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About us

Who we are

Catriona, Karen and Tamsin have all worked together for many years in the internationally renowned Facial Palsy Multidisciplinary Team at Queen Victoria Hospital NHS Foundation Trust.

They all have many years of experience working with patients who require rehabilitation following facial paralysis and all specialise in both facial therapy and botulinum toxin injection therapy.

Alongside their NHS work they wanted to offer a private service for patients who desired quicker access to specialist facial palsy care and valued enhanced rehabilitation sessions. They therefore set up the Facial Rehabilitation Centre.

Catriona Neville

Extended Scope Practitioner Facial Therapist

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Trina

Karen Young

Advanced Facial Therapist

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Karen

Tamsin Gwynn

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TG

Conference presentations given by the TFRC team

Royal Society of Medicine

· Controversies around electrical stimulation in facial rehabilitation – a debate

Multi-disciplinary International Facial Conference ‘Controversies and Challenges in Facial Palsy; St Andrews Centre for Plastic Surgery, Chelmsford

· Specialist Facial Therapy Outcomes

FTSI Conference – Birmingham

· Chair’s Welcome Speech

· Management of Ocular Synkinesis

IFNS Boston 2013

. The Psychological Impact of a Multidisciplinary Facial Palsy Clinic

IFNS LA 2017

· Holistic management of ocular synkinesis

· Development of a facial therapy specialists' group

· Enhanced MRI scanning in atypical facial palsy

Nordic Facial Nerve Conference 2021

· International Consensus on Specialist Facial Therapy

IFNS South Korea 2022

· The benefits of an early multi-disciplinary approach in facial palsy rehabilitation

· Final results of international consensus guidelines study for specialist facial therapy

· Analysis of the correlation between resting facial symmetry and voluntary movement in patients with facial palsy and synkinesis pre and post a novel facial therapy group

· Multidisciplinary online facial rehabilitation for synkinesis (MOFRS)

Research & book chapters published by the TFRC team

The role of botulinum toxin in the management of facial palsy. Neville, C and Young K 2022. In: Facial Palsy; a practical guide for trainees, general practitioners, nurses and allied health professionals. In production

The Role of Botulinum Toxin in Facial Palsy Management. Kannan, R.Y. and Nduka, C. (supported by C Neville) 2022. In: Management of Post-Facial Paralysis Synkinesis (pp. 39-50). Elsevier

Cheung LK, Kannan RY, Neville C, Gwynn T, Young K, Ching RC, Nduka C. Streamlining the Diagnosis of Atypical Facial Palsies: A 5-year Review of 805 Patients. Plast Reconstr Surg Glob Open. 2022 Feb 9;10(2):e4087.

Ullrich K, Dolz-Güerri F, Neville C, Kannan R, Nduka C, Litwin A, Malhotra R. Does lagophthalmos change on lying supine after upper eyelid platinum segment chain loading? Orbit. 2021 Oct;40(5):370-374.

Szczepura A, Holliday N, Neville C, Johnson K, Khan AJK, Oxford SW, Nduka C. Raising the Digital Profile of Facial Palsy: National Surveys of Patients’ and Clinicians’ Experiences of Changing UK Treatment Pathways and Views on the Future Role of Digital Technology. J Med Internet Res. 2020 Oct 5;22(10):e20406.

Venables V, Neville C, Gwynn T, Kannan RY, Nduka C. Impact of lower motor neurone facial palsy on oro-motor function and its remediation. J Plast Reconstr Aesthet Surg. 2019 Sep;72(9):1570-1575.

Pescarini E, Neville C, Gwynn T, Young K, Chandrasekharan L, Nduka C, Kannan RY. The Need for Routine Assessment of Masseter Function After Masseteric Nerve Harvest With the Borschel Method. JAMA Facial Plast Surg. 2019 Sep 1;21(5):461-462.

Kannan RY, Neville C, Nduka C. Vermilion-Mucosal Advancement Flap: A Scarless Technique of Adynamic Wedge Resection of the Lower Lip in Patients With Facial Palsy. JAMA Facial Plast Surg. 2018 Sep 1;20(5):423. doi: 10.1001/jamafacial.2018.0639.

Kannan RY, Neville C, Gwynn T, Young K, Venables V, Nduka C. Evaluation of Masseteric Nerve-Based Selective Neurotization for Multivectorial Augmentation of the Weak Smile. JAMA Facial Plast Surg. 2019 Jul 1;21(4):340-341.

Cooper L, Izard C, Harries V, Neville C, Venables V, Malhotra R, Nduka C. Paradoxical Frontalis Activation: An Underrecognized Consequence of Facial Palsy. Plast Reconstr Surg. 2018 Feb;141(2):263e-270e.

Kannan RY, Neville C, Gwynn T, Venables V, Malhotra R, Nduka C. The effect of template-based sequential (TBS) coding on an NHS plastic surgical practice. J Plast Reconstr Aesthet Surg. 2018 Jul;71(7):1058-1061.

Szczepura, A., Khan, A., Holliday, N., Nduka, C., Neville, C., Johnson, K., Mistry, H. and Oxford, S., 2018. PP26 facial palsy therapy: can novel ‘smart spectacles’ help people smile? International Journal of Technology Assessment in Health Care, 34(S1), pp.76-76.

Neville C, Venables V, Aslet M, Nduka C, Kannan R. An objective assessment of botulinum toxin type A injection in the treatment of post-facial palsy synkinesis and hyperkinesis using the synkinesis assessment questionnaire. J Plast Reconstr Aesthet Surg. 2017 Nov;70(11):1624-1628.

Ziahosseini K, Venables V, Neville C, Nduka C, Patel B, Malhotra R. Occurrence and severity of upper eyelid skin contracture in facial nerve palsy. Eye (Lond). 2016 May;30(5):713-7.

Pucks N, Thomas A, Hallam MJ, Venables V, Neville C, Nduka C. Cutaneous cooling to manage botulinum toxin injection-associated pain in patients with facial palsy: A randomised controlled trial. J Plast Reconstr Aesthet Surg. 2015 Dec;68(12):1701-5.

Research & Book Chapters Published By The TFRC Team

The role of botulinum toxin in the management of facial palsy. Neville, C and Young K 2022. In: Facial Palsy; a practical guide for trainees, general practitioners, nurses and allied health professionals. In production

The Role of Botulinum Toxin in Facial Palsy Management. Kannan, R.Y. and Nduka, C. (supported by C Neville) 2022. In: Management of Post-Facial Paralysis Synkinesis (pp. 39-50). Elsevier

Cheung LK, Kannan RY, Neville C, Gwynn T, Young K, Ching RC, Nduka C. Streamlining the Diagnosis of Atypical Facial Palsies: A 5-year Review of 805 Patients. Plast Reconstr Surg Glob Open. 2022 Feb 9;10(2):e4087.

Ullrich K, Dolz-Güerri F, Neville C, Kannan R, Nduka C, Litwin A, Malhotra R. Does lagophthalmos change on lying supine after upper eyelid platinum segment chain loading? Orbit. 2021 Oct;40(5):370-374.

Szczepura A, Holliday N, Neville C, Johnson K, Khan AJK, Oxford SW, Nduka C. Raising the Digital Profile of Facial Palsy: National Surveys of Patients’ and Clinicians’ Experiences of Changing UK Treatment Pathways and Views on the Future Role of Digital Technology. J Med Internet Res. 2020 Oct 5;22(10):e20406.

Venables V, Neville C, Gwynn T, Kannan RY, Nduka C. Impact of lower motor neurone facial palsy on oro-motor function and its remediation. J Plast Reconstr Aesthet Surg. 2019 Sep;72(9):1570-1575.

Pescarini E, Neville C, Gwynn T, Young K, Chandrasekharan L, Nduka C, Kannan RY. The Need for Routine Assessment of Masseter Function After Masseteric Nerve Harvest With the Borschel Method. JAMA Facial Plast Surg. 2019 Sep 1;21(5):461-462.

Kannan RY, Neville C, Nduka C. Vermilion-Mucosal Advancement Flap: A Scarless Technique of Adynamic Wedge Resection of the Lower Lip in Patients With Facial Palsy. JAMA Facial Plast Surg. 2018 Sep 1;20(5):423. doi: 10.1001/jamafacial.2018.0639.

Kannan RY, Neville C, Gwynn T, Young K, Venables V, Nduka C. Evaluation of Masseteric Nerve-Based Selective Neurotization for Multivectorial Augmentation of the Weak Smile. JAMA Facial Plast Surg. 2019 Jul 1;21(4):340-341.

Cooper L, Izard C, Harries V, Neville C, Venables V, Malhotra R, Nduka C. Paradoxical Frontalis Activation: An Underrecognized Consequence of Facial Palsy. Plast Reconstr Surg. 2018 Feb;141(2):263e-270e.

Kannan RY, Neville C, Gwynn T, Venables V, Malhotra R, Nduka C. The effect of template-based sequential (TBS) coding on an NHS plastic surgical practice. J Plast Reconstr Aesthet Surg. 2018 Jul;71(7):1058-1061.

Szczepura, A., Khan, A., Holliday, N., Nduka, C., Neville, C., Johnson, K., Mistry, H. and Oxford, S., 2018. PP26 facial palsy therapy: can novel ‘smart spectacles’ help people smile? International Journal of Technology Assessment in Health Care, 34(S1), pp.76-76.

Neville C, Venables V, Aslet M, Nduka C, Kannan R. An objective assessment of botulinum toxin type A injection in the treatment of post-facial palsy synkinesis and hyperkinesis using the synkinesis assessment questionnaire. J Plast Reconstr Aesthet Surg. 2017 Nov;70(11):1624-1628.

Ziahosseini K, Venables V, Neville C, Nduka C, Patel B, Malhotra R. Occurrence and severity of upper eyelid skin contracture in facial nerve palsy. Eye (Lond). 2016 May;30(5):713-7.

Pucks N, Thomas A, Hallam MJ, Venables V, Neville C, Nduka C. Cutaneous cooling to manage botulinum toxin injection-associated pain in patients with facial palsy: A randomised controlled trial. J Plast Reconstr Aesthet Surg. 2015 Dec;68(12):1701-5.

Training courses given by TFRC team

Foundation courses in facial palsy management

East Grinstead

Newcastle

Birmingham

Guildford

Cork, Ireland

London

Canada

About Us image 1

Advanced course in facial palsy management

. QVH

. Cork, Ireland

· Training webinars introduced & given by TFRC team members

· FTSI Advanced Webinar – Management of Synkinesis

· FTSI Advanced Webinar – Eye management and post-surgical rehabilitation

· FTSI Advaced Webinar – Assessment and Management of Paediatric Facial Palsy Patients