ZARZA We are Zarza, the prestigious firm behind major projects in information technology.
Listen "Ep. 188 Surgical Management of Synkinesis and Static Procedures for Flaccid Facial Palsy with Dr. Shiayin Yang"
Episode Synopsis
Facial nerve injury affects each patient in a unique way. Accordingly, surgical treatment of facial paralysis must be meticulously planned and personalized. In this episode, Dr. Shiayin Yang, Associate Professor of Otolaryngology at Vanderbilt University, addresses management of synkinesis and static procedures for flaccid facial palsy with host Dr. Ashley Agan.
---
CHECK OUT OUR SPONSOR
PearsonRavitz
https://pearsonravitz.com/backtable
---
SYNPOSIS
First, Dr. Yang reviews the difference between flaccid and non-flaccid (including synkinetic) facial paralysis. She describes her approach to facial paralysis, which includes clarifying the patient’s diagnosis and thoroughly examining the facial nerve function. Dr. Yang then transitions the conversation to surgical solutions, emphasizing dual goals of restoring symmetry and function. She divides her discussion to first tackle synkinesis and then static procedures for flaccid paralysis. Procedures discussed include Botox, brow lift, blepharoplasty, myectomy, and neurectomy as well as lower eyelid and midface procedures and temporalis tendon transfer. While surgical approaches to the two conditions differ, eye protection represents an important theme throughout. The episode concludes with Dr. Yang’s pearls for approaching these complex surgical problems and a reminder of how facial paralysis affects patients’ emotional health.
---
TIMESTAMPS
00:00 - Introduction
02:36 - Understanding Flaccid & Non-Flaccid Facial Paralysis
07:13 - Botox for Facial Synkinesis
12:38 - History-Taking & Physical Exam in Facial Paralysis
15:07 - Surgical Management of Synkinesis
30:47 - Patient Counseling and Motivation
32:47 - Static Procedures for Flaccid Facial Palsy
37:26 - Nuances of Peri-Ocular Procedures
43:42 - Lower Eyelid & Midface Considerations
53:00 - Dynamic Surgery Options
56:56 - Final Surgical Pearls
---
RESOURCES
Dr. Shiayin Yang’s Vanderbilt University Profile: https://www.vanderbilthealth.com/doctors/yang-shiayin
BackTable ENT Episode 151- Navigating Synkinesis: From Diagnosis to Comprehensive Care with Dr. Shiayin Yang
https://open.spotify.com/episode/1JucnHB8tNC5qRW6u82ie8?si=ba729d3f3e164d6f
---
CHECK OUT OUR SPONSOR
PearsonRavitz
https://pearsonravitz.com/backtable
---
SYNPOSIS
First, Dr. Yang reviews the difference between flaccid and non-flaccid (including synkinetic) facial paralysis. She describes her approach to facial paralysis, which includes clarifying the patient’s diagnosis and thoroughly examining the facial nerve function. Dr. Yang then transitions the conversation to surgical solutions, emphasizing dual goals of restoring symmetry and function. She divides her discussion to first tackle synkinesis and then static procedures for flaccid paralysis. Procedures discussed include Botox, brow lift, blepharoplasty, myectomy, and neurectomy as well as lower eyelid and midface procedures and temporalis tendon transfer. While surgical approaches to the two conditions differ, eye protection represents an important theme throughout. The episode concludes with Dr. Yang’s pearls for approaching these complex surgical problems and a reminder of how facial paralysis affects patients’ emotional health.
---
TIMESTAMPS
00:00 - Introduction
02:36 - Understanding Flaccid & Non-Flaccid Facial Paralysis
07:13 - Botox for Facial Synkinesis
12:38 - History-Taking & Physical Exam in Facial Paralysis
15:07 - Surgical Management of Synkinesis
30:47 - Patient Counseling and Motivation
32:47 - Static Procedures for Flaccid Facial Palsy
37:26 - Nuances of Peri-Ocular Procedures
43:42 - Lower Eyelid & Midface Considerations
53:00 - Dynamic Surgery Options
56:56 - Final Surgical Pearls
---
RESOURCES
Dr. Shiayin Yang’s Vanderbilt University Profile: https://www.vanderbilthealth.com/doctors/yang-shiayin
BackTable ENT Episode 151- Navigating Synkinesis: From Diagnosis to Comprehensive Care with Dr. Shiayin Yang
https://open.spotify.com/episode/1JucnHB8tNC5qRW6u82ie8?si=ba729d3f3e164d6f
More episodes of the podcast BackTable ENT
Ep. 248 Understanding Inducible Laryngeal Obstruction: Diagnosis & Management with Dr. Steven Sims
18/11/2025
Ep. 243 Parotid Malignancies: Diagnosis, Biopsy & Treatment Strategies with Dr. Mirabelle Sajisevi
14/10/2025
In God we trust