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Facial nerve paralysis

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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/29764274/delayed-transmastoid-facial-nerve-decompression-surgery-in-patients-with-ramsay-hunt-syndrome-presenting-with-neurophysiologically-complete-paralysis
#3
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/29703055/treatment-of-ramsay-hunt-s-syndrome-with-multiple-cranial-nerve-involvement-and-severe-dysphagia-a-case-report
#4
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
#5
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
#6
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
#7
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
#8
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
#9
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
#10
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
#11
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
#12
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/29649064/incomplete-facial-paralysis-the-use-of-the-ipsilateral-residual-facial-nerve-as-a-donor-nerve-for-facial-reanimation
#13
Eyal Gur, Ron M Zuker, Arik Zaretski, David Leshem, Yoav Barnea, Ehud Arad, Ravit Yanko, Beni Meilik, Daniel J Kedar, Ehud Fliss
BACKGROUND: The reconstructive approach for incomplete facial paralysis is not yet determined. In this article we present a new surgical approach for patients with incomplete facial paralysis in which residual, ineffective movement is detected pre-operatively in the ipsilateral bucco-zygomatic territory of the paretic facial nerve. METHODS: Sixteen patients with incomplete facial paralysis were found eligible for the procedure and underwent one-stage facial reanimation by the senior author (E...
March 29, 2018: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29625866/mixed-facial-reanimation-technique-to-treat-paralysis-in-medium-term-cases
#14
Federico Biglioli, Federico Bolognesi, Fabiana Allevi, Dimitri Rabbiosi, Silvia Cupello, Antonino Previtera, Alessandro Lozza, Valeria M A Battista, Claudio Marchetti
Recent facial paralyses, in which fibrillations of the mimetic muscles are still detectable by electromyography (EMG), allow facial reanimation based on giving new neural stimuli to musculature. However, if more time has elapsed, mimetic muscles can undergo irreversible atrophy, and providing a new neural stimulus is simply not effective. In these cases function is provided by transferring free flaps into the face or transposing masticatory muscles to reinstitute major movements, such as eyelid closure and smiling...
March 14, 2018: Journal of Cranio-maxillo-facial Surgery
https://www.readbyqxmd.com/read/29621372/outcomes-from-lateral-eyelid-coupling-for-facial-paralysis-using-the-modified-tarsoconjunctival-flap
#15
Raj Dedhia, Tsung-Yen Hsieh, Oliver Chin, Taha Z Shipchandler, Travis T Tollefson
Importance: In the setting of facial paralysis, inadequate eyelid closure and lower eyelid ectropion can lead to corneal exposure and impaired quality of life. Repair of paralytic ectropion is challenging, and an ideal surgical approach for all cases has not been identified. Objective: To assess the patient-reported outcomes and eyelid position improvement in patients with flaccid facial paralysis undergoing lateral eyelid coupling with a tarsal strip canthoplasty and modified tarsoconjunctival flap to correct eyelid malposition...
April 5, 2018: JAMA Facial Plastic Surgery
https://www.readbyqxmd.com/read/29611410/total-transcanal-endoscopic-facial-nerve-decompression-for-traumatic-facial-nerve-palsy
#16
Aveline Aloyce Kahinga, Ji Hyuk Han, In Seok Moon
A few approaches can be used to decompress traumatic facial nerve paralysis including the middle cranial fossa approach or transmastoid approach depending on the site of injury. In some specific situation of treating traumatic facial nerve palsy whose injured site was confined from the geniculate ganglion to the second genu, transcanal endoscopic approach for facial nerve decompression can be used. We performed two cases of total endoscopic transcanal facial nerve decompression in patients with traumatic facial nerve palsy...
May 2018: Yonsei Medical Journal
https://www.readbyqxmd.com/read/29605955/dynamic-quantitative-assessment-of-motor-axon-sprouting-after-direct-facial-hypoglossal-end-to-side-neurorrhaphy-in-rats
#17
Pengfei Liu, Zhang Zhang, Chenlong Liao, Wenxiang Zhong, Pengyang Li, Wenchuan Zhang
BACKGROUND:  End-to-side (ETS) neurorrhaphy is a promising procedure for peripheral nerve repair, yet controversies regarding the efficacy of this repair in facial nerve anastomosis for facial paralysis still exist. METHODS:  Thirty rats were divided into three groups: intact control group, direct facial-hypoglossal ETS neurorrhaphy, and end-to-end (ETE) neurorrhaphy. Nerve regeneration was assessed with vibrissae motor performance, electrophysiological tests, retrograde labeling, and histomorphological analysis at 4 and 8 months postoperatively...
April 1, 2018: Journal of Reconstructive Microsurgery
https://www.readbyqxmd.com/read/29598895/triple-innervation-for-re-animation-of-recent-facial-paralysis
#18
Federico Biglioli, Fabiana Allevi, Dimitri Rabbiosi, Silvia Cupello, Valeria Marinella Augusta Battista, Alberto Maria Saibene, Giacomo Colletti
Recent facial palsies are those in which fibrillations of the mimetic musculature remain detectable by electromyography (EMG). Such fibrillations generally cease 18-24 months after palsy onset. During this period, facial re-animation surgery seeks to supply new neural inputs to the facial nerve. Neural usable sources were divided into qualitative (contralateral facial nerve) and quantitative (hypoglossus and masseteric nerve), depending on the type of stimulus provided. To further improve the extent and quality of facial re-animation, we here describe a new surgical technique featuring triple neural inputs: the use of the masseteric nerve and 30% of the hypoglossus nerve fibres as quantitative sources was associated with the contralateral facial nerve (incorporated via two cross-face nerve grafts) as a qualitative source in order to restore facial movements in 24 consecutive patients...
May 2018: Journal of Cranio-maxillo-facial Surgery
https://www.readbyqxmd.com/read/29566121/the-multivector-gracilis-free-functional-muscle-flap-for-facial-reanimation
#19
Kofi O Boahene, James Owusu, Lisa Ishii, Masaru Ishii, Shaun Desai, Irene Kim, Leslie Kim, Patrick Byrne
Importance: A multivector functional muscle flap that closely simulates the biomechanical effects of facial muscle groups is essential for complete smile restoration after facial paralysis. Objective: To determine the feasibility of a multivector gracilis muscle flap design for reanimation after facial paralysis and to analyze the effect on the smile display zone. Design, Setting, and Participants: Prospective analysis of patients who underwent a double paddle multivector gracilis flap for complete facial paralysis between June 2015 and December 2016 was carried out in a tertiary hospital...
March 22, 2018: JAMA Facial Plastic Surgery
https://www.readbyqxmd.com/read/29543223/-facial-nerve-injury-in-neurosurgery-a-rehabilitation-potential-of-botulinum-therapy
#20
M A Akulov, O R Orlova, T V Tabashnikova, V V Karnaukhov, A S Orlova
Surgical treatment of posterior cranial fossa and cerebellopontine angle tumors is associated with a risk of facial nerve dysfunction. The causes for facial muscle paresis include nerve compression by the tumor, destruction of the nerve structure by the tumor growing from nerve fibers, nerve injury during surgical removal of the tumor, etc. The first 3 months after facial nerve injury are a potential therapeutic window for the use of botulinum toxin type A (BTA). During this period, the drug is introduced both in the healthy side to improve the facial symmetry at rest and during mimetic movements and in the affected side to induce drug-induced ptosis...
2018: Zhurnal Voprosy Neĭrokhirurgii Imeni N. N. Burdenko
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