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Facial nerve paralysis

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https://www.readbyqxmd.com/read/29315828/a-collagen-coated-pga-conduit-for-interpositional-jump-graft-with-end-to-side-neurorrhaphy-for-treating-facial-nerve-paralysis-in-rat
#1
Yosuke Niimi, Hajime Matsumine, Yuichi Takeuchi, Hironobu Osaki, Satoshi Tsunoda, Mariko Miyata, Masayuki Yamato, Hiroyuki Sakurai
PURPOSE: This study investigated the potential of collagen-coated polyglycolic acid (PGA) tube with interpositional jump graft (IPJG) in rat. MATERIALS AND METHODS: A total of 16 Lewis rats were used in this study. Facial nerve paralysis was created by ligating facial nerve trunk with a ligature clip. The rats were divided into 3 groups. Nerve conduit group (n = 6) were treated by IPJG with collagen-coated PGA tubes between the facial nerve trunks and the hypoglossal nerves...
January 8, 2018: Microsurgery
https://www.readbyqxmd.com/read/29311017/reanimation-of-the-paralyzed-lids-by-cross-face-nerve-graft-and-platysma-transfer
#2
Federico Biglioli, Matteo Zago, Fabiana Allevi, Daniela Ciprandi, Giovanni Dell'Aversana Orabona, Valentina Pucciarelli, Dimitri Rabbiosi, Ilaria Pacifici, Filippo Tarabbia, Chiarella Sforza
Alterations of facial muscles may critically humper patients' quality of life. One of the worst conditions is the reduction or abolition of eye blinking. To prevent these adverse effects, surgical rehabilitation of eyelid function is the current treatment choice. In the present paper, we present a modification of the technique devised by Nassif to recover lids from long-standing paralysis. In our modification, the upper lid is rehabilitated by a platisma graft innervated by the contralateral facial nerve branches using a cross-face sural nerve graft...
December 27, 2017: Journal of Cranio-maxillo-facial Surgery
https://www.readbyqxmd.com/read/29310488/the-effects-of-lipoic-acid-and-methylprednisolone-on-nerve-healing-in-rats-with-facial-paralysis
#3
Emrah Tekdemir, Arzu Tatlipinar, Dilek Özbeyli, Özge Tekdemir, Emrah Kınal
OBJECTIVE: To investigate the effects of lipoic acid and methylprednisolone on nerve healing in rats with traumatic facial paralysis. MATERIALS AND METHODS: The rats were randomly divided into four groups, with six rats in the control group and eight each in the remaining three groups. The buccal branch of the facial nerve in all groups except the control group was traumatized by a vascular clamp for 40 minutes. Group 1 was given lipoic acid (LA), Group 2 was given methylprednisolone (MP), and Group 3 was given lipoic acid and methylprednisolone (LA + MP) for one week...
January 8, 2018: Acta Oto-laryngologica
https://www.readbyqxmd.com/read/29305081/extending-knowledge-of-the-clinical-picture-of-balkan-adder-vipera-berus-bosniensis-envenoming-the-first-photographically-documented-neurotoxic-case-from-south-western-hungary
#4
Csaba Varga, Tamás Malina, Viktória Alföldi, Gergely Bilics, Ferenc Nagy, Tibor Oláh
We report a severe envenoming associated with minimal local symptoms following a Balkan adder (Vipera berus bosniensis) bite in South-Western Hungary. A 63-year-old male with a history of hypertension and sinus bradycardia (45/min) was bitten by a sub-adult specimen of V. b. bosniensis in Somogy County on 04 May 2017. The patient was transported to and treated at the Emergency Department of Somogy County "Moritz Kaposi" General Hospital, Kaposvár. Locally only pain and minimal swelling with a small haematoma developed on the bitten finger...
January 2, 2018: Toxicon: Official Journal of the International Society on Toxinology
https://www.readbyqxmd.com/read/29301560/delayed-facial-nerve-decompression-for-severe-refractory-cases-of-bell-s-palsy-a-25-year-experience
#5
Ilyes Berania, Mohamed Awad, Issam Saliba, Jean-Jacques Dufour, Marc-Elie Nader
BACKGROUND: This study aims to assess the effectiveness of delayed facial nerve decompression for Bell's palsy (BP). METHODS: We performed a retrospective case review of all patients having undergone facial nerve decompression for severe refractory BP between 1984 and 2009 at our tertiary referral center. Demographics, timing between onset of symptoms and surgical decompression, degree of facial nerve dysfunction pre- and post-operatively, follow-up length after surgery and postoperative complications were recorded...
January 4, 2018: Journal of Otolaryngology—Head & Neck Surgery
https://www.readbyqxmd.com/read/29287855/branchial-anomalies-in-children-a-report-of-105-surgical-cases
#6
Wanpeng Li, Hongming Xu, Liming Zhao, Xiaoyan Li
BACKGROUND: Branchial anomalies (BAs) account for 20% of all congenital masses in children. We sought to review the incidence of involvement of individual anomalies, diagnostic methods, surgical treatment, and complications of BAs in children. In addition, we also classified our study and analyzed a congenital lower neck cutaneous fistula near the sternoclavicular joint that was thought to be the skin-side remnant of the fourth BAs. METHODS: We conducted a retrospective analysis of 105 children who were referred to our hospital from June 2009 to December 2016 for the treatment of BAs...
January 2018: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/29285055/restoration-of-orbicularis-oculi-muscle-function-in-rabbits-with-peripheral-facial-paralysis-via-an-implantable-artificial-facial-nerve-system
#7
Yajing Sun, Cheng Jin, Keyong Li, Qunfeng Zhang, Liang Geng, Xundao Liu, Yi Zhang
The purpose of the present study was to restore orbicularis oculi muscle function using the implantable artificial facial nerve system (IAFNS). The in vivo part of the IAFNS was implanted into 12 rabbits that were facially paralyzed on the right side of the face to restore the function of the orbicularis oculi muscle, which was indicated by closure of the paralyzed eye when the contralateral side was closed. Wireless communication links were established between the in vivo part (the processing chip and microelectrode) and the external part (System Controller program) of the system, which were used to set the working parameters and indicate the working state of the processing chip and microelectrode implanted in the body...
December 2017: Experimental and Therapeutic Medicine
https://www.readbyqxmd.com/read/29283938/immediate-hypoglossal-facial-anastomosis-in-patients-with-facial-interruption
#8
Sertac Yetiser
Hypoglossal-facial anastomosis provides excellent motor supply to the mimetic muscles of the face when there is no chance of recovery of the damaged facial nerve. However, to achieve optimal results, the timing of facial nerve surgery based on electrophysiological testing and clinical evaluation requires close follow-up of the patient. Functional results after delayed surgery are not predictable and depend on the number of surviving fibers, type of injury, severity of damage, degree of infiltration of inflammatory cells, and local fibrosis...
December 27, 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29283937/piezosurgery-for-treatment-of-large-recurrent-mandibular-osteoma
#9
Josué Hernando, Antonio Aguilar-Salvatierra, Ignacio Osoitz Leizaola-Cardesa, Pedro Martínez Seijas, Pablo Aguirre-Echebarria, Javier Martín, Gerardo Gómez-Moreno
BACKGROUND: Osteomas are infrequent benign bone tumors of uncertain etiology. They are usually situated at extremities and their occurrence in the jaws is relatively rare. There are 3 types of osteoma: central, peripheral, and extraskeletal. Preoperative presumptive diagnosis is performed by means of radiography using orthopantomographs, computerized tomographs, or cone beam scans. Treatment is surgical and consists of careful exeresis and curettage of the adjacent tissue. In recent years, piezoelectric surgery has been used to treat bone pathologies in the maxillofacial area, orthopedic surgery, and neurosurgery...
December 27, 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29262448/-application-of-functional-parotidectomy-via-retroauricular-hairline-incision-in-the-excising-superficial-parotid-tumor
#10
P A Wu, Z Q Lu, Y F Guan, H L Zhu, X N Liang, W Y Liang, R K Tsang
Objective: To evaluate the usefulness of retroauricular hairline incision (RAHI) in partial superficial parotidectomy (PSP) by comparison with modified Blair incision (MBI). Methods: A retrospective analysis of 64 medical records for patients with benign parotid tumors who underwent partial superficial parotidectomy was undertaken (28 were in MBI group, 36 in RAHI group). Size and location of tumors, operative time, occurrence of facial nerve paralysis and Frey's syndrome, and cosmetic outcomes were compared between RAHI and MBI groups...
December 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/29250758/refractory-facial-paralysis-a-case-report
#11
Yu-Wei Hsu, Jiunn-Tay Lee, Yi-Shu Liao, Shin Nieh, Chun-An Cheng, Chia-Kuang Tsai
PURPOSE: To present a case of salivary gland malignancy initially mimicking Bell's palsy. CASE REPORT: A 75-year-old woman with hypertension visited our neurological outpatient department,complaining of persistent right facial paralysis for more than a year after oral glucocorticoid therapy with recent development of vertigo and unsteady gait. She was previously diagnosed as having Bell's palsy and was prescribed oral glucocorticoid. However, her right facial muscles were still completely paralyzed, with no signs of improvement...
June 15, 2017: Acta Neurologica Taiwanica
https://www.readbyqxmd.com/read/29250664/morphological-changes-in-support-mechanism-of-superficial-face-layers-in-moebius-syndrome
#12
Marius Valeriu Hînganu, Cristinel Ionel Stan, Traian Ţăranu, Delia Hînganu
Moebius syndrome, also called congenital facial paralysis is a rare neurological disease, whose etiology is not fully elucidated. It affects especially facial and oculomotor cranial nerves and its clinical feature is peripheral facial paralysis. The objective of the study is to highlight the anatomical and functional changes in the Moebius syndrome and establish certain criteria that should be the basis for reparative surgery in this disease. For this purpose, we used a group of six patients diagnosed with this pathology, in whom we pursued functional anatomical and histological changes of the superficial layers of the face that we have grouped in terms of their clinical impact...
2017: Romanian Journal of Morphology and Embryology, Revue Roumaine de Morphologie et Embryologie
https://www.readbyqxmd.com/read/29238502/profile-of-facial-palsy-in-arar-northern-saudi-arabia
#13
Wasan Lafi Alanazi, Nagah Mohamed Abo El-Fetoh, Shahad Lafi Alanazi, Mohammed Abdullah Alkhidhr, Mohammed Abdullah Alanazi, Dounia Saleh Alonazi, Atheer Bader Alanzi, Reem Homoud Alshammari, Mashael Jaza Alshammari, Basmah Abdullah Alanazi, Samiyah Sarhan Alanazi
Background: The term facial palsy generally refers to weakness of the facial muscles, mainly resulting from temporary or permanent damage to the facial nerve. Common causes of facial paralysis include infection or inflammation of the facial nerve, head trauma, head or neck tumor, stroke. Objective: To outline the incidence of several etiologies and the profile of patients with peripheral facial paralysis attending the outpatient clinic of the neurology department in Hospitals of Arar City, Saudi Arabia...
October 2017: Electronic Physician
https://www.readbyqxmd.com/read/29222560/masseteric-nerve-transfer-for-facial-nerve-paralysis-a-systematic-review-and-meta-analysis
#14
Alexander W Murphey, William B Clinkscales, Samuel L Oyer
Importance: A review of the role of masseteric nerve transfer is needed to guide its use in facial reanimation. Objective: To systematically review the available literature, and, when applicable, analyze the combined outcomes of masseteric nerve transfer to better define its role in reanimation and to guide further research. Data Sources: Two independent researchers conducted the review using PubMed-NCBI and Scopus literature databases for studies on masseteric nerve transfer for facial nerve paralysis...
December 7, 2017: JAMA Facial Plastic Surgery
https://www.readbyqxmd.com/read/29212042/facial-nerve-injury-and-other-complications-following-retromandibular-subparotid-approach-for-the-management-of-condylar-fractures
#15
Stéphane Bruneau, Delphine S Courvoisier, Paolo Scolozzi
PURPOSE: To estimate the prevalence and identify risk factors for facial nerve paralysis (FNP) and other postoperative complications after the use of the retromandibular subparotid approach (RMSA) for the treatment of condylar fractures. MATERIALS AND METHODS: Radiologic and clinical data from all patients who underwent an RMSA from 2007 through 2015 at the University Hospital of Geneva (Geneva, Switzerland) were retrospectively reviewed. The primary and secondary outcome variables were, respectively, FNP and other complications (unesthetic scars, infection, nonunion, malocclusion, salivary fistula, Frey syndrome, and loosening or breaking of plates and screws)...
December 3, 2017: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/29201373/free-anterolateral-thigh-full-thickness-skin-flap-with-vascularized-lateral-femoral-cutaneous-nerve-for-the-reconstruction-of-facial-nerve-and-external-auditory-canal-after-the-resection-of-facial-nerve-schwannoma
#16
Ryo Karakawa, Mitsunaga Narushima, Shinya Ogishima, Hisako Hara, Shotaro Karino, Takuya Iida, Akinobu Kakigi, Isao Koshima
The complex reconstruction of nerves and soft tissue in the head and neck region is still challenging, especially in cases requiring external auditory canal reconstruction with facial nerve reconstruction. We report a case of left facial schwannoma extending into the external auditory canal beyond the tympanic membrane with facial paralysis in which the reconstruction of both the facial nerve and external auditory canal was successfully performed using an anterolateral thigh flap as a super-thin full-thickness skin flap, including vascularized lateral femoral cutaneous nerve...
2017: SAGE Open Medical Case Reports
https://www.readbyqxmd.com/read/29200763/the-lateral-tarsal-strip-for-paralytic-ectropion-in-patients-with-leprosy
#17
Mihn-Sook Jue, Jisook Yoo, Min-Soo Kim, Hyang-Joon Park
Background: In patients with leprosy, paralysis of the facial nerve results in the lower eyelid ectropion and lagophthalmos as a sequela even when the leprosy is cured. Paralytic ectropion causes many functional and cosmetic eye problems, leading to blindness if left untreated. Objective: The purpose of this retrospective study is to evaluate the efficacy of surgical correction of paralytic ectropion, the lateral tarsal strip, in patients with leprosy. Methods: Between 2010 and 2015, 40 Korean patients (44 eyelids) with paralytic ectropion who had visited Korean Hansen Welfare Association Hospital were treated with the lateral tarsal strip...
December 2017: Annals of Dermatology
https://www.readbyqxmd.com/read/29184599/-lipoma-of-the-deep-lobe-of-the-parotid-gland
#18
Hicham Attifi, Mehdi Lagtoubi
Lipomas of the parotid gland are benign tumors developing from the fatty tissue in the gland. They are rare, accounting for 0.6-4.4% of all benign tumors. Those located in the deep lobe of the gland are uncommon. Clinically, they are very difficult to diagnose. CT scan and especially MRI can support the diagnosis. Surgery is the treatment of choice but its modalities remain controversial. We report the case of a 52-year old female patient, with no particular past medical history, presenting with asymptomatic left preauricular mass evolving over 1 year and gradually increasing in volume...
2017: Pan African Medical Journal
https://www.readbyqxmd.com/read/29172335/facial-palsy-masquerading-as-an-acute-dental-abscess
#19
Arif Razzak, Frances O’Leary, Nabeela Ahmed
Facial nerve palsy has specific symptomology, but varied aetiology. Prompt and thorough assessment is required to ascertain if upper or lower motor neurone damage has occurred. This report discusses a 6-year-old female, presenting in the Emergency Department with unilateral facial weakness. Initially thought to be facial swelling relating to her carious dentition, clinical assessment from the maxillofacial team identified that the patient had a unilateral facial palsy, later diagnosed as Bell’s palsy. Her delayed presentation was due to initial misdiagnoses in primary care...
March 2017: Dental Update
https://www.readbyqxmd.com/read/29169382/confirmed-ceylon-krait-bungarus-ceylonicus-envenoming-in-sri-lanka-resulting-in-neuromuscular-paralysis-a-case-report
#20
Chamara Dalugama, Indika Bandara Gawarammana
BACKGROUND: Ceylon krait (Bungarus ceylonicus) is a venomous elapid snake endemic to Sri Lanka. It inhabits shaded home gardens and forests in the wet zone of Sri Lanka and might creep into houses in the night. Despite frequent encounters with humans, reports of envenoming are very rare. CASE PRESENTATION: We report a case of a 26-year-old Sri Lankan Sinhalese man with confirmed Ceylon krait envenoming presenting with bilateral partial ptosis, ophthalmoplegia, facial muscle weakness, and dysphagia...
November 24, 2017: Journal of Medical Case Reports
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