The group also supports recovering patients with speech therapists, neurologists for facial motor testing and a facial retraining expert: a dedicated physical therapist who works with people affected by facial paralysis. We are always innovating to solve our patients’ problems. We combined the expertise of physical therapists and behavioral psychologists to get the best results. In addition to surgeons, we also have a comprehensive research program that studies outcomes in facial paralysis. We’re one of the busiest centers in the world, and have pioneered or refined some of the current techniques used in treating facial palsy.”īoahene adds that his patients get a lot more than highly skilled facial plastic surgery. “The Facial Nerve Center at Johns Hopkins is a terrific place for patients with facial paralysis,” Boahene says, “because we have so much experience and expertise. A delay in recovery is often accompanied by some form of abnormal facial function.īut if facial paralysis from Bell’s palsy doesn’t get better, there are effective treatment options. Within three months, most people have recovered full motion and function of their face. You’re likely to notice gradual improvement after about two weeks. In the majority of cases, facial paralysis from Bell’s palsy is temporary. An urgent evaluation by doctors will distinguish between a true Bell’s palsy and facial palsy from a stroke. The facial weakness that accompanies Bell’s palsy can be similar to that seen in a stroke patient. You may also notice a loss of the sense of taste, dizziness, ringing in your ear (tinnitus) or other symptoms that point to a problem with the facial nerve. One of your eyelids may sag, or you may have trouble closing that eye. Over the next 48 hours or so, one half of your face may start to droop. You might notice a headache and pain, or twitching or weakness in one side of your face. It may appear after a cold sore or other viral illness such as the flu or a cold. You will be required to return 1 week, and 1 month following your surgery for a follow up.Bell’s palsy is a rare condition that affects the facial nerve and muscles. Your sutures (if applicable) will be removed approximately 7 days following surgery. To reduce bruising and swelling, a CO2 laser may be used in most cases. This procedure is usually done under local anesthesia with IV sedation and typically only lasts about an hour. The muscle tendon is advanced or tightened to raise the lid to a more appropriate level, thus restoring a brighter and more rested appearance. Your ProcedureĪ ptosis repair is surgical and involves elevating the drooping eyelid. Symptoms of ptosis include a decreased ability to keep your eyelid open, eye strain, and eyebrow fatigue from the increase effort needed to raise your eyelids. In advanced cases, vision may become impaired, and performing simple routine tasks such as reading, watching television, and driving may become difficult. Drooping eyelids create a tired and worn appearance. However, many other things can cause ptosis, such as eye injury, previous surgery, and certain muscular and neurologic disorders. Ptosis typically develops as a result of aging, when the muscle (or muscle tendon) that raises the upper eyelid stretches and loses elasticity.
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