{"id":5678017,"date":"2021-03-14T10:48:17","date_gmt":"2021-03-14T09:48:17","guid":{"rendered":"https:\/\/www.dr-delagranda.com\/bilan-paralysies-faciales\/"},"modified":"2024-02-22T06:17:00","modified_gmt":"2024-02-22T05:17:00","slug":"facial-paralysis-assessment","status":"publish","type":"page","link":"https:\/\/www.dr-delagranda.com\/en\/facial-paralysis-assessment\/","title":{"rendered":"Facial paralysis assessment"},"content":{"rendered":"<div class=\"wpb-content-wrapper\">[vc_row full_width=&#8221;stretch_row_content_no_spaces&#8221; css=&#8221;.vc_custom_1621545321042{padding-top: 35vh !important;padding-bottom: 25vh !important;background-image: url(https:\/\/www.dr-delagranda.com\/wp-content\/uploads\/2021\/05\/bilan-paralysies-faciales.jpg?id=5676086) !important;background-position: center !important;background-repeat: no-repeat !important;background-size: cover !important;}&#8221;][vc_column offset=&#8221;vc_col-lg-offset-1 vc_col-lg-10 vc_col-md-offset-1 vc_col-md-10 vc_col-sm-offset-0 vc_col-xs-12&#8243; css=&#8221;.vc_custom_1603286580076{padding-right: 12% !important;padding-left: 12% !important;}&#8221;]<div class=\"norebro-heading-sc heading text-shadow text-center\"\n\tid=\"norebro-custom-69e1f52b87c03\" \n\t \n\t>\n\t\n\t\n\t\n\t<h1 class=\"title\">\n\t\tFacial paralysis assessment\t<\/h1>\n\n\t\n\t\t\n<\/div>[\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row_content&#8221; css=&#8221;.vc_custom_1621585322589{padding-top: 8vh !important;padding-bottom: 8vh !important;}&#8221;][vc_column offset=&#8221;vc_col-lg-offset-2 vc_col-lg-8 vc_col-md-offset-1 vc_col-md-10 vc_col-sm-offset-0 vc_col-xs-12&#8243;]<div class=\"norebro-heading-sc heading text-center\"\n\tid=\"norebro-custom-69e1f52b87eb2\" \n\t \n\t>\n\t\n\t\n\t\n\t<h2 class=\"title\">\n\t\tWhy?\t<\/h2>\n\n\t\n\t\t\n<\/div>[vc_empty_space height=&#8221;40px&#8221;]<div class=\"norebro-text-sc justify\" \n\tid=\"norebro-custom-69e1f52b87faf\" \n\t \n\t>\n\n\t<ul>\n<li>If you have discovered an asymmetry of your face in a mirror, or if someone has pointed it out to you.<\/li>\n<li>If your smile is no longer symmetrical.<\/li>\n<li>If you have difficulty to drink without liquid dripping from the corners of your mouth.<\/li>\n<li>If you cannot close your eyelids, cannot blink in one eye, and tears are involuntarily flowing down one side.<\/li>\n<li>If your forehead creases have disappeared on one side.<\/li>\n<li>If you feel a metallic taste in your mouth.<\/li>\n<\/ul>\n\t\n<\/div>[\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row&#8221; css=&#8221;.vc_custom_1621545586595{background: #ffffff url(https:\/\/www.dr-delagranda.com\/wp-content\/uploads\/2021\/05\/indications-bilan-paralysies-faciales.jpg?id=5676087) !important;background-position: center !important;background-repeat: no-repeat !important;background-size: cover !important;}&#8221; el_id=&#8221;publics&#8221;][vc_column][vc_empty_space height=&#8221;120px&#8221;][vc_row_inner][vc_column_inner width=&#8221;7\/12&#8243; css=&#8221;.vc_custom_1607095018746{padding-right: 10% !important;padding-left: 10% !important;background-color: rgba(255,255,255,0.95) !important;*background-color: rgb(255,255,255) !important;}&#8221;][vc_empty_space height=&#8221;60px&#8221;]<div class=\"norebro-heading-sc heading text-left\"\n\tid=\"norebro-custom-69e1f52b88204\" \n\t \n\t>\n\t\n\t\n\t\n\t<h2 class=\"title\">\n\t\tFor whom?\t<\/h2>\n\n\t\n\t\t\n<\/div>[vc_empty_space height=&#8221;40px&#8221;]<div class=\"norebro-text-sc justify\" \n\tid=\"norebro-custom-69e1f52b88333\" \n\t \n\t>\n\n\t<p><strong>It is very important to define first wether facial paralysis is peripheral <\/strong>(related to the facial nerve) <strong>or central <\/strong>(related to the brain), as the assessment and treatment are different.<\/p>\n<p>To put it simply:<\/p>\n<p><u>CENTRAL FACIAL PARALYSIA (CFP)<\/u> = predominates on the lower part of the face and is accompanied by other neurological signs. It suggests a stroke in the first instance: referral to emergency is recommended.<\/p>\n<p><u>PERIPHERAL FACIAL PARALYSIA (PFP)<\/u> = identical on the upper and lower face, sometimes with pain, tingling ofthe face before the onset of the paralysis, a rash in the central part of the external ear or in a very particular context (skull fracture, tick bite, surgery and\/or cancer of the parotid gland, middle ear, acute otitis media, difficult delivery with forceps).<\/p>\n<p>The ENT doctor can manage peripheral facial paralysis, while the neurologist is the designated doctor for central facial paralysis,<\/p>\n<p>paralysis.<\/p>\n<p><strong>CHILDREN:<\/strong> Peripheral facial paralysis may occur in newborns who have had a difficult birth using forceps. Children can also suffer from paralysis a frigore, or acute otitis of middle ear with facial paralysis.<\/p>\n<p><strong>ADULTS:<\/strong> There are many causes, summarized in the table below from Peitersen Erik\u00a0: <a href=\"https:\/\/www.dr-delagranda.com\/wp-content\/uploads\/2024\/02\/CAUSES-FOR-FACIAL-PARALYSIS.pdf\" target=\"_blank\" rel=\"noopener\">\u00ab Bell\u2019s palsy \u00bb acta otolaryngol 2002<\/a>\u00a0but &#8220;a frigore paralysis&#8221;\u00a0 largely dominates the other causes, accounting for over 70% of cases and affecting 50\/100,000 people per year, with 70% complete facial involvement versus 88% for VHS-VZV. Paralysis a frigore recurs in 7-9% of cases.<\/p>\n\t\n<\/div>[vc_empty_space height=&#8221;80px&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;5\/12&#8243;][\/vc_column_inner][\/vc_row_inner][vc_empty_space height=&#8221;120px&#8221;][\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row_content&#8221; css=&#8221;.vc_custom_1621500035504{padding-top: 8vh !important;padding-bottom: 8vh !important;}&#8221;][vc_column offset=&#8221;vc_col-lg-offset-2 vc_col-lg-8 vc_col-md-offset-1 vc_col-md-10 vc_col-sm-offset-0 vc_col-xs-12&#8243;]<div class=\"norebro-heading-sc heading text-center\"\n\tid=\"norebro-custom-69e1f52b883e8\" \n\t \n\t>\n\t\n\t\n\t\n\t<h2 class=\"title\">\n\t\tWhere and how?\t<\/h2>\n\n\t\n\t\t\n<\/div>[vc_empty_space height=&#8221;40px&#8221;]<div class=\"norebro-text-sc justify\" \n\tid=\"norebro-custom-69e1f52b884ce\" \n\t \n\t>\n\n\t<p>Facial paralysis assessment is done in the consultation room and can involve several stages, sometimes requiring a neurologist to perform an electromyogram:<\/p>\n<ul>\n<li><strong>Questioning<\/strong> clarifies the context: spontaneous, infectious, walks in the forest with a tick bite, traumatic, post-surgery (ear), difficult birth, etc.<\/li>\n<li><strong>The clinical examination<\/strong> characterizes the facial paralysis, scoring it (see below), explores the cranial nerves, the parotid gland, the auditory canal and eardrum, the ear (rash in 60% of cases before PFP and in 15% after), and looks for a red trace on the leg around a tick bite that may have transformed (erythema cutanea migrans).<\/li>\n<\/ul>\n\t\n<\/div>[vc_empty_space height=&#8221;40px&#8221;]<div class=\"norebro-text-sc \" \n\tid=\"norebro-custom-69e1f52b88572\" \n\t \n\t>\n\n\t<p style=\"text-align: center;\">House and Brackmann score<\/p>\n\t\n<\/div>[vc_empty_space height=&#8221;20px&#8221;][vc_single_image image=&#8221;5678020&#8243; img_size=&#8221;full&#8221; alignment=&#8221;center&#8221;][vc_empty_space height=&#8221;40px&#8221;]<div class=\"norebro-text-sc \" \n\tid=\"norebro-custom-69e1f52b88609\" \n\t \n\t>\n\n\t<p style=\"text-align: center;\">Freyss score<\/p>\n\t\n<\/div>[vc_empty_space height=&#8221;20px&#8221;][vc_single_image image=&#8221;5678022&#8243; img_size=&#8221;full&#8221; alignment=&#8221;center&#8221;][\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row_content_no_spaces&#8221; equal_height=&#8221;yes&#8221; content_placement=&#8221;middle&#8221; css=&#8221;.vc_custom_1621501335426{padding-top: 6vh !important;padding-bottom: 6vh !important;background-color: #0f2233 !important;}&#8221; el_id=&#8221;objectifs&#8221;][vc_column width=&#8221;1\/2&#8243; offset=&#8221;vc_col-lg-offset-0 vc_col-lg-6 vc_col-md-offset-0 vc_col-md-6 vc_col-sm-offset-0 vc_col-xs-12&#8243; css=&#8221;.vc_custom_1619517220506{padding-right: 7% !important;padding-left: 7% !important;background-color: #0f2233 !important;}&#8221;]<div class=\"norebro-heading-sc heading text-left\"\n\tid=\"norebro-custom-69e1f52b88697\" \n\t \n\t>\n\t\n\t\n\t\n\t<h2 class=\"title\">\n\t\tComplementary assessment\t<\/h2>\n\n\t\n\t\t\n<\/div>[vc_empty_space height=&#8221;40px&#8221;]<div class=\"norebro-text-sc justify\" \n\tid=\"norebro-custom-69e1f52b88748\" \n\t \n\t>\n\n\t<p>In addition to the clinical assessment described above, your ENT specialist may decide to carry out the following procedures, depending on the case :<\/p>\n<ul>\n<li>An audiogram and tympanometry.<\/li>\n<li>Brain and acoustic-facial packets MRI.<\/li>\n<li>A biological blood test that varies according to the medical context: blood count, sedimentation rate, HSV, VZV, HIV, TPHA, MNI, CMV, Borrelia serologies, immunological tests.<\/li>\n<li>A smear of vesicles in the outer ear.<\/li>\n<li>An electromyogram: performed by a neurologist,\u00a0 is used to assess the degree of denervation (fibrillation potential if complete denervation, voluntary action potential if partial denervation) and give a prognosis for recovery.<\/li>\n<\/ul>\n<p>If reeducation is required after facial paralysis, please use our facial <span style=\"color: #000000;\">paralysis r\u00e9education protocol.<\/span><\/p>\n\t\n<\/div>[\/vc_column][vc_column width=&#8221;1\/2&#8243; offset=&#8221;vc_col-xs-12&#8243; css=&#8221;.vc_custom_1619517230925{padding-top: 8vh !important;padding-right: 7% !important;padding-bottom: 8vh !important;padding-left: 7% !important;background-color: #0f2233 !important;}&#8221;][vc_single_image image=&#8221;5676088&#8243; img_size=&#8221;full&#8221; alignment=&#8221;center&#8221;][\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row_content_no_spaces&#8221; css=&#8221;.vc_custom_1621501455520{background-position: center !important;background-repeat: no-repeat !important;background-size: cover !important;}&#8221; el_id=&#8221;rdv&#8221;][vc_column parallax=&#8221;content-moving&#8221; parallax_image=&#8221;5675504&#8243; css=&#8221;.vc_custom_1619535717417{padding-top: 15vh !important;padding-bottom: 15vh !important;}&#8221;][vc_row_inner][vc_column_inner css=&#8221;.vc_custom_1619469911864{padding-right: 7% !important;padding-left: 7% !important;}&#8221; offset=&#8221;vc_col-lg-offset-2 vc_col-lg-8 vc_col-md-offset-1 vc_col-md-10&#8243;]<div class=\"norebro-heading-sc heading text-center\"\n\tid=\"norebro-custom-69e1f52b887c1\" \n\t \n\t>\n\t\n\t\n\t\n\t<h2 class=\"title\">\n\t\tDo you have a question? Need more information?\t<\/h2>\n\n\t\n\t\t\n<\/div>[vc_empty_space height=&#8221;40px&#8221;]<div class=\"norebro-text-sc justify\" \n\tid=\"norebro-custom-69e1f52b88853\" \n\t \n\t>\n\n\t<p>Dr Antoine Delagranda will be happy to answer any questions you may have about facial paralysis assessment. Dr Delagranda is a specialist in ENT surgery at the Clinique Saint Charles in La Roche-sur-Yon, Vend\u00e9e.<\/p>\n\t\n<\/div>[vc_empty_space height=&#8221;60px&#8221;]<div class=\"norebro-button-sc btn-wrap text-center\" \n\tid=\"norebro-custom-69e1f52b888fe\"\n\t \n\t>\n\n\t<a href=\"#consultation\" \n\t\tclass=\"btn  btn-outline btn-large\">\n\n\t\t\n\t\t\n\t\t<span class=\"text\">\n\t\t\tMake an appointment with Dr Delagranda\t\t<\/span>\n\n\t\t\n\t\t\n\t\t\t<\/a>\n\n<\/div>[\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row_content_no_spaces&#8221; el_id=&#8221;consultation&#8221;][vc_column offset=&#8221;vc_col-lg-offset-0 vc_col-lg-12 vc_col-md-offset-0 vc_col-md-12 vc_col-sm-offset-0 vc_col-xs-12&#8243;][vc_row_inner css=&#8221;.vc_custom_1619533987520{padding-top: 8vh !important;padding-bottom: 6vh !important;}&#8221;][vc_column_inner offset=&#8221;vc_col-lg-offset-2 vc_col-lg-8 vc_col-md-offset-1 vc_col-md-10&#8243;]<div class=\"norebro-heading-sc heading text-center\"\n\tid=\"norebro-custom-69e1f52b88b18\" \n\t \n\t>\n\t\n\t\n\t\n\t<h2 class=\"title\">\n\t\tMake an appointment for a facial paralysis check-up in Vend\u00e9e\t<\/h2>\n\n\t\n\t\t\n<\/div>[vc_empty_space height=&#8221;40px&#8221;]<div class=\"norebro-text-sc justify\" \n\tid=\"norebro-custom-69e1f52b88bbf\" \n\t \n\t>\n\n\t<p style=\"text-align: center;\">Dr Antoine Delagranda will be happy to answer any questions you may have about hearing tests. Dr Delagranda is a specialist in ENT surgery at the Clinique Saint Charles in La Roche-sur-Yon, Vend\u00e9e.<\/p>\n\t\n<\/div>[\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row_content_no_spaces&#8221; gap=&#8221;30&#8243; equal_height=&#8221;yes&#8221; el_class=&#8221;upper-layer&#8221; css=&#8221;.vc_custom_1636446388832{padding-right: 10% !important;padding-bottom: 8vh !important;padding-left: 10% !important;}&#8221; el_id=&#8221;rdv&#8221;][vc_column width=&#8221;1\/3&#8243;][vc_row_inner css=&#8221;.vc_custom_1502457070774{margin-right: 0px !important;margin-left: 0px !important;background-color: #f9f9f9 !important;}&#8221;][vc_column_inner css=&#8221;.vc_custom_1607088904656{background-color: #f7f7f7 !important;}&#8221;][vc_empty_space height=&#8221;50px&#8221;]<div class=\"norebro-icon-box-sc icon-box text-`{`object Object`}`\" \n\tid=\"norebro-custom-69e1f52b88c5c\" \n\t \n\t>\n\n\t<div class=\"icon-wrap shape-fill brand-bg-color shape-rounded\">\n\t\t\t\t\t<span class=\"linea-basic-geolocalize-01\"><\/span>\n\t\t\t<\/div>\n\n\t<div class=\"content-wrap\">\n\n\t\t<div class=\"content-center with-full\">\n\t\t\t<div class=\"wrap\">\n\t\t\t\t<h3>Medical office<\/h3>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\n\t\t\t<\/div>\n\t\t\n\t\t<p class=\"description content-full\">\n\t\t\tClinique Saint Charles<br \/>\n11 boulevard Ren\u00e9 Levesque<br \/>\n85016 La Roche-sur-Yon<br \/>\nVend\u00e9e\t\t<\/p>\n\n\t\t\n\t\t\n<\/div>[vc_empty_space height=&#8221;50px&#8221;][\/vc_column_inner][\/vc_row_inner][vc_empty_space height=&#8221;10px&#8221;][\/vc_column][vc_column width=&#8221;1\/3&#8243;][vc_row_inner css=&#8221;.vc_custom_1502457070774{margin-right: 0px !important;margin-left: 0px !important;background-color: #f9f9f9 !important;}&#8221;][vc_column_inner css=&#8221;.vc_custom_1607088917620{background-color: #f7f7f7 !important;}&#8221;][vc_empty_space height=&#8221;50px&#8221;]<div class=\"norebro-icon-box-sc icon-box text-`{`object Object`}`\" \n\tid=\"norebro-custom-69e1f52b88ead\" \n\t \n\t>\n\n\t<div class=\"icon-wrap shape-fill brand-bg-color shape-rounded\">\n\t\t\t\t\t<span class=\"linea-basic-calendar\"><\/span>\n\t\t\t<\/div>\n\n\t<div class=\"content-wrap\">\n\n\t\t<div class=\"content-center with-full\">\n\t\t\t<div class=\"wrap\">\n\t\t\t\t<h3>Secretary for appointment<\/h3>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\n\t\t\t<\/div>\n\t\t\n\t\t<p class=\"description content-full\">\n\t\t\t+33(0)2 51 44 44 85<br \/>\nMonday to Friday<br \/>\n9am-12pm \/ 2pm-6pm\t\t<\/p>\n\n\t\t\n\t\t\n<\/div>[vc_empty_space height=&#8221;50px&#8221;][vc_empty_space height=&#8221;25px&#8221; el_class=&#8221;vc_hidden-sm vc_hidden-xs&#8221;][\/vc_column_inner][\/vc_row_inner][vc_empty_space height=&#8221;20px&#8221;][\/vc_column][vc_column width=&#8221;1\/3&#8243;][vc_row_inner css=&#8221;.vc_custom_1502457070774{margin-right: 0px !important;margin-left: 0px !important;background-color: #f9f9f9 !important;}&#8221;][vc_column_inner css=&#8221;.vc_custom_1607088929872{background-color: #f7f7f7 !important;}&#8221;][vc_empty_space height=&#8221;50px&#8221;]<div class=\"norebro-icon-box-sc icon-box text-`{`object Object`}`\" \n\tid=\"norebro-custom-69e1f52b88f6c\" \n\t \n\t>\n\n\t<div class=\"icon-wrap shape-fill brand-bg-color shape-rounded\">\n\t\t\t\t\t<span class=\"linea-basic-clock\"><\/span>\n\t\t\t<\/div>\n\n\t<div class=\"content-wrap\">\n\n\t\t<div class=\"content-center with-full\">\n\t\t\t<div class=\"wrap\">\n\t\t\t\t<h3>Opening hours<\/h3>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\n\t\t\t<\/div>\n\t\t\n\t\t<p class=\"description content-full\">\n\t\t\tClinic reception<br \/>\nMonday to Friday<br \/>\n8am-12.30pm \/ 1.30pm-6.30pm<br \/>\nClosed : Sat \/ Sun\t\t<\/p>\n\n\t\t\n\t\t\n<\/div>[vc_empty_space height=&#8221;50px&#8221;][\/vc_column_inner][\/vc_row_inner][vc_empty_space height=&#8221;20px&#8221;][\/vc_column][\/vc_row]\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row full_width=&#8221;stretch_row_content_no_spaces&#8221; css=&#8221;.vc_custom_1621545321042{padding-top: 35vh !important;padding-bottom: 25vh !important;background-image: url(https:\/\/www.dr-delagranda.com\/wp-content\/uploads\/2021\/05\/bilan-paralysies-faciales.jpg?id=5676086) !important;background-position: center !important;background-repeat: no-repeat !important;background-size: cover&#8230;<\/p>\n","protected":false},"author":1,"featured_media":5677778,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-5678017","page","type-page","status-publish","has-post-thumbnail","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Facial paralysis check-up in Vend\u00e9e | Facial asymmetry | Dr Delagranda<\/title>\n<meta name=\"description\" content=\"Do you suffer from facial asymmetry or are certain parts of your face frozen? 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