Do we want grading systems for everything?

We are now at a point where technology can offer immense opportunities to rapidly analyse data in real time and provide and objective output. However, the objective output is still subjectively interpreted by the clinician and the patient. The proliferation of...

Progressive bilateral peripheral facial palsy

Progressive bilateral peripheral facial palsy L.P.H. van de Rijt1 and K.J.A.O. Ingels1 Department of otorhinolaryngology and Head and Neck Surgery, Radboudumc, Nijmegen, the Netherlands A 60-year old woman was referred to our center for a progressive right-sided...

Timing of pediatric reanimation?

Timing of pediatric reanimation? When is the best age to consider facial reanimation in non-progressive congenital facial palsy? Many centers will perform facial reanimation by free muscle transfer in children at an early age (eg. 4 years). Is this the ideal age? The...

Electro-stimulation versus facial therapy?

Electro-stimulation versus facial therapy alone for management of facial palsy.A recent update to the Cochrane review{Teixeira:2011hm} concluded: “there is insufficient evidence to decide whether electrical stimulation works, to identify risks of these treatments or...

CFNG versus nerve transfer?

Cross face nerve graft versus ipsilateral cranial nerve transfer to power free muscle transfer: what do you think? Traditional donor nerves have included the contralateral facial nerve (CFNG), hypoglossal nerve, spinal accessory nerve and motor nerve to masseter. When...