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https://www.readbyqxmd.com/read/29775003/-extracapsular-dissection-versus-superficial-parotidectomy-for-treatment-of-parotid-benign-tumors-evidence-based-medicine-analysis
#1
Z Y Jia, X Y Zhang, C B Jiang, Y Z Zhao, R Zhang, X H Fan, Y H Zhang
Objective: The aim of this study is to systematically assess the clinical outcomes of extracapsular dissection (ECD) and superficial parotidectomy (SP), and to provide evidences for the clinical decision for treatment of parotid gland benign tumors. Method: Relevant studies that compared the outcomes of extracapsular dissection and superficial parotidectomy for the parotid benign tumors were searched in Pubmed, CNKI and Wangfang data databases, and Meta-analysis was performed using software RevMan 5.0. Result: Fifteen studies were selected for the Meta-analysis...
June 5, 2017: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
https://www.readbyqxmd.com/read/29771843/facial-paralysis-in-patients-with-hemifacial-microsomia-frequency-distribution-and-association-with-other-omens-abnormalities
#2
Qiang Li, Xu Zhou, Yue Wang, Jin Qian, Qingguo Zhang
Although facial paralysis is a fundamental feature of hemifacial microsomia, the frequency and distribution of nerve abnormalities in patients with hemifacial microsomia remain unclear. In this study, the authors classified 1125 cases with microtia (including 339 patients with hemifacial microsomia and 786 with isolated microtia) according to Orbital Distortion Mandibular Hypoplasia Ear Anomaly Nerve Involvement Soft Tissue Dependency (OMENS) scheme. Then, the authors performed an independent analysis to describe the distribution feature of nerve abnormalities and reveal the possible relationships between facial paralysis and the other 4 fundamental features in the OMENS system...
May 15, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29771083/-the-clinical-assessment-of-regional-resection-in-the-benign-tumor-of-parotid-gland
#3
H B Gu, E M Zhao, T C Li, H Shen, T C Cong, Y Qin, Y H Liu, S F Xiao
Objective: To evaluate the clinical assessment of regional resection and superficial lobe total resection in the treatment of benign tumors of the parotid gland. Method: One hundred and nighty-five patients operated in the First Hospital of Peking University from January 1998 to March 2017 with benign tumor of the parotid gland were retrospectively analyzed. There were 189 patients with single side tumor and 6 patients with bilateral sides, 157 cases underwent regional resection and the other 44 cases underwent superficial lobe total resection...
May 2018: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
https://www.readbyqxmd.com/read/29766816/a-systematic-review-of-the-literature-of-the-three-related-disease-entities-cheilitis-granulomatosa-orofacial-granulomatosis-and-melkersson-rosenthal-syndrome
#4
Goetz Wehl, Markus Rauchenzauner
BACKGROUND AND OBJECTIVE: Melkersson Rosenthal syndrome (MRS) is a rare disorder of unknown etiology and comprises the triad: orofacial edema, recurrent facial paralysis and lingua plicata. In the current literature confusing heterogeneity exists, mixing together the historically grown terms cheilitis granulomatosa or granulomatous cheilitis, Melkersson Rosenthal syndrome and the umbrella term orofacial granulomatosis (OFG). METHODS: We provide a systematic review comprising all three disease entities of orofacial granulomatosis using the computerized database "Pubmed Medline" entering the key words "orofacial granulomatosis" (141 references), "Melkersson-Rosenthal syndrome" (207 references), "granulomatous cheilitis" or "cheilitis granulomatosa" (102 references) back to 1956...
May 14, 2018: Current Pediatric Reviews
https://www.readbyqxmd.com/read/29764274/delayed-transmastoid-facial-nerve-decompression-surgery-in-patients-with-ramsay-hunt-syndrome-presenting-with-neurophysiologically-complete-paralysis
#5
Yoshihiko Kumai, Momoko Ise, Satoru Miyamaru, Yorihisa Orita
OBJECTIVES: To determine the efficacy of delayed transmastoid facial nerve decompression in patients with Ramsay Hunt Syndrome (RHS) presenting with complete facial paralysis. METHODS: Twenty-five RHS patients with complete facial nerve paralysis presenting electroneuronographic (ENoG) degeneration ≥90% underwent transmastoid facial nerve decompression more than 3 weeks after the onset of paralysis. The principal features measured were 12 months pre- and post-operative House-Brackmann (HB) grades and the presence of a direct intraoperative neural response (INR) prior to decompression procedure...
May 15, 2018: Acta Oto-laryngologica
https://www.readbyqxmd.com/read/29731052/a-38-year-old-woman-with-global-aphasia-and-migraine
#6
Jialei Yang, Xiaoyong Huang, Shimin Yin, Lei Wang, Mingyang Zhou
A 38-year-old right-handed woman presented to the hospital with subtle right facial palsy and global aphasia of 4 days' duration. She found that she had aphasia when she suddenly woke up at midnight and reported a headache lasting for several hours. She had no fever, vomiting, seizures, or limb paralysis. She had had migraines with an occasional visual aura for > 10 years. She was not taking any medication and was a nondrinker and nonsmoker. She had no other significant medical background and family history...
May 2018: Chest
https://www.readbyqxmd.com/read/29728169/familial-lower-lip-facial-paralysis-with-asymmetric-smile-selective-neurectomy-of-the-cervical-branch
#7
Tristan Klosterman, Sedat Ulkatan, Thomas Romo, O Teresa
No abstract text is available yet for this article.
June 2018: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/29707466/quantifying-soft-tissue-shape-and-symmetry-patients-with-cleft-lip-palate-and-facial-paralysis
#8
Carroll Ann Trotman, Julian Faraway, Tessa Hadlock, Caroline Banks, Nathan Jowett, Daniel Regan
Background: The objective of this study was to demonstrate simple three-dimensional analyses of facial soft tissue shape and asymmetry. Methods: There were 2 study samples: one retrospective comprised patients with repaired cleft lip and palate (CL/P) and control subjects; and the other prospective comprised patients with unilateral facial paralysis (FP) and control subjects. The data collected were digitized three-dimensional facial landmarks. Scores for shape and asymmetry of subjects' faces and for different facial regions were generated using Procrustes methods...
March 2018: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/29706553/keeping-the-fat-on-the-right-spot-prevents-contour-deformity-in-temporalis-muscle-transposition
#9
Martinus M van Veen, Steven F S Korteweg, Pieter U Dijkstra, Paul M N Werker
The temporalis muscle transposition is a reliable, one-stage reanimation technique for longstanding facial paralysis. In the variation described by Rubin, the muscle is released from the temporal bone and folded over the zygomatic arch towards the modiolus. This results in unsightly temporal hollowing and zygomatic bulging. We present a modification of this technique, which preserves the temporal fat pad in its anatomical location as well as conceals temporal hollowing and prevents zygomatic bulging. The data of 23 patients treated with this modification were analysed...
April 13, 2018: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/29703055/treatment-of-ramsay-hunt-s-syndrome-with-multiple-cranial-nerve-involvement-and-severe-dysphagia-a-case-report
#10
Jong Min Kim, Zeeihn Lee, Seungwoo Han, Donghwi Park
RATIONALE: Ramsay-Hunt's syndrome (RHS) is a disorder characterized by facial paralysis, herpetic eruptions on the auricle, and otic pain due to the reactivation of latent varicella zoster virus in the geniculate ganglion. A few cases of multiple cranial nerve invasion including the vestibulocochlear nerve, glossopharyngeal nerve and vagus nerve have been reported. However, there has been no report about RHS with delayed onset multiple cranial nerve involvement causing severe aspiration, and a clinical course that improved after more than one year of dysphagia rehabilitation and percutaneous endoscopic gastrostomy (PEG)...
April 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29701044/-special-penetration-needling-for-refractory-peripheral-facial-paralysis
#11
Rongjuan Cao, Xiaohu Qiu, Xiaokun Xie
OBJECTIVE: To observe the clinical effect difference between special penetration needling and conventional penetration needling for the refractory peripheral facial paralysis. METHODS: A total of 97 patients with intractable facial paralysis were randomized into an observation group (49 cases and 2 dropping) and a control group (48 cases and 4 dropping). In the observation group, special penetration needling at an angle about 45° between the penetration needle and paralysis muscle bundle was used, Yangbai (GB 14) through Touwei (ST 8), Yangbai (GB 14) through Shangxing (GV 23), Sizhukong (TE 23) through Yuyao (EX-HN 4), Qianzhen (Extra) through Yingxiang (LI 20), mutual penetration between Yingxiang (LI 20) and Jiache (ST 6)...
March 12, 2018: Zhongguo Zhen Jiu, Chinese Acupuncture & Moxibustion
https://www.readbyqxmd.com/read/29699880/association-between-facial-nerve-second-genu-angle-and-facial-canal-dehiscence-in-patients-with-cholesteatoma-evaluation-with-temporal-multidetector-computed-tomography-and-surgical-findings
#12
Asli Tanrivermis Sayit, Hediye Pinar Gunbey, Dilek Saglam, Emre Gunbey, Semsettin Kardas, Cetin Celenk
INTRODUCTION: Otitis media, mastoiditis or the pressure effect of tumorous lesions such as cholesteatoma can be the cause of facial canal dehiscence and facial nerve paralysis. The most common segment involved in dehiscence is the tympanic segment and the second most common is the lateral aspect of the facial canal in the oval window area. OBJECTIVE: To determine the prevalence of the facial canal dehiscence and the relationship between the angle at the second genu of the facial nerve and facial canal dehiscence...
April 14, 2018: Brazilian Journal of Otorhinolaryngology
https://www.readbyqxmd.com/read/29697623/facial-reanimation-in-the-seventh-and-eighth-decades-of-life
#13
Austin Hembd, Bridget Harrison, Cynthia Souza Martins Rocha, Franklin de Souza Rocha, Khalil Chamseddin, Daniel Labbé, Alexander Cárdenas-Mejía, Shai M Rozen
BACKGROUND: Treatment of facial paralysis in the older population is often relegated to static rather than dynamic reanimation for fear of poor outcomes. This pervasive approach lacks physiologic foundation and is not evidence based. Thus, the authors present an extensive literature review demonstrating weak evidence supporting this misguided concept, followed by detailed outcomes from three centers of the largest reported series to date of patients older than 60 years after reanimation performed using three techniques-lengthening temporalis myoplasty, free functional muscle, and nerve transfers...
May 2018: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29686816/evaluation-of-the-prognostic-value-of-multimodal-intraoperative-monitoring-in-posterior-fossa-surgery-patients-with-cerebellopontine-angle-tumors
#14
Mohsen Dalvandi, Ali Nazemi Rafie, Alireza Kamali, Alireza Jamshidifard
The aim of this study was to compare the outcomes of four intraoperative monitoring approaches in order to compare their prognostic value in surgical complications of the facial nerve. This quasi-experimental study was conducted on 25 patients with Cerebellopontine Angle (CPA) tumors, who were hospitalized in the Valiasr Hospital, affiliated to the Arak University of Medical Sciences, Arak, Iran. The degree of the facial nerve paralysis was assessed based on the House-Brackmann (HB) facial nerve grading system...
January 12, 2018: European Journal of Translational Myology
https://www.readbyqxmd.com/read/29678374/feasibility-of-a-new-v-shaped-incision-for-parotidectomy-a-preliminary-report
#15
D Ahn, J H Sohn, G J Lee
We report the design of a new V-shaped incision for parotidectomy that involves only preauricular and postauricular incisions and no hairline or upper cervical incision. It can be used to approach almost all the superficial parotid region, including the superior and anterior divisions, with minimal scarring. To evaluate its technical feasibility, safety, and cosmetic results, we prospectively enrolled 15 patients (between September 2015 and September 2016) who had partial parotidectomy as the primary treatment for benign parotid tumours...
April 17, 2018: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/29678166/why-does-my-patient-s-basilar-artery-continue-to-grow-a-four-year-case-study-of-a-patient-with-symptoms-of-vertebrobasilar-dolichoectasia
#16
Dao Pei Zhang, Yan Fang Peng, Qian Kun Ma, Min Zhao, Huai Liang Zhang, Suo Yin
BACKGROUND: Vertebrobasilar dolichoectasia (VBD) is a clinical entity associated with ischemic stroke, compression of cranial nerves or brainstem, and hydrocephalus. There have been relatively few studies following the progression of VBD in patients presenting with a variety of diverse clinical features. CASE PRESENTATION: Here, we report a case study of a male with progressive VBD who was followed from November 2012 to December 2016. The patient had diagnosed hypertension for several years and suffered from left peripheral facial paralysis, recurrent ischemic attacks in the brainstem and cerebellum, obstructive hydrocephalus and frequent pneumonia...
April 20, 2018: BMC Neurology
https://www.readbyqxmd.com/read/29668505/comparison-of-functional-results-after-cross-face-nerve-graft-spinal-accessory-nerve-and-masseter-nerve-innervated-gracilis-for-facial-paralysis-reconstruction-the-chang-gung-experience
#17
David Chwei-Chin Chuang, Johnny Chuieng-Yi Lu, Tommy Nai-Jen Chang, Vincent G Laurence
BACKGROUND: Using functioning free muscle transplantation (FFMT) for facial paralysis and postparalysis facial synkinesis reconstruction is our preferred technique. Gracilis was the first choice of muscle. Three motor neurotizers: cross-face nerve graft (CFNG), spinal accessory nerve (XI) and masseter nerve (V3) have been used as neurotizers for different indications. METHODS: A total of 362 cases of facial reanimation with FFMT were performed between 1986 and 2015...
April 17, 2018: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/29665890/a-novel-technique-to-identify-the-nerve-of-origin-in-head-and-neck-schwannomas
#18
H H Ching, A G Spinner, N H Reeve, R C Wang
OBJECTIVE: Identifying the nerve of origin in head and neck schwannomas is a diagnostic challenge. Surgical management leads to a risk of permanent deficit. Accurate identification of the nerve would improve operative planning and patient counselling. METHODS: Three patients with head and neck schwannomas underwent a diagnostic procedure hypothesised to identify the nerve of origin. The masses were infiltrated with 1 per cent lidocaine solution, and the patients were observed for neurological deficits...
April 18, 2018: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/29664365/human-usutu-virus-infection-with-atypical-neurologic-presentation-montpellier-france-2016
#19
Yannick Simonin, Olivier Sillam, Marie J Carles, Serafin Gutierrez, Patricia Gil, Orianne Constant, Marie F Martin, Gilda Girard, Philippe Van de Perre, Sara Salinas, Isabelle Leparc-Goffart, Vincent Foulongne
Infection with Usutu virus (USUV) has been recently associated with neurologic disorders, such as encephalitis or meningoencephalitis, in humans. These findings indicate that USUV is a potential health threat. We report an acute human infection with USUV in France putatively associated with a clinical diagnosis of idiopathic facial paralysis.
May 2018: Emerging Infectious Diseases
https://www.readbyqxmd.com/read/29661590/rituximab-was-effective-for-acute-disseminated-encephalomyelitis-followed-by-recurrent-optic-neuritis-with-anti-myelin-oligodendrocyte-glycoprotein-antibodies
#20
Masako Nagashima, Hitoshi Osaka, Takahiro Ikeda, Ayumi Matsumoto, Akihiko Miyauchi, Kimihiko Kaneko, Ichiro Nakashima, Yuko Nakano, Kei Wakabayashi, Yukifumi Monden, Takanori Yamagata
BACKGROUND: The effect of rituximab on acute disseminated encephalomyelitis (ADEM) followed by recurrent optic neuritis (ON) is not yet known. PATIENT: We are reporting the case of a 4-year-old Japanese girl who was diagnosed with anti-myelin oligodendrocyte glycoprotein (MOG) antibody positive ADEM followed by recurrent ON. She developed altered mental status, left facial paralysis, left paresis, and experienced three episodes of ON. She was treated with rituximab and azathioprine (AZA) as prevention for recurrent ON...
April 13, 2018: Brain & Development
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