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Ocular protection in facial paralysis

Bhama, Prabhata; Bhrany, Amit D.b

Current Opinion in Otolaryngology & Head & Neck Surgery: August 2013 - Volume 21 - Issue 4 - p 353–357
doi: 10.1097/MOO.0b013e32836239cf
FACIAL PLASTIC SURGERY: Edited by Julian M. Rowe-Jones and Travis Tollefson

Purpose of review: Facial nerve paralysis has a profound impact on patients’ quality of life, of which one of the most important sequelae is a risk of corneal surface disease. Herein, we discuss methods to protect the eye following insult to the facial nerve.

Recent findings: Protection of the ocular surface in patients with facial nerve injury is of paramount importance to prevent corneal injury and potential blindness. Many interventions on the eye are temporary and therefore easily reversible. A systematic approach to managing the eye is required in these patients.

Summary: This article provides a review of current methods used for ocular protection in patients with facial nerve paralysis.

aDivision of Facial Plastic and Reconstructive Surgery, Department of Otology and Laryngology, Harvard Medical School/Massachusetts Eye and Ear Infirmary, Boston, Massachusetts

bDepartment of Otolaryngology – Head and Neck Surgery, University of Washington School of Medicine, Seattle, Washington, USA

Correspondence to Amit D. Bhrany, MD, Department of Otolaryngology – Head and Neck Surgery, University of Washington School of Medicine, Box 356515, Seattle, WA 98195, USA. E-mail: abhrany@uw.edu

© 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins