Importance of facial expression in facial nerve rehabilitation

Current Opinion in Otolaryngology and Head and Neck Surgery

Volumn 12, Issue 4, 2004, Pages 332-335

  Byrne, Patrick J ^a  

^a JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

Facial expression; Facial paralysis; Reanimation

Indexed keywords

ADULT; CASE REPORT; ELECTROMYOGRAPHY; EMOTION; EXERCISE; FACIAL EXPRESSION; FACIAL NERVE; FACIAL NERVE INJURY; FACIAL NERVE PARALYSIS; FEEDBACK SYSTEM; FEMALE; HUMAN; NEUROFIBROMATOSIS; PHYSIOTHERAPY; PRIORITY JOURNAL; REVIEW;

ADULT; FACIAL EXPRESSION; FACIAL NERVE DISEASES; FACIAL NERVE INJURIES; FACIAL PARALYSIS; FEMALE; HUMANS; NEUROFIBROMATOSIS 2; TREATMENT OUTCOME;

EID: 3242770558     PISSN: 10689508     EISSN: None     Source Type: Journal    
DOI: 10.1097/01.moo.0000134829.61048.64     Document Type: Review

References (16)

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8. Knappmeyer B, Thornton I, Bulthoff H: The use of facial motion and facial form during the processing of identity. Vision Res 2003, 43:1921-1936. In this paper, a series of experiments involving the observation of computer-generated morphed faces revealed that facial motion biased the observers' facial identity decisions. Their findings suggest implications for the cognitive and neural models of face perception. They suggest that there is an integration of the processing systems of the invariant aspects (facial form) and changeable aspects (facial motion).
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13. Wild B, Erb M, et al.: Why are smiles contagious? An fMRI study of the interaction between perception of facial affect and facial movements. Psych Res Neuroimaging 2003, 123:17-36. Emotionally expressive faces were presented to study participants with instructions to react with predetermined facial movements. fMRI was used to examine the subjects as they did so. Movement latencies were shortened when the participants produced congruent movements (zygomaticus contraction with the presentation of a smiling face, for example). The areas of brain activation were noted.
14. Beurskens C, Heymans P: Positive effects of mime therapy on sequelae of facial paralysis: stiffness, lip mobility, and social and physical aspects of facial disability. Otol Neurotol 2003, 24:677-681. Patients with unilateral facial paralysis of at least 9 months' duration were randomized into control and treatment groups. The treatment group received the training program. Outcomes measured included subjective self-assessments, and measurements by the physiotherapist of lip movement with a caliper. The treatment group had statistically significant improvement in comparison to the control group in all areas. The obvious flaws of the study were the lack of blindedness (the physiotherapist who themselves administered all the training were the ones who did the lip mobility measurements), and the possible placebo effect.
15. Cronin G, Steenerson R: The effectiveness of neuromuscular facial retraining combined with electromyography in facial paralysis rehabilitation. Otol Head Neck Surg 2003, 128:534-538. The authors studied 24 patients with facial paralysis in their practice who underwent facial retraining with electromyography feedback. Facial movement percentages were calculated by an adapted May grading scale. The physician and therapist involved in the treatment also performed the evaluations of outcome.
16. Gilhuis H, Beurskens C, et al.: Contralateral reinnervation of midline muscles in nonidiopathic facial palsy. J Clin Neurophys 2003, 20:151-154. Eight patients with facial paralysis as a result of surgery or trauma were evaluated with sequential electromyography recordings in a prospective fashion for 2 years after the injury, Each was found to have evidence of reinnervation of midline muscles (orbicularis oris, nasalis). No control subjects demonstrated contralateral innervation.