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Article

Multidisciplinary Care of Patients with Facial Palsy: Treatment of 1220 Patients in a German Facial Nerve Center

by
Jonathan Steinhäuser
1,
Gerd Fabian Volk
1,2,3,
Jovanna Thielker
1,2,
Maren Geitner
1,2,
Anna-Maria Kuttenreich
1,2,
Carsten M. Klingner
2,3,4,
Christian Dobel
1,2 and
Orlando Guntinas-Lichius
1,2,3,*
1
Department of Otorhinolaryngology, Jena University Hospital, 07747 Jena, Germany
2
Facial Nerve Center Jena, Jena University Hospital, 07747 Jena, Germany
3
Center for Rare Diseases, Jena University Hospital, 07747 Jena, Germany
4
Department of Neurology, Jena University Hospital, 07747 Jena, Germany
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2022, 11(2), 427; https://doi.org/10.3390/jcm11020427
Submission received: 29 November 2021 / Revised: 18 December 2021 / Accepted: 12 January 2022 / Published: 14 January 2022
(This article belongs to the Special Issue Diagnosis and Management of Peripheral Nerve Injuries)
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Abstract

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 (p < 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 (p < 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 (p < 0.001) and facial-specific quality of life (FDI, FaCE; p < 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.
Keywords: multidisciplinary care; Bell’s palsy; chronic facial palsy; facial paralysis; facial nerve surgery; botulinum toxin; physiotherapy multidisciplinary care; Bell’s palsy; chronic facial palsy; facial paralysis; facial nerve surgery; botulinum toxin; physiotherapy

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MDPI and ACS Style

Steinhäuser, J.; Volk, G.F.; Thielker, J.; Geitner, M.; Kuttenreich, A.-M.; Klingner, C.M.; Dobel, C.; Guntinas-Lichius, O. Multidisciplinary Care of Patients with Facial Palsy: Treatment of 1220 Patients in a German Facial Nerve Center. J. Clin. Med. 2022, 11, 427. https://doi.org/10.3390/jcm11020427

AMA Style

Steinhäuser J, Volk GF, Thielker J, Geitner M, Kuttenreich A-M, Klingner CM, Dobel C, Guntinas-Lichius O. Multidisciplinary Care of Patients with Facial Palsy: Treatment of 1220 Patients in a German Facial Nerve Center. Journal of Clinical Medicine. 2022; 11(2):427. https://doi.org/10.3390/jcm11020427

Chicago/Turabian Style

Steinhäuser, Jonathan, Gerd Fabian Volk, Jovanna Thielker, Maren Geitner, Anna-Maria Kuttenreich, Carsten M. Klingner, Christian Dobel, and Orlando Guntinas-Lichius. 2022. "Multidisciplinary Care of Patients with Facial Palsy: Treatment of 1220 Patients in a German Facial Nerve Center" Journal of Clinical Medicine 11, no. 2: 427. https://doi.org/10.3390/jcm11020427

APA Style

Steinhäuser, J., Volk, G. F., Thielker, J., Geitner, M., Kuttenreich, A.-M., Klingner, C. M., Dobel, C., & Guntinas-Lichius, O. (2022). Multidisciplinary Care of Patients with Facial Palsy: Treatment of 1220 Patients in a German Facial Nerve Center. Journal of Clinical Medicine, 11(2), 427. https://doi.org/10.3390/jcm11020427

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