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treatment of peripheral facial paralysis

Tomasz A Dziedzic, Przemysław Kunert, Andrzej Marchel
Vestibular schwannoma treatment with stereotactic radiosurgery (SRS) carries a risk of facial nerve (CNVII) palsy that is lower than that with microneurosurgery. The results of hemihypoglossal-facial nerve anastomosis (HHFA) have not been described yet in CNVII palsy after failed stereotactic radiosurgery (SRS). Here we report a case series of the first four consecutive patients (three women; average age 58.5, age range: 46-74), who underwent HHFA due to failed SRS. All patients were admitted because of progressive peripheral facial nerve palsy...
April 2017: Journal of Neurosurgical Sciences
W P J van Oosterhout, J Haan, N D Kruyt
BACKGROUND: Melkersson-Rosenthal syndrome (MRS) is a relatively rare syndrome characterised by the clinical triad of persisting or recurrent facial oedema, recurrent peripheral facial palsy, and a fissured tongue. CASE DESCRIPTION: A 30-year-old male patient presented with a left peripheral facial palsy spreading to the right side of the face. The left-sided facial paralysis recurred twice after initial recovery. The patient had also suffered from oedema of the lip and face, which sometimes occurred simultaneously with the paralysis, and he had always had a fissured tongue...
2016: Nederlands Tijdschrift Voor Geneeskunde
Pinar Arican, Nihal Olgac Dundar, Pinar Gencpinar, Dilek Cavusoglu
Bell's palsy is the most common cause of acute peripheral facial nerve paralysis, but the optimal dose of corticosteroids in pediatric patients is still unclear. This retrospective study aimed to evaluate the efficacy of low-dose corticosteroid therapy compared with high-dose corticosteroid therapy in children with Bell's palsy. Patients were divided into 2 groups based on the dose of oral prednisolone regimen initiated. The severity of idiopathic facial nerve paralysis was graded according to the House-Brackmann Grading Scale...
September 29, 2016: Journal of Child Neurology
Kamil Gokce Tulaci, Arzu Tuzuner, Hatice Karadas Emir, İlkan Tatar, Mustafa F Sargon, Tugba Tulaci, Yunus Karadavut, Ethem Erdal Samim
HYPOTHESIS: Tacrolimus helps healing of facial nerve injury. BACKGROUND: Positive effects of tacrolimus on axon regeneration and healing of injured peripheral nerves (eg. sciatic nerve) have been reported in the literature. Tacrolimus may be an additional treatment method that could improve the nerve healing after surgical treatment of cut injury of facial nerve. METHODS: 20 New Zealand rabbits were randomly separated into control and study groups of 10...
September 2016: American Journal of Otolaryngology
Emilia Rogalska, Barbara Skowronek-Bała, Anna Świerczyńska, Marek Kaciński
BACKGROUND: Peripheral facial nerve palsy (Bell' palsy, BP) is a not rare diseases in children, being the most common acquired mononeuropathy. AIM: The authors of this study wanted to determine whether the occurrence and course of paralysis changed in the past 5 years (2010-2014). MATERIALS AND METHODS: The study involved Lesser Poland region, where the majority of children with paralysis are hospitalized at the Pediatric Neurology Department of University Children's Hospital in Krakow...
2016: Przegla̧d Lekarski
Ya O Grusha, A A Fedorov, N S Iskusnykh, N V Bogacheva, M V Kobzova, I A Novikov, E I Fettser, T A Shchegoleva
UNLABELLED: Upper eyelid weigh gold implant is the widely accepted standard for the treatment of paralytic lagophthalmos (PL). AIM: To evaluate late outcomes of PL correction with chain gold implants. MATERIAL AND METHODS: Chain gold implants were inserted in the upper eyelids of 70 patients with lagophthalmos due to chronic facial paralysis. A comprehensive ophthalmic examination was performed prior to surgery and then at months 1, 3, 6, 12, 24, and 36...
March 2016: Vestnik Oftalmologii
Renato Fortes Bittar, Homero Penha Ferraro, Marcelo Haddad Ribas, Carlos Neutzling Lehn
INTRODUCTION: Salivary gland tumors represent 3-10% of all head and neck neoplasms. These tumors occur predominantly in major salivary glands. The parotid gland is affected most often, ranging from 36.6% to 83%. The pleomorphic adenoma comprises 45-60% of all salivary gland tumors. Several surgical approaches have been described to treat this tumor. Lesion of the facial nerve is one of the most serious complications that can occur after parotid gland surgery. OBJECTIVES: To determine possible predictive factors related to the occurrence of peripheral facial paralysis (PFP) after superficial parotidectomy in the surgical treatment of the pleomorphic adenomas of the parotid gland...
July 2016: Brazilian Journal of Otorhinolaryngology
Jie Tan, Guodong Feng, Zhiqiang Gao
No abstract text is available yet for this article.
October 2015: Zhonghua Er Bi Yan Hou Tou Jing Wai Ke za Zhi, Chinese Journal of Otorhinolaryngology Head and Neck Surgery
Xiaorong Tao, Ping Li, Hong Wan, Song Liu, Yang Liu, Hui Qiao
OBJECTIVE: To Preliminary study of facial nerve F wave evaluation hypoglossal-facial nerve reconstruction with pre-degenerated nerve graft for peripheral facial palsy. METHODS: The clinical data were retrospectively reviewed for 30 patients with peripheral facial palsy after cerebellontine angle underwent nerve anastomosis were analyzed between November 2011 and February 2014. F wave and M wave detection were used to evaluate the pre-, post-opertive and status.The hypoglossal-facial nerve by "side- to-side" anastomisis was performed...
June 2, 2015: Zhonghua Yi Xue za Zhi [Chinese medical journal]
Hong-tao Zhang, Lian-li Qiu
OBJECTIVE: To observe clinical effects of "Santong needling" by stages for patients with moderate and severe peripheral facial paralysis (PFP) in the acute period. METHODS: Sixty patients with moderate and severe PFP were equally and randomly divided into Santong needling group and control group. The patients of the Santong needling group were treated by shallow puncture of Yifeng (TE 17, on the affected side) and Hegu (LI 4, on the healthy side) without needle manipulation in the acute stage ("Qing-tong", mild dredging) , by oblique-penetrative puncture of Dicang (ST 4) to Jiache (ST 6), etc...
October 2015: Zhen Ci Yan Jiu, Acupuncture Research
Go Yasui, Yuhei Yamamoto, Ryuji Shichinohe, Emi Funayama, Akihiko Oyama, Toshihiko Hayashi, Hiroshi Furukawa
BACKGROUND AND AIM: Neuregulin-1 is an essential axoglial signal required for peripheral nerve development, and evidence that neuregulin-1 is also required for effective nerve repair is growing. In this study, the effects of neuregulin-1-impregnated gelatin hydrogels on nerve regeneration and functional recovery after anastomosis of the facial nerve were investigated in a rat model of traumatic facial nerve paralysis. MATERIALS AND METHODS: Twenty-four adult male rats underwent complete resection of the facial nerve trunk, followed by end-to-end anastomosis with epineural sutures...
March 2016: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
Gentil Gomes da Fonseca Filho, Gabriele Natane de Medeiros Cirne, Roberta Oliveira Cacho, Jane Carla de Souza, Danilo Nagem, Enio Walker Azevedo Cacho, Cristiane Aparecida Moran, Bruna Abreu, Silvana Alves Pereira
Facial paralysis in newborns can leave functional sequelae. Determining the evolution and amount of functional losses requires consistent evaluation methods that measure, quantitatively, the evolution of clinical functionality. This paper reports an innovative method of facial assessment for the case of a child 28 days of age with unilateral facial paralysis. The child had difficulty breast feeding, and quickly responded to the physical therapy treatment.
December 2015: International Journal of Pediatric Otorhinolaryngology
Yuming Hong, Juanjuan Hu, Zhenyuan Liang
OBJECTIVE: To explore the diagnosis, treatment and surgical approaches of parapharyngeal space tumors. METHOD: This retrospective study consisted of 112 patients with parapharyngeal space tumors underwent surgeries. The data included clinical symptoms and signs, pathological types, imaging examinations, surgical approaches and postoperative complications. RESULT: Computerized tomography (CT), magnetic resonance imaging (MRD and digital subtraction angiography (DSA) made clear the tumor size, localization and its relation to adjacent structures...
June 2015: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
Yong He, Hao Pan, Hanbin Xu
Professor SONG Nanchang's clinical experience and characteristics for treatment of peripheral facial paralysis are introduced. In clinical treatment, professor SONG has adopted staging treatment strategy, and performed acupuncture stimulation with different levels. He attaches great importance to the acupoint selection on distal limbs. For the treatment on the face, he takes temperature as necessity; he inherits from famous Chinese doctor ZONG Ruilin's acupuncture technique of slow-twisting and gentle-pressing...
June 2015: Zhongguo Zhen Jiu, Chinese Acupuncture & Moxibustion
Li-an Liu, Baijun Sun
OBJECTIVE: To observe the difference in the clinical efficacy on peripheral facial palsy between electro-acupuncture (EA) assisted with surface electromyography (sEMG) and conventional EA. METHODS: Sixty cases of peripheral facial palsy were randomized into an observation group and a control group, 30 cases in each one. EA was applied during the first 15 days of sickness in the two groups, at Xiaguan (ST 7), Jiache (ST 6), Dicang (ST 4), Yangbai (GB 14), Taiyang (EX-HN 5), Quanliao (SI 18) and Hegu (LI 4), once a day...
June 2015: Zhongguo Zhen Jiu, Chinese Acupuncture & Moxibustion
İmran Aydoğdu, Enes Ataç, Ziya Saltürk, Yavuz Atar, Erdi Özdemir, Yavuz Uyar, Ahmet Arslanoğlu, Güler Berkiten
Ramsay Hunt syndrome (RHS) is a disorder characterized by herpetic eruptions on the auricle, facial paralysis, and vestibulocochlear dysfunction and is attributed to varicella zoster virus (VZV) infection in the geniculate ganglion. Although it is a common cause of acute peripheral facial paralysis, children are not usually affected. The diagnosis is based on history and physical findings. Treatment of RHS uses a combination of high-dose corticosteroids and acyclovir. This paper presents three cases diagnosed as RHS in the pediatric age group in association with the literature review...
2015: Case Reports in Otolaryngology
P Guerreschi, D Labbé
First described by Labbé in 1997, the lengthening temporalis myoplasty (LTM) ensures the transfer of the entire temporal muscle from the coronoid process to the upper half of the lip without interposition of aponeurotic tissue. Thanks to brain plasticity, the temporal muscle is able to change its function because it is entirely mobilized towards another effector: the labial commissure. After 6 months of speech rehabilitation, the muscle loses its chewing function and it acquires its new smiling function. We describe as far as possible all the technical points to guide surgeons who would like to perform this powerful surgical procedure...
October 2015: Annales de Chirurgie Plastique et Esthétique
G Lamas, P Gatignol, J Barbut, I Bernat, F Tankéré
UNLABELLED: Hypoglossofacial anastomosis is a classical surgical procedure for the treatment of facial paralysis when the trunk of the facial nerve cannot be repaired and its peripheral branches are normal. PATIENTS AND METHODS: Between 2004 and 2015, 77 patients were able to benefit from an hypoglossofacial anastomosis. The etiology of the paralysis was mainly the surgery of vestibular schwannoma, tumors of the facial nerve and diseases of the brainstem. A specific and premature speech therapy remediation was realized for all patients in order to preserve the tongue function and to upgrade the facial motricity...
October 2015: Annales de Chirurgie Plastique et Esthétique
F Bellazreg, Z Hattab, S Meksi, S Mansouri, W Hachfi, N Kaabia, M Ben Said, A Letaief
Mucormycoses are serious infections caused by filamentous fungi of the order Mucorales. They occur most often in immunocompromised patients. We report five cases of mucormycosis in patients hospitalized in the Infectious Diseases Department in Sousse - Tunisia between 2000 and 2013. They were 4 males and one female, mean age 60 years. Three patients were diabetic and one patient had acute leukemia. The locations of mucormycosis were rhinocerebral, rhino-orbital, auricular, pulmonary and cutaneous. The Mucorales isolated were Rhizopus arrhizus in 3 cases and Lichteimia in 2 cases...
July 2015: New Microbes and New Infections
Rakesh Lalla, Rupal Vijay Mulherkar, Parag Vijay Misar
A middle-aged woman was referred to our hospital emergency ward in view of acute onset left faciobrachial weakness. An urgent MRI of the brain was performed, which did not reveal any abnormality and hence a neurology consultation was arranged in order to rule out acute stroke. However, examination and retrospective history taking proved to be a valuable aid in this patient's diagnosis. The incomplete lower motor neuron facial nerve palsy and hand weakness due to leprosy in reaction was confused by the general practitioner as a faciobrachial stroke...
2015: BMJ Case Reports
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