Spotlight on the facial function clinic 

13/03/2018 00:00 

The Royal National Throat Nose and Ear Hospital runs a monthly multidisciplinary facial function clinic. All causes and severities of facial palsy are reviewed, from poorly resolving Bell’s palsy to a severe loss requiring surgical intervention. The expertise is available to investigate all causes of facial nerve dysfunction, arising from the brainstem to its end branches. There is a multidisciplinary approach with a quick and accessible referral service.

Two ENT consultants run the clinic and each patient will be seen by both of them. Professor Shakeel Saeed is an otology/skull base surgeon and Mr Peter Andrews is a rhinology/facial plastic reconstructive surgeon. The clinic is supported by specialist physiotherapists to help a patient through rehabilitation after facial reanimation surgery. An additional facial function clinic is run by Mr Sherif Khalil and Mr Prem Randhawa. 

The clinic works closely with other surgical disciplines and therapists so that all treatments are tailored to the patient’s needs and wishes. Comprehensive information about the patient’s condition and other personal details are recorded and entered into a database. Outcomes are evaluated by clinical examination, patient-based quality of life questionnaires, as well as objective outcomes.

Patients are treated and managed in accordance with their needs and wishes. There may be staged surgical procedures, physiotherapy and botulinum toxin injection when appropriate.

Surgical procedures include eradication of the cause, including aetiological treatment of the facial nerve itself (decompression, end to end anastomosis, interposition nerve graft or anastomosis to another motor nerve depending on the initial lesion), and functional reanimation procedures. These can be static or dynamic and may involve the mid/low part of the face and/or the upper part of the face depending on the patient’s wishes.

To refer to this clinic please write directly to Professor S R Saeed, Facial Function Clinic, Royal National Throat, Nose and Ear Hospital, 330 Grays Inn Road, London WC1X 8DA.

Contact: Patricia Ismain, Secretary to Professor Saeed. p.ismain@nhs.net, 020 3456 5319.

 

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