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The Facial Nerve
Published in R James A England, Eamon Shamil, Rajeev Mathew, Manohar Bance, Pavol Surda, Jemy Jose, Omar Hilmi, Adam J Donne, Scott-Brown's Essential Otorhinolaryngology, 2022
Christopher Skilbeck, Samuel MacKeith
Facial palsy has a huge negative impact on quality of life and is best managed by a multidisciplinary facial nerve clinic comprising surgeons from otolaryngology and plastic surgery and highly specialised facial therapists. Additional support from an oculoplastic surgeon, expert radiologist, clinical photography and psychological services is advised. The development of support networks and groups has enabled patients to benefit from the experience of others.
Watery Eyes
Published in Amy-lee Shirodkar, Gwyn Samuel Williams, Bushra Thajudeen, Practical Emergency Ophthalmology Handbook, 2019
Follow up will depend on the cause of the watery eye. If in doubt, discuss the patient with the oculoplastic team in the presence of a healthy cornea. If you suspect a nasolacrimal duct obstruction, refer to a lacrimal clinic for syringing and probing. Patients with resolving dacryocystitis need to be followed up in outpatient oculoplastic clinics for consideration of dacryocystorhinostomy (DCR). Eyelid malposition, causing corneal exposure or trauma require urgent oculoplastic review for surgical correction.
The Facial Nerve and its Non-Neoplastic Disorders
Published in John C Watkinson, Raymond W Clarke, Christopher P Aldren, Doris-Eva Bamiou, Raymond W Clarke, Richard M Irving, Haytham Kubba, Shakeel R Saeed, Paediatrics, The Ear, Skull Base, 2018
Christopher Skilbeck, Susan Standring, Michael Gleeson
In patients whose facial palsy has not resolved or when recovery is incomplete, the assessment of the degree of impairment and the impact on their physical and psychological well-being is best managed in the setting of a Multidisciplinary Facial Nerve Clinic.159,160 Although various models exist, most Facial Nerve MDT clinics comprise surgeons from otolaryngology and plastic surgery and highly specialized facial therapists (physiotherapy or speech and language therapy). Additional support from an oculoplastic surgeon, expert radiologist, clinical photography and psychological services is advised.161 Patients seen in specialized clinics should expect not only a comprehensive assessment of their facial function and directed management to ameliorate the negative physical aspects of a paralyzed face, but also an attempt at securing the diagnosis. It is not uncommon for the diagnosis to change once a patient has been seen and assessed under the auspices of the MDT clinic.
The Readability and Accountability of Online Patient Education Materials Related to Common Oculoplastics Diagnoses and Treatments
Published in Seminars in Ophthalmology, 2023
Samuel A. Cohen, Jonathan D. Tijerina, Andrea Kossler
We conducted an internet search query using Google (Google, Inc., Mountain View, CA) for 10 search terms related to oculoplastics diagnoses and 10 search terms related to oculoplastics treatments. We performed the Google search on an Incognito browser with location filters, advertisements, and sponsored results disabled to avoid bias from previous searches and targeted search results based on geography. We identified search terms by entering the names of procedures and treatments listed on the American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS) website into the “related queries” feature of the Google Trends tool to discern the most popular search terms associated with common oculoplastics diagnoses and treatments.12,13 The 10 search terms associated with common oculoplastics diagnoses were the following: “thyroid eye disease”, “orbital cellulitis”, “orbital tumor”, “proptosis”, “ptosis”, “entropion”, “eyelid spasm”, “chalazion”, “epiphora”, and “nasolacrimal duct obstruction”. The 10 search terms associated with common oculoplastics treatments were the following: “teprotumumab”, “blepharoplasty”, “browplasty”, “eyelid reconstruction”, “dacryocystorhinostomy”, “botulinum toxin”, “facial filler”, “rhytidectomy”, “rhinoplasty”, and “droopy eyelid surgery”.
Living a dream: Establishment of an Institute of Dacryology
Published in Orbit, 2022
Modern medicine has witnessed the evolution and establishment of numerous subspecialties, and Dacryology is a recent addition to the list.1–3 Dacryology is the science of tears and their drainage through the lacrimal system into the nasal cavity. This branch is mostly practiced by Ophthalmologists (mainly the oculoplastic surgeons) and Otorhinolaryngologists. To advance the science, a society, “International society of Dacryology’, initially referred to as “Internationalis Societas Dacryologiae” was formed in 1982 at Lubbock in the United States during the international tear film symposium. Subsequently, the society conducts triennial conferences featuring advances in lacrimal sciences. With the rapid pace of developments in Oculoplastic surgery pertaining to imaging, surgical techniques, education, and research, lacrimal sciences got a parallel boost. They are increasingly becoming a subject of interest to numerous Oculoplastic surgeons worldwide.
Objective assessment of eyelid position and tear meniscus in facial nerve palsy
Published in Orbit, 2022
Alicia Galindo-Ferreiro, Victoria Marqués-Fernández, Hortensia Sanchez-Tocino, Silvana A. Schellini
Consecutive patients who presented to the Oculoplastic service with recent unilateral peripheral idiopathic FNP (less than 10 days since diagnosis) and epiphora, with a patent lacrimal drainage system, confirmed through lacrimal drainage system syringing with saline were included. Diagnosis, capture, and analysis of the study variables, determination of treatment methods, and follow-up monitoring were conducted by two oculoplastic surgeons (AGF, VMF). Data were collected on the position of the upper and lower eyelids and the height, depth, and area of the tear meniscus and were evaluated using objective methods, in the 1st, 30th, and 90th day after the initial diagnosis. For each patient, the affected eye was compared with the fellow healthy eye (Figure 1). All FNP patients were treated with oral steroids.