keyword
https://read.qxmd.com/read/38530382/-telemedicine-for-patients-with-facial-palsy-current-developments-and-options-in-otorhinolaryngologic-treatment
#1
REVIEW
Jonas Ballmaier, Sabrina Hölzer, Maren Geitner, Anna-Maria Kuttenreich, Christian Erfurth, Orlando Guntinas-Lichius, Gerd Fabian Volk
Digitalization is also becoming increasingly important in medicine. The COVID-19 pandemic has further accelerated this process and politicians are trying to create a framework for successful knowledge transfer and better digital medical care. This article describes the role of telemedicine in the treatment of patients suffering from facial nerve palsy. Facial nerve palsy has a wide range of effects, from limitations in facial mobility to psychological sequelae. While many of the acute, idiopathic facial nerve palsies improve after a few weeks, around a third of those affected develop synkinesis, involuntary movements that have lifelong functional and psychological consequences...
March 26, 2024: HNO
https://read.qxmd.com/read/38529449/exploring-the-significance-of-vitamin-d-levels-as-a-biomarker-in-ear-diseases-a-narrative-review
#2
REVIEW
Muhammad Hamayal, Saleh Khurshied, Muhammad A Zahid, Nawal Khurshid, Warda Shahid, Maesum Ali, Hammad Ahmed, Mehrun Nisa
This narrative review examines the role of vitamin D as a biomarker in ear disorders, including benign paroxysmal positional vertigo (BPPV), otitis media, bell's palsy, Meniere's disease, and hearing loss. PubMed, The Cochrane Library, and Google Scholar were utilized to conduct a comprehensive literature search, and findings were combined from studies from 2014 to 2024. As highlighted in this review, there is a consistent association between vitamin D deficiency and an increased risk and recurrence of disease especially in BPPV and otitis media...
February 2024: Curēus
https://read.qxmd.com/read/38517997/adult-onset-congenital-cholesteatoma-in-the-hypotympanum-initially-presenting-as-bell-s-palsy-a-case-report
#3
JOURNAL ARTICLE
Pei-Shao Liao, Wei-Che Lan, Ching-Yuan Wang, Chia-Der Lin, Yu Aoh
INTRODUCTION: Cholesteatoma is a rare disease characterized by the accumulation of keratinized squamous epithelial cells in the middle ear or mastoid cavity. Vertigo and facial palsy, which are rare complications, may indicate erosion into the semicircular canals or the fallopian canal. PATIENT CONCERNS: A 40-year-old woman presented to our clinic with progressive right-sided hearing loss over 5 years (primary concern). Approximately 10 years ago, the patient had developed acute right-sided facial weakness with no additional symptoms...
March 22, 2024: Medicine (Baltimore)
https://read.qxmd.com/read/38517799/treatment-approaches-for-altered-facial-expression-a-systematic-review-in-facioscapulohumeral-muscular-dystrophy-and-other-neurological-diseases
#4
JOURNAL ARTICLE
Nathaniël B Rasing, Willianne A van de Geest-Buit, On Ying A Chan, Karlien Mul, Anke Lanser, Baziel G M van Engelen, Corrie E Erasmus, Agneta H Fischer, Koen J A O Ingels, Bart Post, Ietske Siemann, Jan T Groothuis, Nicol C Voermans
BACKGROUND: Facial weakness is a key feature of facioscapulohumeral muscular dystrophy (FSHD) and may lead to altered facial expression and subsequent psychosocial impairment. There is no cure and supportive treatments focus on optimizing physical fitness and compensation of functional disabilities. OBJECTIVE: We hypothesize that symptomatic treatment options and psychosocial interventions for other neurological diseases with altered facial expression could be applicable to FSHD...
March 21, 2024: Journal of Neuromuscular Diseases
https://read.qxmd.com/read/38516717/efficacy-of-early-intervention-for-infants-with-cerebral-palsy-in-an-lmic-an-rct
#5
JOURNAL ARTICLE
Katherine A Benfer, Koa Whittingham, Robert S Ware, Asis Kumar Ghosh, Sayak Chowdhury, Golam Moula, Sandip Samanta, Naila Zaman Khan, Kristie L Bell, Stina Oftedal, Sasaka Bandaranayake, Alison T Salt, Anjan Bhattacharya, Pradip Maiti, Santanu K Tripathi, Cathy Morgan, Iona Novak, Roslyn N Boyd
OBJECTIVE: To test efficacy of a parent-delivered multidomain early intervention (Learning through Everyday Activities with Parents [LEAP-CP]) for infants with cerebral palsy (CP) compared with equal-dose of health advice (HA), on (1) infant development; and (2) caregiver mental health. It was hypothesized that infants receiving LEAP-CP would have better motor function, and caregivers better mental health. METHODS: This was a multisite single-blind randomized control trial of infants aged 12 to 40 weeks corrected age (CA) at risk for CP (General Movements or Hammersmith Infant Neurologic Examination)...
March 22, 2024: Pediatrics
https://read.qxmd.com/read/38507808/bionic-blink-improves-real-time-eye-closure-in-unilateral-facial-paralysis
#6
JOURNAL ARTICLE
Mar Cervera-Negueruela, Lauren Chee, Andrea Cimolato, Giacomo Valle, Markus Tschopp, Marcel Menke, Anthia Papazoglou, Stanisa Raspopovic
Facial paralysis is the inability to move facial muscles thereby impairing the ability to blink and make facial expressions. Depending on the localization of the nerve malfunction it is subcategorised into central or peripheral and is usually unilateral. This leads to health deficits stemming from corneal dryness and social ostracization. Electrical stimulation shows promise as a method through which to restore the blink function and as a result improve eye health. However, it is unknown whether a real-time, closed-loop, neurostimulating device can be used as assistance to this pathological condition...
March 20, 2024: Journal of Neural Engineering
https://read.qxmd.com/read/38502688/an-integrated-network-pharmacology-approach-to-discover-therapeutic-mechanisms-of-commiphora-wightii-for-the-treatment-of-bell-s-palsy
#7
JOURNAL ARTICLE
Ayesha Tabassum, Habibullah Nadeem, Farrukh Azeem, Muhammad Hussnain Siddique, Muhammad Zubair, Aqsa Kanwal, Ijaz Rasul
Bell's palsy (BP) can result in facial paralysis. Inflammation or injury to the cranial nerves that regulate the facial muscles is primarily responsible for that disease. Commiphora wightii remains recognized as a cure for a few human ailments. This study focused on therapeutic phenomena of C. wightii for the treatment of Bell's palsy, utilizing the network drug discovery and molecular docking techniques. Active biological constituents of C. wightii were retrieved from literature and independent databases. Potential therapeutic targets (431) of 13 bioactive phytochemicals were fetched via SwissTargetPrediction tool...
March 19, 2024: Journal of Biomolecular Structure & Dynamics
https://read.qxmd.com/read/38476803/plasmablastic-myeloma-an-unusual-cause-of-peripheral-facial-paralysis
#8
João Dias, Irene Pinto, Catarina Vasconcelos, Vilma Marques
Peripheral facial paralysis refers to the involvement of the facial nerve (VII cranial nerve) at any point along its path, which starts from its nucleus, located in the pons, and extends to its most distal branches. The etiology is heterogeneous, including viral infections, bacterial infections, trauma, and neoplasms, among others. However, in the majority of cases, the cause is idiopathic, commonly referred to as Bell's palsy. The diagnosis is therefore one of exclusion, based in particular on the physical examination...
February 2024: Curēus
https://read.qxmd.com/read/38461822/facial-palsy-reconstruction
#9
JOURNAL ARTICLE
Soo Hyun Woo, Young Chul Kim, Tae Suk Oh
The facial nerve stimulates the muscles of facial expression and the parasympathetic nerves of the face. Consequently, facial nerve paralysis can lead to facial asymmetry, deformation, and functional impairment. Facial nerve palsy is most commonly idiopathic, as with Bell palsy, but it can also result from a tumor or trauma. In this article, we discuss traumatic facial nerve injury. To identify the cause of the injury, it is important to first determine its location. The location and extent of the damage inform the treatment method, with options including primary repair, nerve graft, cross-face nerve graft, nerve crossover, and muscle transfer...
February 2024: Archives of Craniofacial Surgery
https://read.qxmd.com/read/38454284/has-coranavirus-disease-2019-changed-the-incidence-and-outcome-of-bell-s-palsy
#10
JOURNAL ARTICLE
Luis Lassaletta, Isabel Sánchez-Cuadrado, Teresa Mato-Patino, Julio Peñarrocha, María Angélica Rivera-Núñez, Rosario María Torres Santos-Olmo, Javier Gavilán, José Manuel Morales-Puebla, Covid Orl Hulp Collaborative Group
BACKGROUND: Objectives: (1) To determine whether the incidence of Bell's Palsy (BP) increased during the pandemic. (2) To investigate whether the outcomes of patients with BP and COVID-19 infection or vaccination differ from those in the pre-pandemic era. METHODS: Patients with BP were studied in 2 periods retrospectively (March 2021-March 2022 and August 2018-August 2019). A prospective study from March 2021 to March 2022 was also performed. Primary outcome was grade ≤Ⅱ in the House-Brackmann (HB) and/or >70 in the Sunnybrook facial grading system (SFGS) scales at the 12-week visit...
January 2024: Journal of International Advanced Otology
https://read.qxmd.com/read/38440655/unraveling-bell-s-palsy-exploring-hsv-s-role-and-facial-therapy-s-impact-on-aberrant-reinnervation-and-synkinesis
#11
JOURNAL ARTICLE
Sanjay Kumar, Sudheer Kumar Marlapudi, Kashiroygoud Biradar
INTRODUCTION: Bell's Palsy, a disorder characterized by the abrupt onset of facial paralysis, has a significant impact on individuals globally. The precise contribution of the Herpes Simplex Virus (HSV) to its aetiology remains uncertain. The present study investigates the correlation between Herpes Simplex Virus (HSV) and Bell's Palsy, as well as evaluates the effectiveness of specialized facial therapy in its treatment. METHODOLOGY: A five-year longitudinal study was conducted at a tertiary care centre, with a sample of 100 patients diagnosed with Bell's Palsy, ranging in age from 18 to 65 years...
February 2024: Indian Journal of Otolaryngology and Head and Neck Surgery
https://read.qxmd.com/read/38440638/to-determine-the-efficacy-of-pentoxifylline-in-the-management-of-bell-s-palsy
#12
JOURNAL ARTICLE
Karthik Shamanna, Medha Krishnamurthy
BACKGROUND AND AIMS: Bell's palsy is an acute, unilateral, lower motor neuron peripheral facial paralysis. It is the most common cause of facial paralysis in the ages ranging from 13 to 65 years. It not only causes physical disfigurement of face but is also associated with social stigma and psychological trauma to the patient. In Bell's Palsy, there is hypoxic damage to the nerve due to reduced blood flow and cellular injury to the capillaries. Pentoxifylline is a phosphodiesterase inhibitor that increases the cAMP and cGMP levels at the site of the RBC cell membrane thereby improving the dexterity of the cell membrane allowing the RBCs to pass through the damaged and narrowed blood vessels thereby improving the perfusion and oxygen delivery to the damaged tissues...
February 2024: Indian Journal of Otolaryngology and Head and Neck Surgery
https://read.qxmd.com/read/38435234/prevalence-etiology-risk-factors-and-complications-of-facial-nerve-palsy-at-king-abdulaziz-medical-city-a-multicenter-study
#13
JOURNAL ARTICLE
Ali Ragaban, Lana Alsharif, Nada A Alshaikh, Rafaa J Jafar, Ziyad Hemeq, Muhammad A Khan, Raidaa A Gharawi, Taghreed Aldosary
BACKGROUND: Facial nerve palsy is a condition of nerve damage that results in impaired facial movement on one or both sides of the face. OBJECTIVES: This multicenter study aimed to determine the prevalence of facial nerve palsy and evaluate the association between its risk factors and complications to identify its etiology among patients admitted to King Abdulaziz Medical City in Jeddah and Riyadh, Saudi Arabia, between 2016 and 2023...
February 2024: Curēus
https://read.qxmd.com/read/38402865/monthly-variation-in-bell-s-palsy-based-on-population-data-of-korea
#14
JOURNAL ARTICLE
Junhui Jeong, Jae Ho Chung, Soorack Ryu, Jong Dae Lee, Jin Kim, Ho Yun Lee, Chan Il Song, Young Sang Cho, Se A Lee, Beomcho Jun
INTRODUCTION: Several studies have reported that the number of patients with Bell's palsy varied significantly by month and season. However, few studies have reported the monthly variation in Bell's palsy based on the whole population. We investigated the monthly variation in Bell's palsy in Korea during a long-term period based on whole population data. METHODS: This retrospective study used the data of the National Health Insurance Service of Korea, which included the entire Korean population from 2008 to 2020...
February 23, 2024: Audiology & Neuro-otology
https://read.qxmd.com/read/38396231/microvascular-decompression-for-hemifacial-spasm-after-bell-s-palsy-a-retrospective-clinical-study
#15
JOURNAL ARTICLE
Chengrong Jiang, Jing Wang, Yulong Chong, Wu Xu, Weibang Liang
OBJECTIVE: This study aimed to investigate the clinical characteristics of hemifacial spasm (HFS) after Bell's palsy and to evaluate the therapeutic efficacy of microvascular decompression (MVD). METHODS: A retrospective analysis was conducted on 18 patients who underwent MVD for HFS after Bell's palsy at our institution between January 1, 2017, and December 31, 2021. Clinical presentations, intraoperative findings, postoperative outcomes, and complications were comprehensively assessed...
February 24, 2024: Neurosurgical Review
https://read.qxmd.com/read/38396053/association-of-maternal-pre-pregnancy-or-first-trimester-body-mass-index-with-neurodevelopmental-impairment-or-death-in-extremely-low-gestational-age-neonates
#16
JOURNAL ARTICLE
Sanjay Chawla, Abbot R Laptook, Emily A Smith, Sylvia Tan, Girija Natarajan, Myra H Wyckoff, Rachel G Greenberg, Namasivayam Ambalavanan, Edward F Bell, Krisa P Van Meurs, Susan R Hintz, Betty R Vohr, Erika F Werner, Abhik Das, Seetha Shankaran
OBJECTIVE: To compare the rates of death or survival with severe neurodevelopmental impairment (sNDI) at 2 years among extremely preterm infants in relation to pre-pregnancy or first-trimester maternal body mass index (BMI). METHODS: This retrospective cohort study included extremely preterm infants (gestational age 220/7 -266/7 weeks). The study was conducted at National Institute of Child Health and Human Development Neonatal Research Network sites. The primary outcome was death or sNDI at 2 years...
February 23, 2024: Journal of Perinatology: Official Journal of the California Perinatal Association
https://read.qxmd.com/read/38392630/association-between-bell-s-palsy-and-cardiometabolic-risks-an-age-and-sex-matched-case-control-study
#17
JOURNAL ARTICLE
Panitta Mueanchoo, Nualsakol Tepparak, Pensri Chongphattararot, Nannapat Pruphetkaew, Suwanna Setthawatcharawanich, Pat Korathanakhun, Thanyalak Amornpojnimman, Chutarat Sathirapanya, Pornchai Sathirapanya
BACKGROUND: Bell's palsy is possibly an ischemic cranial neuropathy, although reactivation of herpes virus infection has been proposed. METHODS: This was an age-and sex-matched and 1:2 case-control study enrolling Bell's palsy patients during 2011-2021 in a university hospital to investigate the significant associations of cardiometabolic risks (CMRs) with Bell's palsy. We analyzed the differences in waist circumference (WC), body mass index (BMI), systolic and diastolic blood pressures (SBP and DBP), fasting blood sugar (FBS), and lipid levels at 12 weeks post-Bell's palsy with those of the controls by descriptive statistics ( p < 0...
February 10, 2024: Journal of Personalized Medicine
https://read.qxmd.com/read/38385047/outpatient-care-for-facial-palsy-a-survey-on-patient-satisfaction-in-uni-and-interdisciplinary-approaches
#18
JOURNAL ARTICLE
Kathrin Machetanz, Linda Oberle, Sophie S Wang, Eliane Weinbrenner, Mykola Gorbachuk, Henrik Lauer, Adrien Daigeler, Marcos Tatagiba, Georgios Naros, Ruth C Schäfer
OBJECTIVE: The various causes of facial palsy, diagnostic methods and treatment approaches frequently involve different medical specialities. Nevertheless, there exist only few specialized consultation and therapy services for patients with facial palsy (FP) in Germany. The aim of the present study was to evaluate factors affecting quality of life (QoL) and treatment satisfaction of patients presenting to an interdisciplinary facial nerve outpatient clinic. METHODS: The study analyzed patients presenting to the interdisciplinary facial palsy outpatient clinic in Tuebingen between February 2019 and December 2022...
2024: Frontiers in Neurology
https://read.qxmd.com/read/38377729/task-force-of-the-brazilian-society-of-otology-evaluation-and-management-of-peripheral-facial-palsy
#19
JOURNAL ARTICLE
Henrique Furlan Pauna, Vagner Antonio Rodrigues Silva, Joel Lavinsky, Miguel Angelo Hyppolito, Melissa Ferreira Vianna, Mariana de Carvalho Leal Gouveia, Rafael da Costa Monsanto, José Fernando Polanski, Maurício Noschang Lopes da Silva, Vítor Yamashiro Rocha Soares, André Luiz Lopes Sampaio, Raul Vitor Rossi Zanini, Nicolau M Abrahão, Guilherme Correa Guimarães, Carlos Takahiro Chone, Arthur Menino Castilho
OBJECTIVE: To review key evidence-based recommendations for the diagnosis and treatment of peripheral facial palsy in children and adults. METHODS: Task force members were educated on knowledge synthesis methods, including electronic database search, review and selection of relevant citations, and critical appraisal of selected studies. Articles written in English or Portuguese on peripheral facial palsy were eligible for inclusion. The American College of Physicians' guideline grading system and the American Thyroid Association's guideline criteria were used for critical appraisal of evidence and recommendations for therapeutic interventions...
December 8, 2023: Brazilian Journal of Otorhinolaryngology
https://read.qxmd.com/read/38353197/an-uncommon-diagnosis-of-necrotizing-mastoiditis-presenting-as-bell-s-palsy-a-case-report
#20
JOURNAL ARTICLE
Parker Maddox, Claire Abramoff
INTRODUCTION: The benign nature of Bell's palsy has led to a lack of a standardized work-up, and dangerous underlying mimics are at risk of being missed. CASE REPORT: An 84-year-old female with a history of vertigo presented to the emergency department with a left-sided facial droop consistent with Bell's palsy. After further work-up, the patient was diagnosed with bilateral necrotizing mastoiditis. CONCLUSION: Unilateral facial weakness involving the forehead and palpebral fissures is often diagnosed as idiopathic Bell's palsy...
November 2023: Clinical Practice and Cases in Emergency Medicine
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