{"id":303,"date":"2017-06-30T09:20:05","date_gmt":"2017-06-30T08:20:05","guid":{"rendered":"https:\/\/charlesnduka.co.uk\/plastic-surgery\/?page_id=303"},"modified":"2017-06-30T09:58:44","modified_gmt":"2017-06-30T08:58:44","slug":"bells-facial-nerve-palsy-pregnancy-clinical-review-2","status":"publish","type":"page","link":"https:\/\/charlesnduka.co.uk\/plastic-surgery\/research\/bells-facial-nerve-palsy-pregnancy-clinical-review-2\/","title":{"rendered":"Periorbital Autologous Fat Grafting in Facial Nerve Palsy"},"content":{"rendered":"
Siah WF, Litwin AS, Nduka C, Malhotra R.\u00a0Ophthal Plast Reconstr Surg. 2017 May\/Jun;33(3):202-208. doi: 10.1097\/IOP.0000000000000710.\r\n\r\n<\/span><\/em><\/pre>\n
Abstract<\/h3>\n
\n
PURPOSE:<\/h4>\n
To report outcomes and complications of\u00a0periorbital<\/span>\u00a0autologous<\/span>\u00a0fat<\/span>\u00a0grafting<\/span>\u00a0(AFG) in improving volume loss-related symmetry and function in\u00a0facial<\/span>\u00a0nerve<\/span>\u00a0palsy<\/span>\u00a0patients and to assess patient satisfaction.<\/p>\n
METHODS:<\/h4>\n
A retrospective, noncomparative review of all\u00a0facial<\/span>\u00a0nerve<\/span>\u00a0palsy<\/span>\u00a0patients who underwent\u00a0periorbital<\/span>\u00a0AFG at single center over a 4-year period. Two independent graders objectively assessed standard photographs for any change in volume loss and symmetry: pre- and postoperative periods (early, 0-2 months; intermediate, 3-9 months; and late, >10 months). Any adverse outcomes were recorded. Patient satisfaction was assessed by questionnaire survey.<\/p>\n
RESULTS:<\/h4>\n
A total of 18\u00a0facial<\/span>\u00a0nerve<\/span>\u00a0palsy<\/span>\u00a0patients (13 females) underwent\u00a0periorbital<\/span>\u00a0AFG between February 2011 and 2015. Mean age was 51.9 \u00b1 15.3 years (range, 26-76). Mean follow up was 6.8 \u00b1 4.6 (range, 0.5-15) months. Photographs of 14 patients were eligible for evaluation. Tear trough visibility (p < 0.01), infraorbital rim visibility (p = 0.03), and lower eyelid-cheek junction symmetry (p < 0.01) improved in the early postoperative period with persistence of improvement in the latter parameter at intermediate postoperative period (p < 0.01). Lagophthalmos significantly improved (p = 0.03) in the early postoperative period. Two patients developed cheek cellulitis and 4 had persistent malar edema (3 had existing edema). Questionnaire survey showed a reduction in daytime ocular lubricants and an improvement in nocturnal-lagophthalmos symptoms.<\/p>\n
CONCLUSION:<\/h4>\n
Periorbital<\/span>\u00a0AFG is a useful adjunct in improving symmetry and lagophthalmos in\u00a0facial<\/span>\u00a0nerve<\/span>\u00a0palsy<\/span>\u00a0patients where volume loss is a contributory factor but effects were not long lasting. Patient satisfaction is high. Those with preexisting malar bags are at higher risk of developing persistent malar edema following\u00a0periorbital<\/span>\u00a0AFG.<\/p>\n<\/div>\n
\u00a0<\/span><\/em><\/pre>\n
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Siah WF, Litwin AS, Nduka C, Malhotra R.\u00a0Ophthal Plast Reconstr Surg. 2017 May\/Jun;33(3):202-208. doi: 10.1097\/IOP.0000000000000710. Abstract PURPOSE: To report outcomes and complications of\u00a0periorbital\u00a0autologous\u00a0fat\u00a0grafting\u00a0(AFG) in improving volume loss-related symmetry and function in\u00a0facial\u00a0nerve\u00a0palsy\u00a0patients and to assess patient satisfaction. METHODS: A retrospective, noncomparative review of all\u00a0facial\u00a0nerve\u00a0palsy\u00a0patients who underwent\u00a0periorbital\u00a0AFG at single center over a 4-year period. Two independent graders […]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":38,"menu_order":0,"comment_status":"open","ping_status":"open","template":"","meta":{"footnotes":""},"class_list":["post-303","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"\nPeriorbital Autologous Fat Grafting in Facial Nerve Palsy | Charles Nduka - Plastic Surgery<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/charlesnduka.co.uk\/plastic-surgery\/research\/bells-facial-nerve-palsy-pregnancy-clinical-review-2\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Periorbital Autologous Fat Grafting in Facial Nerve Palsy | Charles Nduka - Plastic Surgery\" \/>\n<meta property=\"og:description\" content=\"Siah WF, Litwin AS, Nduka C, Malhotra R.\u00a0Ophthal Plast Reconstr Surg. 2017 May\/Jun;33(3):202-208. doi: 10.1097\/IOP.0000000000000710. Abstract PURPOSE: To report outcomes and complications of\u00a0periorbital\u00a0autologous\u00a0fat\u00a0grafting\u00a0(AFG) in improving volume loss-related symmetry and function in\u00a0facial\u00a0nerve\u00a0palsy\u00a0patients and to assess patient satisfaction. METHODS: A retrospective, noncomparative review of all\u00a0facial\u00a0nerve\u00a0palsy\u00a0patients who underwent\u00a0periorbital\u00a0AFG at single center over a 4-year period. 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