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Thomas Jefferson University

House Staff Quality Improvement and Patient Safety Conference (2016-2019)

Otolaryngology

Keratopathy

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Moisture Chamber For Eye Care After Facial Nerve Injury, Ryan Rimmer, Md, Lauren Bogdan, Md, Gregory Epps, Md, Nikolaus Hjelm, Md, Erin Reilly, Md Jun 2019

Moisture Chamber For Eye Care After Facial Nerve Injury, Ryan Rimmer, Md, Lauren Bogdan, Md, Gregory Epps, Md, Nikolaus Hjelm, Md, Erin Reilly, Md

House Staff Quality Improvement and Patient Safety Conference (2016-2019)

Introduction

  • Patients with various lesions of the head and neck may have compromise of facial nerve function.
  • Facial nerve (CN VII) has various roles, including movement of facial muscles and, importantly, eye closure.
  • When facial nerve is sacrificed or damaged during a surgical cases, steps are often taken intraop to surgically correct the deficit and allow eye closure. However, these patients may not immediately realize the benefit of these interventions.
  • In the postop period, appropriate eye care is critical to prevent exposure keratopathy due to inability to close eye.
  • Exposure keratopathy is damage to the cornea that occurs primarily due …