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Peter P. Kay, MD; Sam E. Kinney, MD; Howard Levine, MD; Harvey M. Tucker, MD

Arch Otolaryngol. 1983;109(10):642-647.

Abstract
• We report the experience and philosophy of the Department of Otolaryngology and Communicative Disorders at the Cleveland Clinic in rehabilitation of facial paralysis in children 12 years old and younger. The causes and evaluation of facial paralysis in children and the options available for rehabilitation are considered, and the criteria, expectations, and limitations of successful rehabilitation are outlined. Depending on the limitations imposed by the clinical situation, the aims of treatment are as follows: (1) normal resting tonus, (2) symmetry at rest, (3) symmetry in motion, (4) no synkinesis, (5) appropriate mimetic function, (6) no significant loss of adjacent function, and (7) rapid return of function. Every attempt must be made to avoid causing any significant muscular or neurologic deficit and to avoid interfering with return of function of the seventh nerve, when that possibility exists.

(Arch Otolaryngol 1983;109:642-647)

Author Affiliations
From the Department of Otolaryngology and Communicative Disorders, the Cleveland Clinic.

Footnotes
Accepted for publication April 22, 1983.

Presented at the annual meeting of the American Academy of Facial Plastic and Reconstructive Surgery, Palm Beach, Fla, May 7, 1982.

Reprint requests to Department of Otolaryngology and Communicative Disorders, the Cleveland Clinic, 9500 Euclid Ave, Cleveland, OH 44106 (Dr Tucker).

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