Unravelling Facial Paralysis after Acoustic Neuroma Removal Surgery

Facial paralysis can be a common concern for patients undergoing acoustic neuroma surgery. In this article, we'll explore what an acoustic neuroma is, how surgery to remove it can result in facial paralysis and how physiotherapy specialised in facial paralysis can enhance the recovery of facial mobility.

What is an acoustic neuroma?
Acoustic neuroma, also known as vestibular schwannoma, is a tumour that forms on the vestibular nerve. It originates in the Schwann cells, which line the nerves, and is normally slow-growing. When a compressive lesion occurs due to the growth of the neurinoma, auditory symptoms can arise, such as tinnitus, due to interference in the normal transmission of auditory stimuli, imbalances that can compromise walking and severe and persistent headaches. Diagnosis may involve hearing tests, MRI scans and other specialised tests ordered by your doctor. The decision to remove an acoustic neuroma is usually based on the progression of symptoms and the preservation of hearing. Surgical intervention aims to remove the tumour while trying to preserve hearing and facial functions as much as possible, trying to preserve the maximum integrity of the nerve during the procedure. In addition to surgery, there are approaches such as Gamma Knife stereotactic radiosurgery, which uses focused radiation to treat the tumour without the need for incisions. Ask your ENT doctor or neurosurgeon about the best treatment option for you.

Facial paralysis as a sequel to surgery
If the facial nerve is damaged during surgery, whether by cutting, stretching or even the oedema itself, this can result in facial paralysis on the affected side. The severity of facial paralysis can vary from patient to patient. In some cases, facial nerve function can be restored over time with physiotherapy, while in other cases facial reanimation surgery may be necessary. The approach and outcome depend on several factors, including the size and location of the neurinoma, surgical techniques and the patient's individual response to surgery and rehabilitation.

When recovering from facial paralysis, self-care is fundamental to help minimise symptoms and promote general well-being. Including habits such as a facial massage guided by your physiotherapist, protecting and caring for your eyes, eating a healthy diet, practising regular physical activity, getting enough quality sleep, spending time with friends and family, learning to manage stress and taking care of your mind are fundamental to your recovery. Self-care will promote an improvement in body and mind and combine these pillars with physiotherapy.

A specialised physiotherapy plays a fundamental role in the recovery of facial paralysis after the removal of an acoustic neuroma. Starting physiotherapy as soon as possible after surgery is key to maximising results and knowing what you should and shouldn't do. Performing exercises without the supervision or recommendation of a physiotherapist specialising in facial paralysis may not be the best thing to do. Contrary to what you may have read or been recommended, you shouldn't chew gum, blow up balloons or make faces to train your facial muscles. This type of exercise is of no benefit and can lead to incorrect reinnervation of the facial nerve and excessive recruitment of the facial muscles, leading to abnormal movement patterns, which in turn can lead to mass movements, areas of increased tension in the face and synkinesis (involuntary muscle movement that happens when we make a voluntary movement, for example closing the eye and raising the corner of the mouth simultaneously).
O our treatment method helps your face reach its full potential, allowing for greater harmony and symmetry of movement, even if you've had facial paralysis for several years. This treatment method improves sequelae such as facial muscle contractures and synkinesis. So don't wait to get started. Our physiotherapists use techniques that will enhance the mobility of your face and will teach you the best self-care strategies for you throughout the recovery period.

Coping with Facial Palsy after acoustic neuroma surgery can be challenging, but understanding the factors involved and following the advice of an expert can help. physiotherapist specialising in facial paralysis is essential for a successful recovery. If you want physiotherapy treatment with personalised, differentiated care based on the latest scientific evidence, book your assessment session with a physiotherapist specialising in facial paralysis at Integrativa.