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facial paralysis:
What Works & What Doesn't?
*
Disclosures
F. Katzman, MA, CCL-SLP no conflict of interest
R. Simpson, MD, MBA, FACS no conflict of interest
Organization
• Analysis of facial paralysis and speech abnormalities.
• Case Studies and details of surgical and speech
management
• Information sharing and questions from participants
• Conclusion and Wrap-Up
Facial paralysis
dysfunction of structures
innervated by the facial
nerve by an abnormal nerve
conduction.
Acoustic neuroma
Bell’s Palsy
Moebius Syndrome
• Loss of saliva
• Drinking embarrassment
• Unintelligible speech
• Facial fatigue/endurance
• Must physically support lip!
Unilateral incomplete paralysis
Bell’s Palsy
Symptoms as recovery proceeds:
• Sensory
• Feeding
• Oral placement therapy
• Speech
• Syllable production
• Connected speech
• Clarity of vowels
Stroke – cerebral vascular accident
Speech symptoms
Severe ipsilateral
Z plasty correction LONG ISLAND PLASTIC
SURGICAL GROUP
Moebius: muscle transfers
LONG ISLAND PLASTIC
SURGICAL GROUP
LONG ISLAND PLASTIC
SURGICAL GROUP
Moebius Syndrome:
microsurgical muscle transfer
Unilateral congenital