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Fascial palsy

İlhan Elmaci, Meric A Altinoz
After schwannoma resection, reactivation of herpes infections were reported. Also, IgM antibody titers against Herpes viri increase among 30% of patients, who develop fascial palsy following schwannoma resection. Merlin interacts with p53 pathway and seems to function as a suppressor of viral propagation. Loss of merlin may increase viral particles in nerve fascicles, yet these may fail to cause infections due to immunostimulation by other aberrant antigens present in schwannoma cells. Removal of schwannomas may decrease the antigenic diversity and trigger viral recrudescence...
May 2017: Medical Hypotheses
T Mansour, J Derienne, M Daher, D Sarraf, Y Zoghbi, I Ghanem
BACKGROUND: Medial hamstring fractional lengthening is commonly performed in children with cerebral palsy (CP) to decrease contracture and/or to improve gait. Percutaneous procedures are gaining more and more popularity, even in the paediatric population, with equivocal results. The purpose of this paper was to determine the efficacy and safety of percutaneous medial hamstring myofascial lengthening (PHL). METHODS: This is a prospective randomised controlled trial including 31 knees from 18 consecutive patients with CP scheduled for medial hamstring lengthening in the setting of multilevel tendon lengthening procedures in a university hospital...
2017: Journal of Children's Orthopaedics
Timothy J Kovanda, Ecaterina Pestereva, Albert Lee
INTRODUCTION: Intrathecal baclofen pumps are valuable treatment options for those with cerebral palsy. Although subfascial baclofen pump placement is generally preferred over a subcutaneous pump placement due to lower infection rates, rare complications can occur with the subfascial approach such as pump migration. CASE PRESENTATION: The authors here describe a case of baclofen pump migration into the peritoneal cavity of a 26-year-old male patient with cerebral palsy, shunted hydrocephalus, and epilepsy...
June 2016: Anesthesiology and Pain Medicine
Shizhan Wei, Yujin Tang, Peng Weibo, Huadeng Ban
OBJECTIVE: To investigate the effectiveness of a modified surgical treatment of old Monteggia fracture. METHODS: Between March 2006 and December 2013, 40 cases of old Monteggia fracture were treated with modified operation. Modified operation procedure included expanding excision of pedicled forearm fascia flap for reconstruction of the annular ligament and repair of elbow radial lateral collateral ligament complex and extending osteotomy of the ulna, callus replantation, and internal fixation with steel plate...
January 2016: Chinese Journal of Reparative and Reconstructive Surgery
Benjamin Dagge, Gregory B Firth, Joseph E A Palamara, Norman Eizenberg, Susan Donath, H Kerr Graham
BACKGROUND: Medial hamstring lengthening is frequently used to correct contractures in neuromuscular conditions such as cerebral palsy. Surgical techniques vary considerably and little is known about the lengthening characteristics of muscle-tendon-units after surgical intervention. METHODS: A randomized trial was performed on paired cadaver medial hamstring muscle-tendon-units comparing 'High' (proximal) versus 'Low' (distal) lengthening procedures. The paired muscle-tendon-units were subjected to tensile testing utilizing an Instron® (Instron Corporation, Canton, MA, USA) machine under controlled conditions...
May 2012: ANZ Journal of Surgery
Ahmed M S Ibrahim, Amr N Rabie, Peter S Kim, Miguel Medina, Joseph Upton, Bernard T Lee, Samuel J Lin
INTRODUCTION: Facial nerve dysfunction can be attributed to several different causes. Several techniques have been developed to help treat the appearance and functional limitation of patients with sequelae of facial nerve dysfunction. There are options regarding static techniques of facial nerve injury treatment that range from facial musculature plication or shortening, fascial sling suspension via allograft or autograft, injectables and implants (ENDURAGen, AlloDerm, LifeCell, Bridgewater, New Jersey, USA) to techniques such as brow lift, open and endoscopic facelifts, and various eyelid surgeries with upper and lower lid procedures...
May 2013: Journal of Reconstructive Microsurgery
Luigi Bassani, David H Harter
OBJECT: Techniques for the placement of intrathecal baclofen (ITB) systems have been described in detail, with special consideration given to complications from hardware placement. Risks including catheter kinking and migration, hardware erosion through the skin, and lumbar CSF leak are elevated given the often-low body mass index and poor nutritional status of this patient population. The bulk of a spinal catheter and fascial connector within the lumbar wound may increase the potential for the aforementioned risks, leading to potential risks for wound infection and breakdown...
January 2012: Journal of Neurosurgery. Pediatrics
Rajinder Kumar, Sarat P Chandra, Bhawani Shanker Sharma
The management of intradiploic CSF collection is controversial. Although it is a benign lesion, even then delay in diagnosis and treatment may lead to significant morbidity. The authors report a very rare case of giant posttraumatic intradiploic pseudomeningocele involving the occipital bone, occipital condyles, and clivus. The pathogenesis and management of intradiploic CSF collection are discussed. This 16-year-old boy presented with a history of enlarging swelling in the suboccipital region associated with headache, lower cranial nerve palsy, and features of high cervical compressive myelopathy...
January 2012: Journal of Neurosurgery. Pediatrics
Cristian Stein Borges, Paulo Henrique Ruschel, Marco Tonding Ferreira
Serratus anterior palsy can be a very disabling condition. However, not much has been written about many other upper limb palsies and the surgical approaches for them. In contrast, not much has been published about this particular muscle palsy. Most investigators engaged in the treatment of peripheral nerve palsies are focused on the restoration of elbow flexion/extension and shoulder abduction/external rotation. Nevertheless, scapulothoracic stability is of utmost importance for shoulder function inasmuch as it offers a stable base for arm motion--mostly forward flexion...
September 2011: Techniques in Hand & Upper Extremity Surgery
Koichi Yano, Kenichi Kazuki, Masahiro Yoneda, Mikinori Ikeda, Hiroko Fukushima, Takeshi Inoue
Nodular fasciitis, a benign soft tissue tumor, occurs most frequently in the forearm and is generally divided into subcutaneous, intramuscular, and fascial types. Intraneural nodular fasciitis has been reported in only 5 patients previously. We present the case of a 79-year-old woman with nodular fasciitis within the median nerve at the proximal forearm. Carpal tunnel syndrome was suspected at the initial visit, but high median nerve palsy and a mass at the proximal forearm were found a few months later. Subtotal resection of the tumor within the median nerve was performed and histological diagnosis indicated nodular fasciitis...
August 2011: Journal of Hand Surgery
Firat Selvi, Erdem Guven, Deniz Mutlu
Facial-nerve paralysis is seldom seen and may occur because of a broad spectrum of causes. The most commonly seen cause of facial paralysis is the Bell palsy; iatrogenic causes and tumors are relatively rare. Facial asymmetry, drooling, garbled speech, and difficulty in feeding: all adversely affect the psychosocial conditions of the patients. Fascial and tendon sling procedures may be performed for the static treatment of the unilateral permanent facial paralysis. These techniques are used both for the correction of the asymmetry of the face, especially by providing static support for the corner of the mouth, and to prevent drooling...
May 2011: Journal of Craniofacial Surgery
Jacqueline Siau Woon Tan, Andrew Kean Tuck Yam
We report a case of spontaneous partial posterior interosseous nerve palsy where the ganglion adjacent to the nerve was not the main cause of the compression. Instead, a thick fascial band deep to the distal edge of the supinator was found responsible. This case illustrates the importance of completing the nerve exploration to fit with the clinical picture.
2011: Hand Surgery
J Laulan, T Lascar, Y Saint-Cast, M Chammas, D Le Nen
OBJECTIVES: Isolated paralysis of the serratus anterior (SA) muscle had been reported, especially in athletes. During SA fascial flap dissections, we observed that fascial and vascular structures can mechanically constrain the thoracic portion of the long thoracic nerve (LTN). Here, we assess the results of neurolysis of the thoracic segment of the LTN. METHODS: A prospective multicenter study was conducted between December 1999 and June 2004. Every case of isolated palsy of the SA was included, after a Parsonage-Turner syndrome has been ruled out...
April 2011: Chirurgie de la Main
Marije de Bruin, Mark J C Smeulders, Michiel Kreulen
BACKGROUND: Flexor carpi ulnaris muscle tenotomy and transfer to the extensor side of the wrist are common procedures used to improve wrist position and dexterity in patients with cerebral palsy. Our aim was to determine whether this muscle still influences wrist torque even after tenotomy of its distal tendon. METHODS: Intra-operatively, we determined in vivo maximal wrist torque in hemiplegic cerebral palsy patients (n=15, mean age 17 years) in three conditions: 1) with the arm and the muscle intact; 2) after tenotomy of the flexor carpi ulnaris just proximal to the pisiform bone, with complete release from its insertion; and 3) after careful dissection of the belly of the muscle from its fascial surroundings up until approximately halfway its length...
August 2011: Clinical Biomechanics
Chih-Hung Lin, Anh Nguyen
The treatment of hand and upper-extremity injuries is complex. The treatment goals are to restore maximal hand function and, if possible, preinjury form. Several complications are frequently encountered while treating hand and upper-extremity injuries. Complications such as edema, direct structural destruction, and nerve palsies are the result of the inflicting injury. Skin graft contraction, fascial adhesions causing restricted tendon motion, and diminution of muscle function with time during staged reconstructions are treatment-related complications...
February 2010: Seminars in Plastic Surgery
Mohamed Abdel Fattah Hegazy, Waleed El Nahas, Sameh Roshdy
BACKGROUND: Our proposed modified technique includes creating a posterior pedicle parotid gland fascia flap without separating the great auricular nerve branches through an aesthetic incision. This fascial flap is sutured back to the parotid bed creating a barrier of the aberrant regeneration of sympathetic fibers thus, theoretically, decreasing the incidence of Frey's syndrome. PATIENTS AND METHODS: Superficial parotidectomy for benign parotid neoplasms was carried out using either the conventional (Group 1) or modified (Group 2) technique...
February 2011: Journal of Surgical Oncology
G Poptodorov, St Gabrovski, G Bebechev, N Velinov
We describe a case of sciatic nerve entrapment neuropathy due to a posttraumatic heterotopic ossification (myositis ossificans traumatica). A 52 y.o. man was examined complaining from right lower limb pain and weakness progressing for one year after a blunt trauma and a hematoma of the hip. Clinical examination demonstrated sciatic nerve palsy with pain and paresthesia felt distal to the lesion. Electrodiagnostic studies show severe denervation changes in the tibialis anterior, extensor digitorum brevis and gastrocnemius muscles...
2009: Khirurgiia
Erdem Güven, Samet Vasfi Kuvat, Hasan Utkan Aydin, Memet Yazar, Ufuk Emekli
AIM: Compared with those for free-fat grafts, resorption rates for vascularized adipose tissue transfers are very low. We analysed benefits of transfer of dermal-adipose grafts after prelamination upon the temporal fascia in reconstruction of facial contour defects. PATIENTS AND METHODS: Among 8 patients operated on between 2005 and 2008, facial contour anomalies had resulted from trauma in 5, while the remaining 3 had abnormalities with a congenital, postinfectious, or iatrogenic aetiology...
July 2010: Journal of Cranio-maxillo-facial Surgery
Tülay Tarsuslu, Hüseyin Bol, Ibrahim Engin Simşek, Imran Erkanat Toylan, Sabahat Cam
OBJECTIVE: This pilot study was designed to investigate the effectiveness of osteopathic treatment in children with cerebral palsy and chronic constipation. METHODS: This study included 13 children with cerebral palsy diagnosed as having chronic constipation by a gastroenterologist. The subjects were separated into 2 groups. Group 1 was treated with osteopathic methods and group 2 underwent both medical and exactly the same osteopathic treatments of group 1. Osteopathic treatments included fascial release, iliopsoas muscle release, sphincter release, and bowel mobilizations...
October 2009: Journal of Manipulative and Physiological Therapeutics
Arthi Kruavit, Vivat Visuthikosol
Fourteen temporoparietal fascial free flaps were used for correction of first web space atrophy from ulnar nerve palsy in 13 patients. Ten sustained ulnar nerve injuries and three suffered from leprosy. The procedures were performed under general anesthesia except one leprosy patient with bilateral ulnar nerve palsy in which local anesthesia and brachial block were employed to harvest bilateral free flaps and recipient site preparations, respectively. The follow-up time varied from 4 to 64 months. The postoperative results were satisfactory and there was no resorption of the free flaps...
2010: Microsurgery
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