{"id":2399,"date":"2021-11-19T13:05:55","date_gmt":"2021-11-19T18:05:55","guid":{"rendered":"https:\/\/www.med.unc.edu\/ent\/facialnervecenter\/?page_id=2399"},"modified":"2024-01-17T14:57:55","modified_gmt":"2024-01-17T19:57:55","slug":"about","status":"publish","type":"page","link":"https:\/\/www.med.unc.edu\/ent\/facialnervecenter\/about\/","title":{"rendered":"About UNC Facial Nerve Center"},"content":{"rendered":"<h2><strong><em>RESTORING FACIAL FORM AND FUNCTION<\/em><\/strong><\/h2>\n<p><span data-contrast=\"auto\">Facial movements are highly coordinated and complex. Facial expressions allow people to display emotions and<\/span><i><span data-contrast=\"auto\">\u00a0<\/span><\/i><span data-contrast=\"auto\">communicate with others. The\u00a0<\/span><span data-contrast=\"auto\">facial nerve<\/span><span data-contrast=\"auto\">\u00a0(aka cranial nerve VII) controls all muscles of facial expression. There are\u00a0many\u00a0branches of the facial nerve that spread out across the face and allow people to smile and make other facial expressions.\u00a0These\u00a0branches\u00a0also\u00a0allow people to close and protect their eyes,\u00a0and contribute to other facial functions such as speech, nasal breathing,\u00a0drinking, and chewing.\u00a0\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<h2><span data-contrast=\"auto\">Facial Paralysis Treatment at UNC Facial Nerve Center<\/span><\/h2>\n<p><span data-contrast=\"auto\">Facial paralysis occurs after injury to one or more branches of the facial nerve and can result in facial asymmetry and difficulty expressing emotions. Patients can have trouble with protecting their eye, chewing, speech, and nasal breathing. Facial paralysis can lead to depression, anxiety, and losing interest in being around other people. <\/span><span data-ccp-props=\"{}\">\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><i><span data-contrast=\"auto\">Bell\u2019s palsy<\/span><\/i><span data-contrast=\"auto\">\u00a0is the most common cause of facial paralysis and is thought to result from reactivation of herpes simplex virus, a virus which nearly all adults carry. Other common causes of facial paralysis include Ramsay Hunt syndrome (Herpes Zoster virus, the same virus that causes Shingles), vestibular schwannoma (aka acoustic neuroma) surgery, benign tumors, cancer, Lyme disease, trauma, ear\u00a0surgery,\u00a0parotid surgery, and congenital disorders. Diagnosing the cause of facial paralysis is critical to providing patients with the right treatment.\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">At the UNC Facial Nerve Center, we currently take care of patients with\u00a0<\/span><span data-contrast=\"auto\">more than 15 different causes<\/span><span data-contrast=\"auto\">\u00a0of facial paralysis.\u00a0<\/span><i><span data-contrast=\"auto\">No matter the cause or how long you have had facial paralysis, Dr. Miller will work with you to improve your facial symmetry and function.<\/span><\/i><span data-contrast=\"auto\">\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Regardless of the cause,\u00a0<\/span><b><span data-contrast=\"auto\">the most immediate consideration is protection of the eye<\/span><\/b><span data-contrast=\"auto\">.\u00a0 Without the ability to effectively close the eye, patients can develop eye irritation, dryness, and the feeling that there is \u201csand in the eye,\u201d a harbinger of potentially dangerous problems with the eye. Eye drops, ointments, and gels help patients moisturize and protect their eyes. The eye can also be taped shut at night if patients have irritation when awakening in the morning. There are several procedures that may be able to help with closure of the eye. Our surgeons are among the world\u2019s experts in\u00a0managing this\u00a0paralytic eyelid syndrome (PES).\u00a0\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"auto\">Smiling is\u00a0perhaps the\u00a0most important form of human communication.\u00a0<\/span><\/b><span data-contrast=\"auto\">Not only does smiling let other people know you are\u00a0happy,\u00a0but\u00a0research shows\u00a0<\/span><span data-contrast=\"auto\">smiling\u00a0also makes you feel happy<\/span><span data-contrast=\"auto\">! Management of smile and facial asymmetry and lack of spontaneous movement is managed by various techniques including targeted facial physical therapy, chemodenervation (aka Botox), and surgery.\u00a0The UNC Facial Nerve Center offers the most\u00a0cutting-edge\u00a0procedures\u00a0<\/span><span data-contrast=\"auto\">to get patients smiling again<\/span><span data-contrast=\"auto\">.\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-2274\" src=\"https:\/\/www.med.unc.edu\/ent\/facialnervecenter\/wp-content\/uploads\/sites\/1266\/2021\/09\/AP-DAO-DLI-Excision-1-1-copy-300x211.jpg\" alt=\"Before and After of UNC Facial Nerve Center Patient\" width=\"500\" height=\"352\" srcset=\"https:\/\/www.med.unc.edu\/ent\/facialnervecenter\/wp-content\/uploads\/sites\/1266\/2021\/09\/AP-DAO-DLI-Excision-1-1-copy-300x211.jpg 300w, https:\/\/www.med.unc.edu\/ent\/facialnervecenter\/wp-content\/uploads\/sites\/1266\/2021\/09\/AP-DAO-DLI-Excision-1-1-copy-1024x721.jpg 1024w, https:\/\/www.med.unc.edu\/ent\/facialnervecenter\/wp-content\/uploads\/sites\/1266\/2021\/09\/AP-DAO-DLI-Excision-1-1-copy-768x540.jpg 768w, https:\/\/www.med.unc.edu\/ent\/facialnervecenter\/wp-content\/uploads\/sites\/1266\/2021\/09\/AP-DAO-DLI-Excision-1-1-copy-1536x1081.jpg 1536w, https:\/\/www.med.unc.edu\/ent\/facialnervecenter\/wp-content\/uploads\/sites\/1266\/2021\/09\/AP-DAO-DLI-Excision-1-1-copy-2048x1441.jpg 2048w, https:\/\/www.med.unc.edu\/ent\/facialnervecenter\/wp-content\/uploads\/sites\/1266\/2021\/09\/AP-DAO-DLI-Excision-1-1-copy-600x422.jpg 600w\" sizes=\"auto, (max-width: 500px) 100vw, 500px\" \/><\/p>\n<h2>Dr. Miller&#8217;s Facial Paralysis Recovery<\/h2>\n<p>Dr. Matthew Q. Miller received specialized training at Harvard Medical School in comprehensive management of facial paralysis. <a href=\"https:\/\/www.enttoday.org\/article\/these-two-otolaryngologists-find-peace-strength-in-long-distance-running\/?singlepage=1\">Dr. Miller himself had facial paralysis after a bicycling accident<\/a>:<\/p>\n<blockquote><p><em>\u201cDuring my recovery, I experienced firsthand how facial paralysis takes away our ability to express ourselves and our ability to communicate effectively. People often ignore what patients with facial paralysis are saying because they\u2019re left wondering why they cannot make normal facial expressions; it can leave patients depressed and socially isolated. This experience has really motivated me to take care of facial paralysis patients, to help restore facial form and function.\u201d<\/em><\/p><\/blockquote>\n<p>At the UNC Facial Nerve Center, each patient is carefully assessed by Dr. Miller and his team to determine the cause of his or her facial paralysis and determine the best treatment options. Each patient presents a unique anatomic picture and requires a different set of tools for optimal, natural facial reanimation. YOUR TREATMENT WILL BE CUSTOMIZED TO YOUR CONDITION AND GOALS. WE WILL WORK WITH YOU TO HELP RESTORE FACIAL FORM AND FUNCTION!<\/p>\n","protected":false},"excerpt":{"rendered":"<p>RESTORING FACIAL FORM AND FUNCTION Facial movements are highly coordinated and complex. Facial expressions allow people to display emotions and\u00a0communicate with others. The\u00a0facial nerve\u00a0(aka cranial nerve VII) controls all muscles of facial expression. There are\u00a0many\u00a0branches of the facial nerve that spread out across the face and allow people to smile and make other facial expressions.\u00a0These\u00a0branches\u00a0also\u00a0allow &hellip; <a href=\"https:\/\/www.med.unc.edu\/ent\/facialnervecenter\/about\/\" aria-label=\"Read more about About UNC Facial Nerve Center\">Read more<\/a><\/p>\n","protected":false},"author":3206,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":"","_links_to":"","_links_to_target":""},"class_list":["post-2399","page","type-page","status-publish","hentry","odd"],"acf":[],"_links_to":[],"_links_to_target":[],"_links":{"self":[{"href":"https:\/\/www.med.unc.edu\/ent\/facialnervecenter\/wp-json\/wp\/v2\/pages\/2399","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.med.unc.edu\/ent\/facialnervecenter\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.med.unc.edu\/ent\/facialnervecenter\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.med.unc.edu\/ent\/facialnervecenter\/wp-json\/wp\/v2\/users\/3206"}],"replies":[{"embeddable":true,"href":"https:\/\/www.med.unc.edu\/ent\/facialnervecenter\/wp-json\/wp\/v2\/comments?post=2399"}],"version-history":[{"count":0,"href":"https:\/\/www.med.unc.edu\/ent\/facialnervecenter\/wp-json\/wp\/v2\/pages\/2399\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.med.unc.edu\/ent\/facialnervecenter\/wp-json\/wp\/v2\/media?parent=2399"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}