Facial Palsy Clinical Trial
Official title:
Ancillary Procedures in Patients of Refractory Facial Palsy Patients Selection and Evaluation of the Outcomes
Introduction:
There are numerous causes of facial palsy (FP), though hemifacial weakness is often generally
termed Bell's palsy, named after the Scottish neurologist Charles Bell, who described sudden
onset unilateral facial paralysis in 1821.
Virally triggered, acute FP, to which the term Bell's palsy (BP) refers, is one of the most
common, and fortunately the most likely condition to result in eventual return to premorbid
status; 70% to 90% of patients recover spontaneously. Other causes of FP routinely result in
poorer recovery, and the clinician must discern among these to formulate a treatment plan.
In facial palsy, paralysis of muscles on the affected side of the face results in loss of
forehead creases, loss of the nasolabial fold, lagophthalmos, brow droop, and drooping of the
corner of the mouth. In contrast, muscles on the unaffected side of the face no longer have
opposing forces.
This may cause difficulty in articulation, eating, drinking, and is often cosmetically
unacceptable to patients because of asymmetry, especially when speaking, smiling, and
laughing. There are significant psychological effects as patients lack the confidence to
carry out many daily activities in public, such as appearing in photographs.
Although management is difficult, there are a range of reanimation options available. These
include nerve grafts, muscle transfers, myofunctional approaches, and microsurgical patches
usually for the more severe facial palsies (House-Brackmann grades 4 to 6). However, despite
these procedures, facial symmetry may not improve.
Status | Recruiting |
Enrollment | 20 |
Est. completion date | March 28, 2020 |
Est. primary completion date | January 28, 2020 |
Accepts healthy volunteers | No |
Gender | All |
Age group | N/A and older |
Eligibility |
Inclusion Criteria: - Patients with refractory Facial Palsy who did not respond well to other concerned interferences and those who presented the maximum benefit possible of a performed procedure. Exclusion Criteria: - |
Country | Name | City | State |
---|---|---|---|
Egypt | Assuit university | Assiut | Assuit |
Lead Sponsor | Collaborator |
---|---|
Assiut University |
Egypt,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Ancillary Procedures in Patients of Refractory Facial Palsy Patients Selection and Evaluation of the Outcomes | measurement the change in vertical length of the palpebral fissure of the affected eye before and after the operation | 2 years |
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