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facial nerve palsies guidelines

Katrin Henkel, Peter Lange, Helmut Eiffert, Roland Nau, Annette Spreer
PURPOSE: Peripheral facial nerve palsy (FP) is the most common single nerve affection. Most cases are idiopathic, but a relevant fraction is caused by potentially treatable aetiologies including infections. Not all current diagnosis and treatment guidelines recommend routine cerebrospinal fluid (CSF) analysis in the diagnostic workup of this symptom. In this study, we evaluated frequency of aetiologies and relevance of CSF analysis in an interdisciplinary cohort. METHODS: We retrospectively analysed all cases of newly diagnosed FP treated at a German university medical centre in a 3-year period...
August 16, 2016: Infection
Barbara Rath, Jane F Gidudu, Helen Anyoti, Brigid Bollweg, Patrick Caubel, Yeoung-Hwang Chen, David Cornblath, Rohini Fernandopulle, Louis Fries, Jochem Galama, Neville Gibbs, Gualtiero Grilli, Patrick Grogan, Katharina Hartmann, Ulrich Heininger, Michael J Hudson, Hector S Izurieta, Indira Jevaji, Wiltshire M Johnson, James Jones, Brigitte Keller-Stanislawski, Jerome Klein, Katrin Kohl, Panagiotis Kokotis, Yulin Li, Thomas Linder, James Oleske, Georgina Richard, Tarek Shafshak, Michael Vajdy, Virginia Wong, James Sejvar
No abstract text is available yet for this article.
May 24, 2016: Vaccine
Saad Ansari, Brian W Rotenberg, Leigh J Sowerby
BACKGROUND: Oral corticosteroids (OCSs) are widely prescribed in Otolaryngology-Head & Neck surgery (OtoHNS). There is evidence in the literature regarding specific dosing regimens. However, it is not known to what extent these recommendations are being implemented in practice. METHODS: An anonymous online survey was sent to Canadian Society of Otolaryngology-Head and Neck Surgery members (N = 696). Dosing, frequency and tapering of OCSs were assessed in acute rhino-sinusitis (ARS), chronic rhino-sinusitis with (CRSwP) and without polyps (CRSsP), sudden sensori-neural hearing loss (SSNHL), and idiopathic facial nerve/Bell's palsy (IFN)...
2016: Journal of Otolaryngology—Head & Neck Surgery
Giannicola Iannella, Antonio Greco, Guido Granata, Alessandra Manno, Benedetta Pasquariello, Diletta Angeletti, Dario Didona, Giuseppe Magliulo
Granulomatosis with polyangiitis (GPA) is an autoimmune systemic necrotizing small-vessel vasculitis associated with the presence of anti-neutrophil cytoplasmic antibodies (ANCA). Oto-neurological manifestations of ANCA-associated vasculitis according to PR3-ANCA positivity and MPO-ANCA positivity are usually reported. Facial nerve palsy is usually reported during the clinical course of the disease but it might appear as the presenting sign of GPA. Necrotizing vasculitis of the facial nerve 'vasa nervorum' is nowadays the most widely accepted etiopathogenetic theory to explain facial damage in GPA patients...
July 2016: Autoimmunity Reviews
Iwao Yamakami, Seiro Ito, Yoshinori Higuchi
OBJECT: Management of small acoustic neuromas (ANs) consists of 3 options: observation with imaging follow-up, radiosurgery, and/or tumor removal. The authors report the long-term outcomes and preservation of function after retrosigmoid tumor removal in 44 patients and clarify the management paradigm for small ANs. METHODS: A total of 44 consecutively enrolled patients with small ANs and preserved hearing underwent retrosigmoid tumor removal in an attempt to preserve hearing and facial function by use of intraoperative auditory monitoring of auditory brainstem responses (ABRs) and cochlear nerve compound action potentials (CNAPs)...
September 2014: Journal of Neurosurgery
Jagdeep Singh Virk, Sonal Tripathi, Premjit S Randhawa, Elijah A Kwasa, Nigel D Mendoza, Jonathan Harcourt
The objective of this study is to correlate tumour volume relationship with surgical outcomes in subtotal resections and accepted nomenclature through a retrospective study at Charing Cross Hospital, London, a tertiary referral centre. The participants were 16 patients with vestibular schwannoma managed with subtotal resection between 2002 and 2011. The main outcome measures were surgical technique; tumour volume; recurrence and post-operative facial nerve function. Mean pre-operative and post-operative volumes for all patients were 14...
June 2014: Indian Journal of Otolaryngology and Head and Neck Surgery
Seth R Schwartz, Stephanie L Jones, Thomas S D Getchius, Gary S Gronseth
Bell palsy, named after the Scottish anatomist Sir Charles Bell, is the most common acute mononeuropathy, or disorder affecting a single nerve, and is the most common diagnosis associated with facial nerve weakness/paralysis. In the past 2 years, both the American Academy of Neurology and the Academy of Otolaryngology-Head and Neck Surgery Foundation have published clinical practice guidelines aimed at improving the quality of care and outcomes for patients diagnosed with Bell palsy. This commentary aims to address the similarities and differences in the scope and final recommendations made by each guideline development group...
May 27, 2014: Neurology
Seth R Schwartz, Stephanie L Jones, Thomas S D Getchius, Gary S Gronseth
Bell's palsy, named after the Scottish anatomist, Sir Charles Bell, is the most common acute mononeuropathy, or disorder affecting a single nerve, and is the most common diagnosis associated with facial nerve weakness/paralysis. In the past 2 years, both the American Academy of Neurology (AAN) and the American Academy of Otolaryngology-Head and Neck Surgery Foundation (AAO-HNSF) have published clinical practice guidelines aimed to improve the quality of care and outcomes for patients diagnosed with Bell's palsy...
May 2014: Otolaryngology—Head and Neck Surgery
Reginald F Baugh, Gregory J Basura, Lisa E Ishii, Seth R Schwartz, Caitlin Murray Drumheller, Rebecca Burkholder, Nathan A Deckard, Cindy Dawson, Colin Driscoll, M Boyd Gillespie, Richard K Gurgel, John Halperin, Ayesha N Khalid, Kaparaboyna Ashok Kumar, Alan Micco, Debra Munsell, Steven Rosenbaum, William Vaughan
OBJECTIVE: Bell's palsy, named after the Scottish anatomist, Sir Charles Bell, is the most common acute mono-neuropathy, or disorder affecting a single nerve, and is the most common diagnosis associated with facial nerve weakness/paralysis. Bell's palsy is a rapid unilateral facial nerve paresis (weakness) or paralysis (complete loss of movement) of unknown cause. The condition leads to the partial or complete inability to voluntarily move facial muscles on the affected side of the face...
November 2013: Otolaryngology—Head and Neck Surgery
D W Lee, H K Byeon, H P Chung, E C Choi, S-H Kim, Y M Park
The findings of intraparotid facial nerve schwannoma (FNS) using preoperative diagnostic tools, including ultrasonography (US)-guided fine needle aspiration biopsy, computed tomography (CT) scan, and magnetic resonance imaging (MRI), were analyzed to determine if there are any useful findings that might suggest the presence of a lesion. Treatment guidelines are suggested. The medical records of 15 patients who were diagnosed with an intraparotid FNS were retrospectively analyzed. US and CT scans provide clinicians with only limited information; gadolinium enhanced T1-weighted images from MRI provide more specific findings...
July 2013: International Journal of Oral and Maxillofacial Surgery
Andrea Bacciu, Ignazio Alessandro Clemente, Enrico Piccirillo, Silvano Ferrari, Mario Sanna
OBJECTIVE: To describe our experience in the management of patients with squamous cell carcinoma of the temporal bone (TBSCC) and to identify factors predictive of outcome. STUDY DESIGN: Retrospective study. SETTING: Quaternary referral otology and skull base center. PATIENTS: A total of 45 consecutive patients with histologically confirmed TBSCC were treated surgically at our institution between 1993 and 2011. Patients were divided into 5 stage I (11...
July 2013: Otology & Neurotology
Gary S Gronseth, Remia Paduga
OBJECTIVE: To review evidence published since the 2001 American Academy of Neurology (AAN) practice parameter regarding the effectiveness, safety, and tolerability of steroids and antiviral agents for Bell palsy. METHODS: We searched Medline and the Cochrane Database of Controlled Clinical Trials for studies published since January 2000 that compared facial functional outcomes in patients with Bell palsy receiving steroids/antivirals with patients not receiving these medications...
November 27, 2012: Neurology
J G Heckmann, C Lang, F X Glocker, P Urban, C Bischoff, B Weder, G Reiter, U Meier, O Guntinas-Lichius
A new S2k AWMF guideline for the treatment of idiopathic facial palsy has been published. An accurate differential diagnosis is indispensable as 25-40% of all facial palsy cases are of non-idiopathic origin. It is explicitly recommended to treat patients with idiopathic facial palsy with steroids. Steroids favour a complete recovery, decrease the risk of synkinesis, autonomic sequelae and contractures. Adjuvant antiviral therapy cannot be recommended. On current data there is not sufficient evidence that the combination of steroids with antiviral drugs has a benefit for the patients...
November 2012: Laryngo- Rhino- Otologie
A Greco, A Gallo, M Fusconi, C Marinelli, G F Macri, M de Vincentiis
OBJECTIVES: To review our current knowledge of the etiopathogenesis of Bell's palsy, including viral infection or autoimmunity, and to discuss disease pathogenesis with respect to pharmacotherapy. SYSTEMATIC REVIEW METHODOLOGY: Relevant publications on the etiopathogenesis, clinical presentation, diagnosis and histopathology of Bell's palsy from 1975 to 2012 were analysed. RESULTS AND CONCLUSIONS: Bell's palsy is an idiopathic peripheral nerve palsy involving the facial nerve...
December 2012: Autoimmunity Reviews
A M Thomas, B Poojary, H C Badaridatta
INTRODUCTION: Syringing of the ear is one of the most common procedures performed for cleaning cerumen from the external auditory canal. Common complications following syringing are pain, external auditory canal trauma and otitis externa. Hearing and vestibular loss have also been reported as complications. However, we are unaware of any report of facial nerve palsy as a complication of ear syringing. Such a case is reported. CASE PRESENTATION: We describe a case of facial nerve palsy as a complication of syringing, which demonstrates the dramatic presentation of this condition and emphasises the need for great care while syringing the ears...
July 2012: Journal of Laryngology and Otology
Julia K Terzis, Dimitrios Karypidis
UNLABELLED: Synkinetic movements comprise abnormal involuntary contractions of one or more facial muscle groups which follow the desired contraction of another facial muscle group. They are frequently encountered in patients with long standing facial paralysis and seriously affect their psychological status due to the impairment of their facial appearance, function and emotional expressivity. PATIENTS AND METHODS: Eleven pediatric patients (2 male and 9 female) presenting with post-facial paralysis synkinesis were included in the study...
August 2012: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
Julia K Terzis, Katerina Anesti
BACKGROUND: This study is a thorough literature review of the clinical presentation and evaluation of developmental facial paralysis, with a systematic description of the various stigmata and associated anomalies. It is hoped that this approach will facilitate the differentiation of developmental facial paralysis from other causes of facial paralysis present at birth. METHODS: Forty-two cases of developmental facial paralysis were identified in a retrospective clinical review (1980 to 2010); 34 were children (80...
November 2011: Plastic and Reconstructive Surgery
Y Zadik, S Drucker
In light of the overwhelming popularity of self-contained underwater breathing apparatus (SCUBA) diving, general dental practitioners should be prepared to address complications arising as a result of diving and to provide patients with accurate information. The aim of this article was to introduce the concepts of diving medicine and dentistry to the dentist, and to supply the dental practitioner with some diagnostic tools as well as treatment guidelines. The literature was reviewed to address diving barotrauma (pressure-induced injury related to an air space) to the head, face and oral regions, as well as scuba mouthpiece-related oral conditions...
September 2011: Australian Dental Journal
L Monge Galindo, A Mateo Ferrando, J López-Pisón, N Martín Ruiz, E Aznar, R Pérez Delgado, J R García Mata, M C García Jiménez
INTRODUCTION: The preparation and review of child neurology guidelines can reduce the variability of our medical practice, thus improving health care. We present the continuous monitoring of our Bell's palsy guideline. MATERIAL AND METHODS: Emergency and medical reports of the children seen in Child Neurology surgery from July 2006 to August 2009 (group 2) are reviewed for the purpose of finding out the present level of compliance with guideline quality criteria and compare it with the previously reviewed period (group 1, from March 2003 to June 2006)...
March 2011: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría (A.E.P.)
Thomas S Higgins, Stephanie A Moody Antonio
OBJECTIVES: The role for facial palsy in the Pittsburgh staging system for squamous cell carcinoma (SCC) of the external auditory canal (EAC) is unclear. The objective of this study was to conduct a systematic review of published studies to determine the impact of facial palsy on survival outcomes. DATA SOURCES: A search of MEDLINE, EMBASE, Cochrane Central Register of Clinical Trials, Cochrane,, and the National Guideline Clearinghouse databases was supplemented by hand searching...
December 2010: Otology & Neurotology
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