JPRAS open · 2025
Clinical features, evaluation, and management of speech and swallow complications of facial paralysis: A scoping review.
СтатьяОбзорНазвание и аннотация: Перевод в очереди
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Vargo Mia, Ding Peng, Adessa Michelle E, Duggal Radhika, Dhamija Ravi, Tang Yiqing, Shang Trisha, Wang Katherine, Schleicher Mary, Genther Dane J, Byrne Patrick J
Аннотация
OBJECTIVE: Facial paralysis may lead to complications such as dysarthria, oral residue during deglutition, dysphagia, and sialorrhea. Literature regarding the assessment and treatment of these complications in patients with facial paralysis has historically been limited. However, there continues to be new evidence in this field that aims to fill the gaps in our current understanding of this condition and its implications for patients. The primary aim of this study was to analyze the current literature regarding the effect of facial paralysis on speech and oral competence, discuss treatment options, and assess implications for the future.
DATA SOURCES: Ovid® Medline ALL, Ovid Embase, and Cochrane Library from Wiley.
REVIEW METHODS: A scoping review of the literature was conducted to investigate the effects of facial paralysis on speech and oral competence, as well as current evaluation and treatment methods in adult populations. Studies were assessed based on set inclusion criteria relevant to the goals of the review.
CONCLUSION: Facial paralysis may lead to various speech and swallowing challenges. Numerous assessment tools and treatment options exist for facial paralysis, however, evidence regarding their effectiveness in managing oral complications is limited.
IMPLICATIONS FOR PRACTICE: There is a need for consideration as well as standardization of the effect of facial paralysis on speech, swallowing, and saliva management. It may be reasonable to consider the inclusion of a speech language pathologist on the care team allowing for the early assessment of oral complications related to communication and deglutition. Additionally, there is need for both subjective and objective evaluation methods throughout the care timeline. Utilizing a broader interdisciplinary approach to management could potentially improve both patient outcomes and experience.
DATA SOURCES: Ovid® Medline ALL, Ovid Embase, and Cochrane Library from Wiley.
REVIEW METHODS: A scoping review of the literature was conducted to investigate the effects of facial paralysis on speech and oral competence, as well as current evaluation and treatment methods in adult populations. Studies were assessed based on set inclusion criteria relevant to the goals of the review.
CONCLUSION: Facial paralysis may lead to various speech and swallowing challenges. Numerous assessment tools and treatment options exist for facial paralysis, however, evidence regarding their effectiveness in managing oral complications is limited.
IMPLICATIONS FOR PRACTICE: There is a need for consideration as well as standardization of the effect of facial paralysis on speech, swallowing, and saliva management. It may be reasonable to consider the inclusion of a speech language pathologist on the care team allowing for the early assessment of oral complications related to communication and deglutition. Additionally, there is need for both subjective and objective evaluation methods throughout the care timeline. Utilizing a broader interdisciplinary approach to management could potentially improve both patient outcomes and experience.