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Published on: March 1, 2015
Paediatric facial paralysis: An overview and insights into management
Mohammad Malik1, Jonathan J Cubitt1
1The Welsh Centre of Burns and Plastic Surgery, Morriston Hospital, Swansea, United Kingdom.
Insights
Paediatric facial paralysis, affecting children
Area of Science:
- Pediatric Neurology
- Otolaryngology
- Facial Surgery
Background:
- Facial paralysis involves the inability to control facial expression muscles.
- Incidence rates vary by age: 2.7/100,000 for under 10s and 10.1/100,000 for over 10s annually.
- Causes are diverse, influencing prognosis and treatment.
Purpose of the Study:
- To offer a comprehensive overview of pediatric facial paralysis.
- To cover etiology, epidemiology, diagnostic approaches, and treatment strategies.
Main Methods:
- Literature review and synthesis of existing research on pediatric facial paralysis.
- Analysis of epidemiological data, diagnostic workups, and therapeutic interventions.
Main Results:
- Corticosteroids and facial therapy are primary treatments.
- Surgical intervention is considered for persistent cases to enhance symmetry, protect eyesight, and restore movement.
Conclusions:
- Effective management of pediatric facial paralysis requires understanding its varied causes.
- Treatment plans, including medical and surgical options, should be individualized to optimize outcomes.
Abstract:
The aim of this article is to provide an overview on paediatric facial paralysis, looking into aetiology, epidemiology, assessment and investigation and subsequent treatment options available. Facial paralysis describes the inability to activate the muscles of fascial expression. Overall, it affects 2.7 per 100 000 children under 10 years old and 10.1 per 100 000 children over 10 years old each year. There are many causes of facial paralysis and the outcomes and necessary treatments vary depending on the cause. The mainstays of medical management are corticosteroids and facial therapy; however, when the facial palsy persists, facial deformity surgery is an option to improve the facial symmetry, protect vision and recreate dynamic movement.
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