Speech Deformities in Acquired Complete Unilateral Facial Paralysis

64 Pages·2014·2.34 MB·English

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.
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Case Studies and details of surgical and speech
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management
Information sharing and questions from participants
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Conclusion and Wrap-Up
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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)
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Incomplete or partial unilateral (facial nerve trunk)
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Congenital (unilateral or bilateral)
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Trauma (central and/or peripheral)
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Stroke (central)
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Facial paralysis - signs
Inability to lift brow
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Incomplete eyelid closure
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Asymmetry of smile
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Taste abnormalities
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Dysacousis
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Level of involvement
Unilateral complete paralysis

Acoustic neuroma
Incidence 1.1 per 100,000
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Mean age 53.1
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Facial nerve compressed by
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VIII nerve benign tumor
Surgery or radiotherapy
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Unilateral incomplete paralysis

Bell’s Palsy
Incidence 20 per 100,000
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Increases with age
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Inflammation facial nerve
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Mononeuropathy - one side
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Contributing factors
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Rapid onset
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9% have sequellae
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