the context of possible nerve transfers. Clin Hemorheol Microcirc 2018;70:1-13. https://doi.org/10.3233/CH-189905
  6. Mosforth J, Taverner D. Physiotherapy for Bell's palsy. Br Med J 1958;2:675-7. https://doi.org/10.1136/bmj.2.5097.675
  7. Buttress S, Herren K. Towards evidence based emergency medicine: best BETs from the Manchester Royal Infirmary. Electrical stimulation and Bell's palsy. Emerg Med J 2002;19:428. https://doi.org/10.1136/emj.19.5.428
  8. Teixeira LJ, Valbuza JS, Prado GF. Physical therapy for Bell's palsy (idiopathic facial paralysis). Cochrane Database Syst Rev 2011;(12):CD006283.
  9. Manikandan N. Effect of facial neuromuscular re-education on facial symmetry in patients with Bell's palsy: a randomized controlled trial. Clin Rehabil 2007;21:338-43. https://doi.org/10.1177/0269215507070790
  10. Tuncay F, Borman P, Taser B, et al. Role of electrical stimulation added to conventional therapy in patients with idiopathic facial (Bell) palsy. Am J Phys Med Rehabil 2015;94:222-8. https://doi.org/10.1097/PHM.0000000000000171
  11. Albathi M, Oyer S, Ishii LE, et al. Early nerve grafting for facial paralysis after cerebellopontine angle tumor resection with preserved facial nerve continuity. JAMA Facial Plast Surg 2016;18:54-60. https://doi.org/10.1001/jamafacial.2015.1558
  12. Boahene K. Facial reanimation after acoustic neuroma resection: options and timing of intervention. Facial Plast Surg 2015;31:103-9. https://doi.org/10.1055/s-0035-1549043
  13. Rivas A, Boahene KD, Bravo HC, et al. A model for early prediction of facial nerve recovery after vestibular schwannoma surgery. Otol Neurotol 2011;32:826-33. https://doi.org/10.1097/MAO.0b013e31821b0afd
  14. Ozmen OA, Falcioni M, Lauda L, et al. Outcomes of facial nerve grafting in 155 cases: predictive value of history and preoperative function. Otol Neurotol 2011;32:1341-6. https://doi.org/10.1097/MAO.0b013e31822e952d