Speech Deformities in Acquired Complete Unilateral Facial Paralysis PDF
Preview Speech Deformities in Acquired Complete Unilateral Facial Paralysis
Speech abnormalties in facial paralysis: What Works & What Doesn't? F. Katzman, MA, CCC-SLP * R. Simpson, MD, MBA, FACS Millenium Speech Pathology Long Island Plastic Surgical Group Huntington, New York 2013 ASHA Convention Chicago, November 14, 2013 * * 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. A mirror of the inner emotions conveying love, hate, and subtle, fleeting gradations from joy to deep despair. Facial nerve branches Facial paralysis - types Complete unilateral (proximal nerve) • Incomplete or partial unilateral (facial nerve trunk) • Congenital (unilateral or bilateral) • Trauma (central and/or peripheral) • Stroke (central) • Facial paralysis - signs Inability to lift brow • Incomplete eyelid closure • Asymmetry of smile • Taste abnormalities • Dysacousis • Level of involvement Unilateral complete paralysis Acoustic neuroma Incidence 1.1 per 100,000 • Mean age 53.1 • Facial nerve compressed by • VIII nerve benign tumor Surgery or radiotherapy • Unilateral incomplete paralysis Bell’s Palsy Incidence 20 per 100,000 • Increases with age • Inflammation facial nerve • Mononeuropathy - one side • Contributing factors • Rapid onset • 9% have sequellae •
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