Combination of rehabilitation and eye soft surgery thought to reduce eye disease and the incidence of syncinesia

Aim. The aim of this paper was to evaluate the combinationbetween Kabat and neuromuscular therapywith lower eyelid lifting, in treatment of facial nerveparalysis, to optimize functional recovery and decreasethe incidence of syncinesia. Through the evaluation ofthe correct method of facial palsy treatment, by analyzingthe decrease of the incidence of syncinesia.Methods. Twenty-five patients were selected: 15 affectedby iatrogenic paralysis, 10 with Bell’s paralysis.Kabat therapy started in all patients within 3 to 7days after palsy manifestation, except one who startedtherapy later. All patients who started IV level HBwere considered in the study. We changed the rehabilitationtechnique in consideration of the facial mobilityrecovery. We used modified eyelid lifting when thesuperior eyelid started its movement.Results. In all patients, we achieved facial mobility recoverybetween I° and II°, according to the H.B scale;this was possible thanks to rehabilitative techniques and eyelid soft surgery.Conclusion. We achieved a decrease of the incidenceof syncinesia, and thus III° H.B never showed in ourstudy. The combination of Kabat and NMR therapywith lower eyelid lifting achieved excellent functional recovery and syncinesia incidence reduction