Impact of early eyelid weight placement on the development of synkinesis and recovery in patients with idiopathic facial paralysis

• DOI: 10.1016/j.wjorl.2020.05.005
• Publication Date: 2020-06-12T12:00:36Z
• Authors: Keon M. Parsa; Caroline Rieger; Dara Khatib; Jennifer R. White; Jodi Barth; Chad C. Zatezalo; Michael J. Reilly
• Keywords: Lagophthalmos; Synkinesis; Facial paralysis

Determine the impact of upper eyelid weight placement at 3 months post onset idiopathic facial paralysis (IFP) on recovery function in patients with lagophthalmos.This is a retrospective review incomplete IFP-defined as Sunnybrook Facial Grading Scale (FGS) score less than 100, after onset. Only FGS and Clinimetric Evaluation (FaCE) scores recorded 12 were included. Patients categorized into groups: Group A, lagophthalmos placement; B, without C, complete eye closure (CEC) placement. The comfort domain composite FaCE questionnaire analyzed. Voluntary closure, synkinesis overall also Paired two-tailed t-test was used to evaluate data comparing month within between groups.The change significantly increased from A compared B (37 vs 4.25, P = 0.01). While had lower (-12.5, 0.01), voluntary (-1.75, 0.05) (-28.75, 0.04) those there no differences these two groups follow-up.For months, early may lead improved months.