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Facial nerve paralysis

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https://www.readbyqxmd.com/read/29141294/-positions-of-the-implanted-stimulating-electrodes-for-artificial-facial-nerve-for-inducing-contraction-of-the-orbicularis-oris-muscle-in-rabbit-with-peripheral-facial-paralysis
#1
D Y Xu, N J Zhao, Y X Zhao, D Luo, Y J Sun, K Y Li
Objective: To explore the optimal positions of the implanted stimulating eletrodes for artificial facial nerve (AFN) for inducing contraction of the orbicularis oris muscle (OOM) in rabbit with peripheral facial paralysis. Methods: According to the four microelectrodes of the AFN stimulating side, four modes of the implanted positions were divided. In line with different modes, the electrodes were implanted into the affected OOM of the rabbits with unilateral peripheral facial paralysis. AFN output electric stimulation to induce contraction of the affected OOM with uniform stimulating frequency and pulse length in vitro...
November 7, 2017: Zhonghua Er Bi Yan Hou Tou Jing Wai Ke za Zhi, Chinese Journal of Otorhinolaryngology Head and Neck Surgery
https://www.readbyqxmd.com/read/29125661/eyelid-reanimation-using-crossface-nerve-graft-relationship-between-surgical-outcome-and-preoperative-paralysis-duration
#2
Masayuki Okochi, Hiromi Okochi, Emiko Asai, Takao Sakaba, Kazuki Ueda
BACKGROUND: To reanimate the mimetic muscles, crossface nerve graft (CFNG) is an effective surgical option. However, muscle atrophy after facial paralysis may influence the surgical result. We analyzed the relationship between surgical result and preoperative paralysis duration. METHODS: We performed CFNG on 15 patients. The sural nerve was transferred between the affected and nonaffected sides of the zygomatic branch. Eyelid function and eyelid lid were evaluated using the modified House-Brackmann scale...
November 10, 2017: Microsurgery
https://www.readbyqxmd.com/read/29098745/prosthodontic-management-of-a-patient-with-moebius-syndrome-a-clinical-report
#3
Ahmed Mahrous, Ghadeer Thalji
Moebius/Mӧbius Syndrome (MS) is an extremely rare congenital disorder characterized by uni- or bilateral palsy of the abducens (VI) and the facial (VII) nerves, causing facial paralysis. Dysfunction of cranial nerves III through XII is common, most often the glossopharyngeal (IX) and hypoglossus (XII). Afflicted individuals seeking prosthodontic care, particularly removable prosthetics, present multiple challenges related to inherent facial and tongue muscle weakness and microstomia. Other extraoral anomalies may include congenital multiple arthrogryposis and malformations of the upper and lower limbs...
November 3, 2017: Journal of Prosthodontics: Official Journal of the American College of Prosthodontists
https://www.readbyqxmd.com/read/29090419/assessment-for-facial-nerve-paralysis-based-on-facial-asymmetry
#4
Song Anping, Xu Guoliang, Ding Xuehai, Song Jiaxin, Xu Gang, Zhang Wu
Facial nerve paralysis (FNP) is a loss of facial movement due to facial nerve damage, which will lead to significant physical pain and abnormal function in patients. Traditional FNP grading methods are solely based on clinician's judgment and are time-consuming and subjective. Hence, an accurate, quantitative and objective method of evaluating FNP is proposed for constructing a standard system, which will be an invaluable tool for clinicians who treat the patient with FNP. In this paper, we introduce a novel method for quantitative assessment of FNP which combines an effective facial landmark estimation (FLE) algorithm and facial asymmetrical feature (FAF) by processing facial movement image...
October 31, 2017: Australasian Physical & Engineering Sciences in Medicine
https://www.readbyqxmd.com/read/29075156/skull-base-trauma-clinical-considerations-in-evaluation-and-diagnosis-and-review-of-management-techniques-and-surgical-approaches
#5
REVIEW
Jacob S Feldman, Soroush Farnoosh, Robert M Kellman, Sherard A Tatum
Traumatic injuries to the skull base can involve critical neurovascular structures and present with symptoms and signs that must be recognized by physicians tasked with management of trauma patients. This article provides a review of skull base anatomy and outlines demographic features in skull base trauma. The manifestations of various skull base injuries, including CSF leaks, facial paralysis, anosmia, and cranial nerve injury, are discussed, as are appropriate diagnostic and radiographic testing in patients with such injuries...
November 2017: Seminars in Plastic Surgery
https://www.readbyqxmd.com/read/29062251/a-congenital-cranial-dysinnervation-disorder-m%C3%A3-bius-syndrome
#6
Hatice Mutlu Albayrak, Nuriye Tarakçı, Hüseyin Altunhan, Rahmi Örs, Hüseyin Çaksen
Möbius' syndrome, also known as Möbius' sequence, is a nonprogressive cranial dysinnervation disorder characterized by congenital facial and abducens nerve paralysis. Here, we report a 5-day-old girl who was conceived after in vitro fertilization with poor suck and facial paralysis. She had bilaterally ptosis and lateral gaze limitation, left-sided deviation of the tongue, dysmorphic face, hypoplastic fingers and finger nails on the left hand, and was diagnosed as having Möbius' syndrome. Involvement of other cranial nerves such as three, four, five, nine, 9 and 12, and limb malformations may accompany this syndrome...
September 2017: Türk Pediatri Arşivi
https://www.readbyqxmd.com/read/29053893/unilateral-faciobrachial-weakness-an-unusual-neuromuscular-presentation-of-west-nile-virus-infection
#7
Ahmed M El-Dokla, Rashedul Hasan, Sara T Ali
No abstract text is available yet for this article.
October 20, 2017: Muscle & Nerve
https://www.readbyqxmd.com/read/29049436/minimal-nasolabial-incision-technique-for-nasolabial-fold-modification-in-patients-with-facial-paralysis
#8
Callum Faris, Alyssa Heiser, Nate Jowett, Tessa Hadlock
Importance: Creation of symmetrical nasolabial folds (NLFs) is important in the management of the paralyzed face. Established techniques use a linear incision in the NLF, and technical refinements now allow the linear incision to be omitted. Design, Setting, and Participants: This retrospective case series was conducted in a tertiary care setting from February 2, 2017, to June 7, 2017. Participants were all patients (N = 21) with peripheral facial paralysis who underwent NLF modification that used the minimal nasolabial incision technique at the Massachusetts Eye and Ear Infirmary Facial Nerve Center from February 1, 2015, through August 31, 2016...
October 12, 2017: JAMA Facial Plastic Surgery
https://www.readbyqxmd.com/read/29032419/objective-assessment-of-the-reliability-of-the-house-brackmann-and-fisch-grading-of-synkinesis
#9
Verena Meier-Gallati, Henning Scriba
The objective of this paper is to assess synkinesis associated with post paretic voluntary facial movements using the objective OSCAR method and to investigate the correlation between synkinesis and paresis to compare the objective results with the subjective scaling systems of Fisch and House-Brackmann. The development of an objective assessment of synkinesis with the OSCAR method is focused on the clinically most relevant eye-mouth and forehead-mouth synkinetic movements. Thirteen patients with unilateral facial paralysis and synkinesis of the University Hospital Zurich were examined...
December 2017: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/29029275/surgical-management-of-intrinsic-tumors-of-the-facial-nerve
#10
Sampath Chandra Prasad, Melissa Laus, Manjunath Dandinarasaiah, Enrico Piccirillo, Alessandra Russo, Abdelkader Taibah, Mario Sanna
BACKGROUND: Intrinsic tumors of the facial nerve are a rare entity. Dealing with this subset of tumors is challenging both in terms of decision making and surgical intervention. OBJECTIVE: To review the outcomes of surgical management of facial nerve tumors and cable nerve graft interpositioning. METHODS: A retrospective analysis was performed at a referral center for skull base pathology. One hundred fifteen patients who were surgically treated for facial nerve tumors were included...
September 29, 2017: Neurosurgery
https://www.readbyqxmd.com/read/28978266/parapharyngeal-space-tumor-surgery-using-a-modified-cervical-parotid-approach
#11
Isaku Okamoto, Kiyoaki Tsukahara, Hiroki Sato
OBJECTIVES: The cervical approach to parapharyngeal space tumors is blind in cases involving an approach to the vicinity of the skull base from below. We therefore devised a procedure to improve the safety of surgery in the vicinity of the skull base. METHODS: With this surgical technique, the temporal branch from the main trunk is first identified, as in the case of parotid gland tumor surgery. We then approach the skull base by entering the posterior aspect of the parotid gland tissue from above the temporal branch and anterior auricular space, allowing clear visual confirmation of the upper part of the tumor...
October 5, 2017: Acta Oto-laryngologica
https://www.readbyqxmd.com/read/28954117/do-you-know-this-syndrome-heerfordt-waldenstr%C3%A3-m-syndrome
#12
Rafael Cavanellas Fraga, Priscila Kakizaki, Neusa Yuriko Sakai Valente, Larissa Karine Leite Portocarrero, Mônica Fernandes Senise Teixeira, Priscilla Fernandes Senise
Heerfordt-Waldenström syndrome is a rare subacute variant of sarcoidosis, characterized by enlargement of the parotid or salivary glands, facial nerve paralysis and anterior uveitis. Granulomas with a peripheral lymphocyte deficit are found in the anatomic pathology of affected organs. It is normally self-limiting, with cure achieved between 12 and 36 months, but some prolonged cases have been reported. Diagnosis of the syndrome is clinical, and treatment depends on the degree of systemic impairment. Oral corticosteroids represent the first line treatment option...
July 2017: Anais Brasileiros de Dermatologia
https://www.readbyqxmd.com/read/28953606/an-analysis-of-safety-and-adverse-events-following-cochlear-implantation-in-children-under-12-months-of-age
#13
Yesul Kim, Vijay A Patel, Huseyin Isildak, Michele M Carr
OBJECTIVE: To determine perioperative morbidity of children ≤12 months undergoing cochlear implantation (CI). STUDY DESIGN: Retrospective analysis using the American College of Surgeons National Surgical Quality Improvement Program Pediatric Database (ACS-NSQIP-P). SETTING: General acute care children's hospitals, children's hospitals within larger hospitals, specialty children's hospitals, and general acute care hospitals with a pediatric wing...
December 2017: Otology & Neurotology
https://www.readbyqxmd.com/read/28936285/clinical-and-radiological-outcome-of-arthrocentesis-followed-by-autologous-blood-injection-for-treatment-of-chronic-recurrent-temporomandibular-joint-dislocation
#14
Jinesh Patel, Kumar Nilesh, M I Parkar, Alpesh Vaghasiya
BACKGROUND: This study was conducted to evaluate the functional outcome and MRI findings of arthrocentsis followed by autologous blood injection (ABI) into the joint space for management of chronic recurrent TMJ dislocation. MATERIAL AND METHODS: Total ten patients with bilateral chronic recurrent condylar dislocation were included in the study. Arthrocentesis of both TMJ was performed on each patient, followed by the injection of 2 ml of autologous blood into the superior joint compartment and 1 ml onto the outer surface of the joint capsule...
August 2017: Journal of Clinical and Experimental Dentistry
https://www.readbyqxmd.com/read/28929059/incidence-of-facial-nerve-canal-dehiscence-in-primary-and-revision-cholesteatoma-surgery
#15
Mohammad Faramarzi, Sareh Roosta
The aim of this retrospective study was to determine the incidence of facial canal dehiscence (FCD) in primary and revision cholesteatoma surgery in a tertiary referral center. Moreover, our second goal was to identify association between FCD and other intra-operative pathological findings in a group of patients with cholesteatoma surgery. Inclusion criteria were primary and revision canal wall up and canal wall down tympanomastoidectomy in patients who suffers from chronic otitis media (COM) with cholesteatoma...
September 2017: Indian Journal of Otolaryngology and Head and Neck Surgery
https://www.readbyqxmd.com/read/28916909/-idiopathic-cranial-nerve-failure
#16
P Urban
Cranial nerve lesions require a thorough diagnostic work-up and known etiologies have to be excluded before the term idiopathic can be considered. The focus of the present review is on idiopathic peripheral facial nerve paralysis (Bell's palsy) for which this terminology has been established. For all other cranial nerve lesions the typical clinical signs, established etiologies and possible diagnostic pitfalls are discussed.
September 15, 2017: Der Nervenarzt
https://www.readbyqxmd.com/read/28916260/primary-facial-reanimation-in-head-and-neck-cancer
#17
REVIEW
Axel Sahovaler, David Yeh, John Yoo
Facial Paralysis (FP) profoundly impairs the life of individuals, both functionally and psychosocially. Surgical approaches to treat this condition are myriad, but the ultimate goal is to restore symmetry and movement. Ablative surgery for tumors of the head and neck region are amongst the most common etiologies causing FP and this group of patients represents unique challenges. Surgical defects may have multiple competing reconstructive requirements and addressing the FP must be considered in this context...
September 12, 2017: Oral Oncology
https://www.readbyqxmd.com/read/28881350/comparing-modified-with-conventional-parotidectomy-for-benign-parotid-tumors
#18
Ling Gao, Wenhao Ren, Shaoming Li, Xiaojing Yan, Fan Li, Rongtao Yuan, Wei Shang, Keqian Zhi
PURPOSE: We conducted a study to compare the functional outcomes and surgical complications of patients with benign parotid tumors treated with conventional parotidectomy and modified parotidectomy. METHODS: This study retrospectively analyzed 99 patients who had benign parotid lesions and underwent parotidectomy using either conventional or modified parotidectomy. The operation time, cosmetic outcome, great auricular nerve anesthesia, incidence of Frey syndrome, and secretory function with the two techniques were compared...
September 8, 2017: ORL; Journal for Oto-rhino-laryngology and its related Specialties
https://www.readbyqxmd.com/read/28840640/de-novo-pathogenic-variant-in-tubb2a-presenting-with-arthrogryposis-multiplex-congenita-brain-abnormalities-and-severe-developmental-delay
#19
Resham Ejaz, Anath C Lionel, Susan Blaser, Susan Walker, Stephen W Scherer, Riyana Babul-Hirji, Christian R Marshall, Dimitri J Stavropoulos, David Chitayat
Disorders of brain formation can occur from pathogenic variants in various alpha and beta tubulin genes. Heterozygous pathogenic variants in the beta tubulin isotype A gene, TUBB2A, have been recently implicated in brain malformations, seizures, and developmental delay. Limited information is known regarding the phenotypic spectrum associated with pathogenic variants in this gene given the rarity of the condition. We report the sixth individual with a de novo heterozygous TUBB2A pathogenic variant, who presented with a severe neurological phenotype along with unique features of arthrogryposis multiplex congenita, optic nerve hypoplasia, dysmorphic facial features, and vocal cord paralysis, thereby expanding the gene-related phenotype...
August 25, 2017: American Journal of Medical Genetics. Part A
https://www.readbyqxmd.com/read/28831357/periauricular-keloids-on-face-lift-scars-in-a-patient-with-facial-nerve-paralysis
#20
Masayo Aoki, Satoshi Akaishi, Noriko M Matsumoto, Takuya Tsuge, Ken Kubomura, Midori Nishikawa, Shunichi Nomoto, Rei Ogawa
Keloids are caused by excessive scar formation that leads to scar growth beyond the initial scar boundaries. Keloid formation and progression is promoted by mechanical stress such as skin stretch force. Consequently, keloids rarely occur in paralyzed areas and areas with little skin tension, such as the periauricular region. Therefore, periauricular incision is commonly performed for face lifts. We report a rare case of keloids that arose from face-lift scars in a patient with bilateral facial nerve paralysis...
July 2017: Plastic and Reconstructive Surgery. Global Open
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