{"id":2940,"date":"2024-01-24T17:57:01","date_gmt":"2024-01-24T17:57:01","guid":{"rendered":"https:\/\/integrativa.pt\/?p=2940"},"modified":"2026-03-04T14:25:25","modified_gmt":"2026-03-04T14:25:25","slug":"facial-paralysis-after-acoustic-neuroma-surgery-mechanisms-functional-impact-and-specialized-physiotherapy","status":"publish","type":"post","link":"https:\/\/integrativa.pt\/en\/paralisia-facial-apos-cirurgia-de-neurinoma-do-acustico-mecanismos-impacto-funcional-e-fisioterapia-especializada\/","title":{"rendered":"Facial paralysis after acoustic neuroma surgery: mechanisms, functional impact and specialised physiotherapy"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><div class=\"vc_row wpb_row vc_row-fluid\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\">\n\t<div class=\"wpb_text_column wpb_content_element\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>Facial paralysis is a possible sequela in people undergoing surgery for acoustic neuroma removal. Understanding the mechanisms involved, the functional implications, and the role of specialised physiotherapy is fundamental for an informed and integrative approach to recovery.<\/p>\n<p>This article clarifies what acoustic neuroma is, how its surgical removal can compromise the facial nerve, and how physiotherapy specialised in facial palsy can contribute to optimising facial mobility and symmetry.<\/p>\n<h4>Acustic neuroma<\/h4>\n<p>Acoustic neuroma, also known as vestibular schwannoma, is a benign tumour that develops from the Schwann cells of the vestibular nerve, a branch of the eighth cranial nerve. In most cases, it is a slow-growing lesion.<\/p>\n<p>As it increases in volume, it can exert compression on adjacent structures, including the cochlear nerve and the facial nerve. This compression can result in:<\/p>\n<ul>\n<li>Progressive hearing loss<\/li>\n<li>Tinnitus<\/li>\n<li>Changes in balance and gait instability<\/li>\n<li>Persistent headaches<\/li>\n<li>Progressive decrease in the strength and mobility of the facial muscles<\/li>\n<\/ul>\n<p>The diagnosis usually involves audiological and imaging tests, namely magnetic resonance imaging. The therapeutic decision depends on tumour size, symptomatic progression, patient age, and the preservation of auditory and neurological function.<\/p>\n<p>The surgery aims to remove the tumour, seeking to preserve the integrity of the facial nerve and auditory structures as much as possible. In certain cases, stereotactic radiosurgery, such as the Gamma Knife technique, which uses focused radiation without the need for surgical incision, may be considered. The choice of approach should be discussed individually with the ENT consultant or neurosurgeon.<\/p>\n<h4>Facial paralysis as a possible surgical sequela<\/h4>\n<p>The facial nerve is anatomically close to the acoustic neuroma. During surgery, injury can occur through sectioning, stretching, compression or intraoperative oedema. When this happens, facial paralysis can appear on the affected side.<\/p>\n<p>The severity of the dysfunction varies widely. In some cases, progressive functional recovery is observed over time; in others, significant motor deficits may persist, depending on factors such as the size and location of the tumour, the surgical technique used, the degree of facial nerve preservation and the individual biological response.<\/p>\n<p>When nerve regeneration occurs in a disorganised way, phenomena such as synkinesias can appear, characterised by involuntary movements associated with voluntary movements, for example closing the eyes while raising the corner of the mouth.<\/p>\n<h4>Self-care in facial paralysis recovery<\/h4>\n<p>Functional recovery after facial paralysis requires a multidimensional approach. Beyond specialist intervention, self-care plays a relevant role in symptom management and promoting global well-being.<\/p>\n<p>Recommended:<\/p>\n<ul>\n<li>Physiotherapist-led facial massage<\/li>\n<li>Appropriate eye protection when there is a lack of eyelid closure<\/li>\n<li>Balanced nutrition<\/li>\n<li>Regular physical activity<\/li>\n<li>Enough quality sleep<\/li>\n<li>Management strategies <em>stress<\/em><\/li>\n<li>Social support maintenance<\/li>\n<\/ul>\n<p>The integration of these pillars contributes to a more consistent recovery, respecting the biological times of neural regeneration.<\/p>\n<h4>Specialised physiotherapy for facial paralysis<\/h4>\n<p>Specialist physiotherapy for facial palsy plays a central role in neuromuscular re-education after acoustic neuroma surgery. The intervention should be initiated early, according to clinical indication, and conducted by a professional with specific training in this area.<\/p>\n<p>Performing exercises without proper guidance may not be beneficial. Frequently suggested practices, such as chewing gum, blowing up balloons, or making repeated facial expressions, do not demonstrate consistent clinical benefit and may encourage inadequate motor patterns.<\/p>\n<p>Indiscriminate stimulation can contribute to aberrant reinnervation, increased muscle tension, mass movements and worsening of synkinesis.<\/p>\n<p>The specialised approach focuses on:<\/p>\n<ul>\n<li>Selective muscle activation retraining<\/li>\n<li>Facial symmetry promotion<\/li>\n<li>Improved tone<\/li>\n<li>Contracture reduction<\/li>\n<li>Management of synkinesias<\/li>\n<\/ul>\n<p>Even in cases with prolonged evolution, it is possible to intervene in dysfunctional motor patterns and improve the quality of facial movement, through strategies based on current scientific evidence.<\/p>\n<h4>Understanding facial paralysis from an integrative perspective<\/h4>\n<p>Coping with facial paralysis after acoustic neuroma surgery involves understanding the neurological mechanisms involved, respecting the regeneration process and adopting a structured and individualised approach.<\/p>\n<p>Assessment by a physiotherapist specialising in facial palsy allows for the outlining of strategies appropriate to the specific clinical presentation, promoting a more harmonious and sustained functional recovery, with a focus on symmetry, quality of movement, and the integration between body and mind.<\/p>\n<p>At Integrativa, the <a href=\"https:\/\/integrativa.pt\/en\/specialities\/physiotherapy\/physiotherapy-specialising-in-facial-paralysis\/\">physiotherapy specialising in facial paralysis<\/a>\u00a0are based on a rigorous clinical assessment of mobility, symmetry, muscle strength, coordination, compensatory patterns and functional impact, including speech, chewing, swallowing and emotional expression. This assessment allows each case to be understood on an individualised basis.<\/p>\n<p>Based on this detailed analysis, a progressive physiotherapy approach is outlined, guided by clear clinical objectives, adjusted to the needs of each person and the different stages of evolution, with a focus on facial dynamics and respect for the physiology of the face.<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div><div class=\"vc_row wpb_row vc_row-fluid vc_custom_1680169461443\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\">\n\t<div class=\"wpb_text_column wpb_content_element  vc_custom_1768304563529\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p style=\"text-align: right;\"><a href=\"https:\/\/integrativa.pt\/en\/physiotherapist-alexandra-gomes\/\"><strong>Alexandra Gomes <\/strong><\/a>| Physiotherapist specialising in the treatment and recovery of Facial Paralysis<\/p>\n<p style=\"text-align: right;\">member of the <em>Facial Therapy Specialists International<\/em>\u00a0 (FTSI)<\/p>\n<h6 style=\"text-align: right;\">Physiotherapist Card: 1459 | Order of Physiotherapists<\/h6>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div><div class=\"vc_row wpb_row vc_row-fluid\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\">\n\t<div class=\"wpb_text_column wpb_content_element  vc_custom_1680169468507\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p><a title=\"Home\" href=\"https:\/\/integrativa.pt\/en\/\"><strong>Integrativa<\/strong><\/a> | Health and well-being as a lifestyle<\/p>\n\n\t\t<\/div>\n\t<\/div>\n\n\t<div class=\"wpb_text_column wpb_content_element  vc_custom_1689951960351\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<h6>This website and its content are for information purposes only and are not a substitute for medical or health professional advice. Each person's treatment should be individualised and guided by health professionals. Do not make any changes to your treatment without contacting the doctor or health professional accompanying you.<\/h6>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div><div class=\"vc_row wpb_row vc_row-fluid\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"vc_separator wpb_content_element vc_separator_align_center vc_sep_width_100 vc_sep_pos_align_center wpb_content_element vc_separator-has-text\" ><span class=\"vc_sep_holder vc_sep_holder_l\"><span style=\"border-color:#1b9193;\" class=\"vc_sep_line\"><\/span><\/span><h4>Related articles<\/h4><span class=\"vc_sep_holder vc_sep_holder_r\"><span style=\"border-color:#1b9193;\" class=\"vc_sep_line\"><\/span><\/span>\n<\/div><style type=\"text\/css\" data-type=\"the7_shortcodes-inline-css\">.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290.dividers-on.classic-layout-list article {\n  padding-top: 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class=\"owl-carousel blog-carousel-shortcode dt-owl-carousel-call blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290 classic-layout-list scale-img dt-icon-bg-off dt-arrow-border-on dt-arrow-hover-border-on meta-info-off bullets-small-dot-stroke reposition-arrows arrows-bg-on disable-arrows-hover-bg arrows-hover-bg-on\" data-scroll-mode=\"1\" data-col-num=\"3\" data-wide-col-num=\"4\" data-laptop-col=\"3\" data-h-tablet-columns-num=\"3\" data-v-tablet-columns-num=\"2\" data-phone-columns-num=\"1\" data-auto-height=\"true\" data-col-gap=\"30\" data-stage-padding=\"0\" data-speed=\"600\" data-autoplay=\"false\" data-autoplay_speed=\"6000\" data-arrows=\"true\" data-bullet=\"false\" data-next-icon=\"icon-ar-017-r\" data-prev-icon=\"icon-ar-017-l\"><article class=\"post post-7111 type-post status-publish format-standard has-post-thumbnail hentry category-fisioterapia-em-paralisia-facial category-psicologia tag-fisioterapia tag-osteopatia tag-pilates-clinico category-39 category-18 description-off\" data-name=\"Paralisia Facial: quando o impacto vai al\u00e9m do que \u00e9 vis\u00edvel\" data-date=\"2026-04-06T20:07:46+00:00\">\n\n<div class=\"post-thumbnail-wrap\">\n\t<div class=\"post-thumbnail\">\n\t\t\n\t\t\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/paralisia-facial-quando-o-impacto-vai-alem-do-que-e-visivel\/\" class=\"post-thumbnail-rollover layzr-bg\" ><img fetchpriority=\"high\" decoding=\"async\" class=\"preload-me owl-lazy-load aspect\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D&#39;http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg&#39;%20viewBox%3D&#39;0%200%20768%20512&#39;%2F%3E\" data-src=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/10\/Consulta-Integrativa-do-Sono-2-768x512.webp\" data-srcset=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/10\/Consulta-Integrativa-do-Sono-2-768x512.webp 768w, https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/10\/Consulta-Integrativa-do-Sono-2-1152x768.webp 1152w\" loading=\"eager\" style=\"--ratio: 768 \/ 512\" sizes=\"(max-width: 768px) 100vw, 768px\" alt=\"\" title=\"Integrative Sleep Consultation\" width=\"768\" height=\"512\"  \/><\/a>\t<\/div>\n<\/div>\n\n\n<div class=\"post-entry-content\">\n\n\t<h3 class=\"entry-title\">\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/paralisia-facial-quando-o-impacto-vai-alem-do-que-e-visivel\/\" title=\"Facial Paralysis: when the impact goes beyond what is visible\" rel=\"bookmark\">Facial Paralysis: when the impact goes beyond what is visible<\/a>\n\t<\/h3>\n\n\t\n\t\n\t\n<a href=\"https:\/\/integrativa.pt\/en\/paralisia-facial-quando-o-impacto-vai-alem-do-que-e-visivel\/\" class=\"post-details details-type-link\" aria-label=\"Read more about Facial Paralysis: when the impact goes beyond what is visible\">Read more<i class=\"dt-icon-the7-arrow-03\" aria-hidden=\"true\"><\/i><\/a>\n\n<\/div><\/article><article class=\"post post-2443 type-post status-publish format-standard has-post-thumbnail hentry category-fisioterapia category-fisioterapia-em-paralisia-facial tag-fisioterapia tag-osteopatia tag-pilates-clinico category-6 category-39 description-off\" data-name=\"Paralisia facial e autocuidado: estrat\u00e9gias integrativas para apoiar o equil\u00edbrio f\u00edsico e emocional\" data-date=\"2023-07-25T10:54:26+00:00\">\n\n<div class=\"post-thumbnail-wrap\">\n\t<div class=\"post-thumbnail\">\n\t\t\n\t\t\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/paralisia-facial-e-autocuidado-estrategias-integrativas-para-apoiar-o-equilibrio-fisico-e-emocional\/\" class=\"post-thumbnail-rollover layzr-bg\" ><img decoding=\"async\" class=\"preload-me owl-lazy-load aspect\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D&#39;http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg&#39;%20viewBox%3D&#39;0%200%20768%20512&#39;%2F%3E\" data-src=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2026\/02\/Fisioterapia-Paralisia-Facial-Belem-Lisboa-1-768x512.avif\" data-srcset=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2026\/02\/Fisioterapia-Paralisia-Facial-Belem-Lisboa-1-768x512.avif 768w, https:\/\/integrativa.pt\/wp-content\/uploads\/2026\/02\/Fisioterapia-Paralisia-Facial-Belem-Lisboa-1-1152x768.avif 1152w\" loading=\"eager\" style=\"--ratio: 768 \/ 512\" sizes=\"(max-width: 768px) 100vw, 768px\" alt=\"\" title=\"Physiotherapy Facial Palsy Belem Lisbon\" width=\"768\" height=\"512\"  \/><\/a>\t<\/div>\n<\/div>\n\n\n<div class=\"post-entry-content\">\n\n\t<h3 class=\"entry-title\">\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/paralisia-facial-e-autocuidado-estrategias-integrativas-para-apoiar-o-equilibrio-fisico-e-emocional\/\" title=\"Facial paralysis and self-care: integrative strategies to support physical and emotional balance\" rel=\"bookmark\">Facial paralysis and self-care: integrative strategies to support physical and emotional balance<\/a>\n\t<\/h3>\n\n\t\n\t\n\t\n<a href=\"https:\/\/integrativa.pt\/en\/paralisia-facial-e-autocuidado-estrategias-integrativas-para-apoiar-o-equilibrio-fisico-e-emocional\/\" class=\"post-details details-type-link\" aria-label=\"Read more about Facial Paralysis and Self-Care: Integrative Strategies to Support Physical and Emotional Balance\">Read more<i class=\"dt-icon-the7-arrow-03\" aria-hidden=\"true\"><\/i><\/a>\n\n<\/div><\/article><article class=\"post post-3688 type-post status-publish format-standard has-post-thumbnail hentry category-fisioterapia category-fisioterapia-em-paralisia-facial tag-fisioterapia tag-osteopatia tag-pilates-clinico category-6 category-39 description-off\" data-name=\"O meu filho tem uma paralisia facial: e agora? Os conselhos da fisioterapia\" data-date=\"2025-01-22T21:19:14+00:00\">\n\n<div class=\"post-thumbnail-wrap\">\n\t<div class=\"post-thumbnail\">\n\t\t\n\t\t\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/o-meu-filho-tem-uma-paralisia-facial-e-agora-os-conselhos-da-fisioterapia\/\" class=\"post-thumbnail-rollover layzr-bg\" ><img decoding=\"async\" class=\"preload-me owl-lazy-load aspect\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D&#39;http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg&#39;%20viewBox%3D&#39;0%200%20768%20512&#39;%2F%3E\" data-src=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/01\/Paralisia-facial-em-criancas-Fisioterapia-768x512.avif\" data-srcset=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/01\/Paralisia-facial-em-criancas-Fisioterapia-768x512.avif 768w, https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/01\/Paralisia-facial-em-criancas-Fisioterapia-1152x768.avif 1152w\" loading=\"eager\" style=\"--ratio: 768 \/ 512\" sizes=\"(max-width: 768px) 100vw, 768px\" alt=\"\" title=\"Facial paralysis in children Physiotherapy\" width=\"768\" height=\"512\"  \/><\/a>\t<\/div>\n<\/div>\n\n\n<div class=\"post-entry-content\">\n\n\t<h3 class=\"entry-title\">\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/o-meu-filho-tem-uma-paralisia-facial-e-agora-os-conselhos-da-fisioterapia\/\" title=\"My child has facial paralysis: what now? Physiotherapy advice\" rel=\"bookmark\">My child has facial paralysis: what now? Physiotherapy advice<\/a>\n\t<\/h3>\n\n\t\n\t\n\t\n<a href=\"https:\/\/integrativa.pt\/en\/o-meu-filho-tem-uma-paralisia-facial-e-agora-os-conselhos-da-fisioterapia\/\" class=\"post-details details-type-link\" aria-label=\"Read more about My son has facial paralysis: what now? Physiotherapy advice\">Read more<i class=\"dt-icon-the7-arrow-03\" aria-hidden=\"true\"><\/i><\/a>\n\n<\/div><\/article><article class=\"post post-5296 type-post status-publish format-standard has-post-thumbnail hentry category-fisioterapia-em-paralisia-facial tag-fisioterapia tag-osteopatia tag-pilates-clinico category-39 description-off\" data-name=\"Paralisia Facial: quanto tempo demora a recupera\u00e7\u00e3o e o papel da fisioterapia especializada\" data-date=\"2025-10-27T08:55:30+00:00\">\n\n<div class=\"post-thumbnail-wrap\">\n\t<div class=\"post-thumbnail\">\n\t\t\n\t\t\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/paralisia-facial-quanto-tempo-demora-a-recuperacao-e-o-papel-da-fisioterapia-especializada\/\" class=\"post-thumbnail-rollover layzr-bg\" ><img decoding=\"async\" class=\"preload-me owl-lazy-load aspect\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D&#39;http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg&#39;%20viewBox%3D&#39;0%200%20768%20512&#39;%2F%3E\" data-src=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2024\/12\/Fisioterapia-Paralisia-Facial-Integrativa-10-768x512.webp\" data-srcset=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2024\/12\/Fisioterapia-Paralisia-Facial-Integrativa-10-768x512.webp 768w, https:\/\/integrativa.pt\/wp-content\/uploads\/2024\/12\/Fisioterapia-Paralisia-Facial-Integrativa-10-1152x768.webp 1152w\" loading=\"eager\" style=\"--ratio: 768 \/ 512\" sizes=\"(max-width: 768px) 100vw, 768px\" alt=\"\" title=\"Integrative Facial Palsy Physiotherapy (10)\" width=\"768\" height=\"512\"  \/><\/a>\t<\/div>\n<\/div>\n\n\n<div class=\"post-entry-content\">\n\n\t<h3 class=\"entry-title\">\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/paralisia-facial-quanto-tempo-demora-a-recuperacao-e-o-papel-da-fisioterapia-especializada\/\" title=\"Facial paralysis: how long recovery takes and the role of specialised physiotherapy\" rel=\"bookmark\">Facial paralysis: how long recovery takes and the role of specialised physiotherapy<\/a>\n\t<\/h3>\n\n\t\n\t\n\t\n<a href=\"https:\/\/integrativa.pt\/en\/paralisia-facial-quanto-tempo-demora-a-recuperacao-e-o-papel-da-fisioterapia-especializada\/\" class=\"post-details details-type-link\" aria-label=\"Read more about Facial paralysis: how long recovery takes and the role of specialised physiotherapy\">Read more<i class=\"dt-icon-the7-arrow-03\" aria-hidden=\"true\"><\/i><\/a>\n\n<\/div><\/article><article class=\"post post-3547 type-post status-publish format-standard has-post-thumbnail hentry category-fisioterapia category-fisioterapia-em-paralisia-facial tag-fisioterapia tag-osteopatia tag-pilates-clinico category-6 category-39 description-off\" data-name=\"Prote\u00e7\u00e3o ocular na paralisia facial: cuidados essenciais\" data-date=\"2024-06-25T11:50:01+00:00\">\n\n<div class=\"post-thumbnail-wrap\">\n\t<div class=\"post-thumbnail\">\n\t\t\n\t\t\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/protecao-ocular-na-paralisia-facial-cuidados-essenciais\/\" class=\"post-thumbnail-rollover layzr-bg\" ><img decoding=\"async\" class=\"preload-me owl-lazy-load aspect\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D&#39;http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg&#39;%20viewBox%3D&#39;0%200%20768%20512&#39;%2F%3E\" data-src=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/10\/Fisioterapia-Paralisia-Facial-Integrativa-Lisboa-Alexandra-768x512.webp\" data-srcset=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/10\/Fisioterapia-Paralisia-Facial-Integrativa-Lisboa-Alexandra-768x512.webp 768w, https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/10\/Fisioterapia-Paralisia-Facial-Integrativa-Lisboa-Alexandra-1152x768.webp 1152w\" loading=\"eager\" style=\"--ratio: 768 \/ 512\" sizes=\"(max-width: 768px) 100vw, 768px\" alt=\"\" title=\"Integrative Facial Palsy Physiotherapy Lisbon Alexandra\" width=\"768\" height=\"512\"  \/><\/a>\t<\/div>\n<\/div>\n\n\n<div class=\"post-entry-content\">\n\n\t<h3 class=\"entry-title\">\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/protecao-ocular-na-paralisia-facial-cuidados-essenciais\/\" title=\"Eye protection in facial paralysis: essential care\" rel=\"bookmark\">Eye protection in facial paralysis: essential care<\/a>\n\t<\/h3>\n\n\t\n\t\n\t\n<a href=\"https:\/\/integrativa.pt\/en\/protecao-ocular-na-paralisia-facial-cuidados-essenciais\/\" class=\"post-details details-type-link\" aria-label=\"Read more about Eye protection in facial paralysis: essential care\">Read more<i class=\"dt-icon-the7-arrow-03\" aria-hidden=\"true\"><\/i><\/a>\n\n<\/div><\/article><article class=\"post post-5640 type-post status-publish format-standard has-post-thumbnail hentry category-fisioterapia-em-paralisia-facial tag-fisioterapia tag-osteopatia tag-pilates-clinico category-39 description-off\" data-name=\"Sincinesias ap\u00f3s Paralisia Facial: como melhorar mesmo anos depois\" data-date=\"2026-01-13T08:59:29+00:00\">\n\n<div class=\"post-thumbnail-wrap\">\n\t<div class=\"post-thumbnail\">\n\t\t\n\t\t\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/sincinesias-apos-paralisia-facial-como-melhorar-mesmo-anos-depois\/\" class=\"post-thumbnail-rollover layzr-bg\" ><img decoding=\"async\" class=\"preload-me owl-lazy-load aspect\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D&#39;http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg&#39;%20viewBox%3D&#39;0%200%20768%20512&#39;%2F%3E\" data-src=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2024\/12\/Fisioterapia-Paralisia-Facial-Integrativa-9-768x512.webp\" data-srcset=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2024\/12\/Fisioterapia-Paralisia-Facial-Integrativa-9-768x512.webp 768w, https:\/\/integrativa.pt\/wp-content\/uploads\/2024\/12\/Fisioterapia-Paralisia-Facial-Integrativa-9-1152x768.webp 1152w\" loading=\"eager\" style=\"--ratio: 768 \/ 512\" sizes=\"(max-width: 768px) 100vw, 768px\" alt=\"\" title=\"Integrative Facial Palsy Physiotherapy (9)\" width=\"768\" height=\"512\"  \/><\/a>\t<\/div>\n<\/div>\n\n\n<div class=\"post-entry-content\">\n\n\t<h3 class=\"entry-title\">\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/sincinesias-apos-paralisia-facial-como-melhorar-mesmo-anos-depois\/\" title=\"Synkinesias after Facial Paralysis: how to improve even years later\" rel=\"bookmark\">Synkinesias after Facial Paralysis: how to improve even years later<\/a>\n\t<\/h3>\n\n\t\n\t\n\t\n<a href=\"https:\/\/integrativa.pt\/en\/sincinesias-apos-paralisia-facial-como-melhorar-mesmo-anos-depois\/\" class=\"post-details details-type-link\" aria-label=\"Read more about Synkinesis after Facial Paralysis: how to improve even years later\">Read more<i class=\"dt-icon-the7-arrow-03\" aria-hidden=\"true\"><\/i><\/a>\n\n<\/div><\/article><\/div><\/div><\/div><\/div><\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Facial paralysis is a possible sequel in people who have undergone surgery to remove an acoustic neuroma. Understanding the mechanisms involved, the functional implications and the role of specialised physiotherapy is fundamental for an informed and integrative approach to recovery. In this article, we clarify what acoustic neuroma is, how...<\/p>","protected":false},"author":1,"featured_media":4776,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"footnotes":""},"categories":[6,39],"tags":[4,27,8],"class_list":["post-2940","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-fisioterapia","category-fisioterapia-em-paralisia-facial","tag-fisioterapia","tag-osteopatia","tag-pilates-clinico","category-6","category-39","description-off"],"_links":{"self":[{"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/posts\/2940","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/comments?post=2940"}],"version-history":[{"count":0,"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/posts\/2940\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/media\/4776"}],"wp:attachment":[{"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/media?parent=2940"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/categories?post=2940"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/tags?post=2940"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}