# Clinical features, evaluation, and management of speech and swallow complications of facial paralysis: A scoping review

## TL;DR

This review explores how facial paralysis affects speech and swallowing, and highlights the need for better evaluation and treatment methods.

## Contribution

The study provides a comprehensive overview of current literature on managing speech and swallow complications in facial paralysis.

## Key findings

- Facial paralysis can cause speech and swallowing challenges like dysarthria and dysphagia.
- Current assessment tools and treatments for these complications lack strong evidence of effectiveness.
- Interdisciplinary care involving speech language pathologists is recommended for better patient outcomes.

## Abstract

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.

Ovid® Medline ALL, Ovid Embase, and Cochrane Library from Wiley.

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.

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.

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.