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Open Access 20-12-2023 | Cardiopulmonary Resuscitation | Review Article

Future treatment options for facial nerve palsy: a review on electrical stimulation devices for the orbicularis oculi muscle

Authors: Elena Scherrer, Karla Chaloupka

Published in: Neurological Sciences | Issue 5/2024

Abstract

Facial nerve palsy can cause diminished eyelid closure (lagophthalmos). This occurs due to functional deficits of the orbicularis oculi muscle, potentially leading to sight-threatening complications due to corneal exposure. Current management options range from frequent lubrication with eye drops, to the use of moisture chambers and surgery. However, achieving functional restoration may not always be possible. Recent efforts have been directed towards the support of orbicularis oculi muscle function through electrical stimulation. Electrical stimulation of the orbicularis oculi muscle has been demonstrated as feasible in human subjects. This article offers a comprehensive review of electrical stimulation parameters necessary to achieve full functionality and a natural-looking eye blink in human subjects. At present, readily available portable electrical stimulation devices remain unavailable. This review lays the foundation for advancing knowledge from laboratory research to clinical practice, with the ultimate objective of developing a portable electrical stimulation device. Further research is essential to enhance our understanding of electrical stimulation, establish safety standards, determine optimal current settings, and investigate potential side effects.

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Title: Future treatment options for facial nerve palsy: a review on electrical stimulation devices for the orbicularis oculi muscle
Authors: Elena Scherrer
Karla Chaloupka
Publication date: 20-12-2023
Publisher: Springer International Publishing
Keyword: Cardiopulmonary Resuscitation
Published in: Neurological Sciences / Issue 5/2024
Print ISSN: 1590-1874
Electronic ISSN: 1590-3478
DOI: https://doi.org/10.1007/s10072-023-07226-5

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