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Facial palsy surgery

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https://www.readbyqxmd.com/read/29315193/the-application-of-sigmoid-sinus-tunnel-packing-or-push-packing-of-the-inferior-petrous-sinus-in-the-microsurgical-management-of-jugular-paragangliomas
#1
Mi Jang, Hongyan Liu, Chunfu Dai
OBJECTIVE: To analyze the outcomes of microsurgically treated jugular paragangliomas with control of bleeding from the inferior petrous sinus. STUDY DESIGN: Retrospective patient review. SETTING: A single university hospital. PATIENTS: Forty-three patients with jugular paragangliomas were diagnosed in the past 7 years in our clinic. MAIN OUTCOME MEASURES: Surgical tumor control, intraoperative blood loss, intraoperative management of the facial nerve, and the preoperative and postoperative function of the lower central nerves...
February 2018: Otology & Neurotology
https://www.readbyqxmd.com/read/29301803/extramedullary-plasmacytoma-rare-neoplasm-of-parotid-gland
#2
Sehrish Abrar, Nasir Ali, Bilal Mazhar Qureshi, Ahmed Nadeem Abbasi
A 45-year-old man presented with left-sided facial swelling. Initial excisional biopsy was done somewhere else without prior imaging and it came out to be pleomorphic adenoma; local imaging after biopsy showed mass over the left parotid gland with ipsilateral lymphadenopathy. On examination, there was a well-circumscribed mass with signs of left facial nerve palsy. He underwent left radical parotidectomy with ipsilateral modified radical neck dissection, and per operatively, it came out to be neoplastic lesion...
January 4, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29301560/delayed-facial-nerve-decompression-for-severe-refractory-cases-of-bell-s-palsy-a-25-year-experience
#3
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/29299510/long-term-oncologic-and-functional-outcome-in-pleomorphic-adenomas-of-the-submandibular-gland
#4
Konstantinos Mantsopoulos, Miguel Goncalves, Mirco Schapher, Heinrich Iro
Objectives: The aim of the study was to evaluate the oncologic and functional long-term outcome after surgical therapy of pleomorphic adenomas of the submandibular gland. Methods: The medical charts of all patients treated for pleomorphic adenomas of the submandibular gland by means of submandibulectomy between 2000 and 2016 were studied retrospectively. Patients who had had revision after external primary surgery, as well as patients with insufficient data were excluded from our study sample...
December 2017: Laryngoscope Investigative Otolaryngology
https://www.readbyqxmd.com/read/29192065/peripheral-nerve-function-estimation-by-linear-model-of-multi-cmap-responses-for-surgical-intervention-in-acoustic-neuroma-surgery
#5
Dilok Puanhvuan, Sorayouth Chumnanvej, Yodchanan Wongsawat
Nerve function assessments are crucial for surgical intervention during acoustic neuroma surgery. Cranial nerves such as acoustic and facial nerves, can be possibly damaged during tumor dissection. Proper surgical intervention should prevent neurological deficit and achieve total tumor removal. Conventionally, nerve function is qualitatively evaluated by surgeon and neurologist. Facial nerves can be preserved by monitoring the compound muscle action potential (CMAP) response. The differences in the amplitude and latency of CMAP are used as indicators during surgical interventions...
December 2017: Physiological Reports
https://www.readbyqxmd.com/read/29191535/should-we-expect-delayed-relief-or-early-re-operate-on-those-hemifacial-spasm-patients-without-efficacy-following-microvascular-decompression
#6
MingXing Liu, Lei Xia, Jun Zhong, Bin Li, NingNing Dou, ShiTing Li
BACKGROUND: Although microvascular decompression (MVD) has been widely accepted as an effective remedy for treatment of hemifacial spasm (HFS), some patients may experience delayed relief instead of immediate improvement after the surgery. Hence, the necessity or occasion of repeated MVD has been controversial to date. Therefore, it is necessary to conduct a study with emphasis on those unrelieved patients. METHODS: Between January 2010 through December 2014, 3095 idiopathic HFS patients were treated with MVD in XinHua Hospital, Shanghai JiaoTong University School of Medicine...
November 27, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/29191062/recurrent-bell-s-palsy-following-ventriculoperitoneal-shunt-insertion-an-unusual-case-to-face
#7
Ashwin Kumaria, Tim C Hammett, Murugan Sitaraman, Dan A D'Aquino, Donald C Macarthur
We present the case of a 15 year old boy who developed transient lower motor neuron facial weakness on two separate occasions shortly after ventriculoperitoneal shunt insertion. Both episodes, each of which occurred on the ipsilateral side to shunt insertion, were transient, self-limiting and were managed medically with a course of oral steroids. We believe this is the first reported case of Bell's palsy after this type of surgery in a child. Potential pathophysiological mechanisms are discussed.
November 30, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/29168315/postoperative-efficacy-analysis-of-patients-with-facial-nerve-palsy-associated-with-cholesteatoma-otitis-media-our-experience-with-32-patients
#8
Jing-Jing Wang, Yan-Mei Feng, Hui Wang, Ya-Qin Wu, Hai-Bo Shi, Zheng-Nong Chen, Shan-Kai Yin
Patients who underwent surgery within 4 weeks after facial palsy had better outcomes than those who had surgery later. The results of partial and near-complete decompression were good, with no difference between the two methods. Even if the symptom duration of facial paralysis was > 4 weeks, surgery still had an impact. Unlike in surgery for facial paralysis due to other causes, the integrity of the sheath membrane should be preserved. There is a lag in the electroneurography test results. This article is protected by copyright...
November 23, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29165750/our-experience-in-the-management-of-csf-otorrhea-a-transmastoid-approach-with-middle-ear-cavity-obliteration-and-a-middle-cranial-fossa-approach
#9
Asli Cakir Cetin, Nuri Karabay, Enis Alpin Guneri
In this report, we present two cases of patients with cerebrospinal fluid (CSF) otorrhea who underwent surgical repair through either a transmastoid or middle cranial fossa approach. In our first case, a 34-year-old male after head trauma with conductive hearing loss and a House-Brackmann grade 2 facial palsy was found to have a soft tissue mass protruding through his right tympanic membrane. Radiological examination revealed a wide tegmen tympani defect. He underwent surgery via a transmastoid approach with repair of the defect and blind sac closure of the external auditory canal after middle ear cavity obliteration...
November 1, 2017: Turkish Neurosurgery
https://www.readbyqxmd.com/read/29153254/facial-reanimation-surgery-in-m%C3%A3-bius-syndrome-experience-from-76-cases-from-a-tertiary-referral-hospital-in-latin-america
#10
A Cardenas-Mejia, D Palafox
INTRODUCTION: Möbius syndrome is defined as a combined congenital bilateral facial and abducens nerve palsies. The main goal of treatment is to provide facial reanimation by means of a dynamic surgical procedure. The microneurovascular transfer of a free muscle transplant is the procedure of choice for facial animation in a child with facial paralysis. OBSERVATION: Between January 2008 and January 2017, 124 patients with the syndrome have been approached at our institution...
November 15, 2017: Annales de Chirurgie Plastique et Esthétique
https://www.readbyqxmd.com/read/29145580/effect-of-botulinum-toxin-a-on-muscle-healing-and-its-implications-in-aesthetic-and-reconstructive-surgery
#11
Eldad Silberstein, Ehud Maor, Oleg Sukmanov, Alexander Bogdanov Berezovsky, Yaron Shoham, Yuval Krieger
Background: Muscle activity contributes to the enhancement of facial aging deformity, blepharospasm, cerebral palsy spasticity, trismus, torticollis, and other conditions. Myotomy of the involved muscles in order to reduce the deformity has variable success rates due to muscle healing and regeneration of activity. Objectives: The goal of this study was to investigate whether blocking striated muscle activity with Botulinum toxin (BtxA) during the healing time after myotomy alters the healing process and reduces long-term muscle activity...
November 14, 2017: Aesthetic Surgery Journal
https://www.readbyqxmd.com/read/29128183/does-intraoperative-neuromonitoring-of-recurrent-nerves-have-an-impact-on-the-postoperative-palsy-rate-results-of-a-prospective-multicenter-study
#12
Éric Mirallié, Cécile Caillard, François Pattou, Laurent Brunaud, Antoine Hamy, Marcel Dahan, Michel Prades, Muriel Mathonnet, Gérard Landecy, Henri-Pierre Dernis, Jean-Christophe Lifante, Frederic Sebag, Franck Jegoux, Emmanuel Babin, Alain Bizon, Florent Espitalier, Isabelle Durand-Zaleski, Christelle Volteau, Claire Blanchard
BACKGROUND: The impact of intraoperative neuromonitoring on recurrent laryngeal nerve palsy remains debated. Our aim was to evaluate the potential protective effect of intraoperative neuromonitoring on recurrent laryngeal nerve during total thyroidectomy. METHODS: This was a prospective, multicenter French national study. The use of intraoperative neuromonitoring was left at the surgeons' choice. Postoperative laryngoscopy was performed systematically at day 1 to 2 after operation and at 6 months in case of postoperative recurrent laryngeal nerve palsy...
January 2018: Surgery
https://www.readbyqxmd.com/read/29110188/percutaneous-balloon-compression-for-persistent-or-recurrent-trigeminal-neuralgia-after-microvascular-decompression-personal-experience-of-28-patients
#13
Wu Xu, Chengrong Jiang, Chen Yu, Weibang Liang
The objective of this study is to investigate the long-term effects of percutaneous balloon compression (PBC) for treating persistent or recurrent trigeminal neuralgia (TN) after microvascular decompression (MVD). The clinical features, surgical findings, outcomes, and complications of 28 patients underwent PBC for TN in Nanjing Drum Tower Hospital between April 2011 and March 2015 were analyzed retrospectively. All the patients had received MVD before but they did not get cured or the symptom relapsed during follow-up...
November 6, 2017: Acta Neurologica Belgica
https://www.readbyqxmd.com/read/29094077/quantitative-facial-electromyography-monitoring-after-hypoglossal-facial-jump-nerve-suture
#14
Jan Flasar, Gerd Fabian Volk, Thordis Granitzka, Katharina Geißler, Andrey Irintchev, Thomas Lehmann, Orlando Guntinas-Lichius
Objectives/Hypothesis: The time course of the reinnervation of the paralyzed face after hypoglossal-facial jump nerve suture using electromyography (EMG) was assessed. The relation to the clinical outcome was analyzed. Study Design: Retrospective single-center cohort study. Methods: Reestablishment of motor units was studied by quantitative EMG and motor unit potential (MUP) analysis in 11 patients after hypoglossal-facial jump nerve suture...
October 2017: Laryngoscope Investigative Otolaryngology
https://www.readbyqxmd.com/read/29037582/endoscopic-versus-microscopic-approach-in-attic-cholesteatoma-surgery
#15
Giuseppe Magliulo, Giannicola Iannella
PURPOSE: Compare the outcomes of primary exclusive endoscopic ear surgery with those of the microscopic ear surgery in a group of patients affected by attic cholesteatoma. MATERIALS AND METHODS: Eighty patients suffered from attic cholesteatoma. Forty patients surgical treated with endoscopic ear surgery and forty patients surgical treated with microscopic ear surgery. RESULTS: No statistical differences were found in the parameters analysed (frequency of facial nerve dehiscence, age, disease duration, site of dehiscence) between the endoscopic and microscopic groups indicating a homogeneous selection thus providing a good comparison of the outcomes between the two groups...
January 2018: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/29033208/surgical-treatment-of-synkinesis-between-smiling-and-eyelid-closure
#16
Federico Biglioli, Otilija Kutanovaite, Dimitri Rabbiosi, Giacomo Colletti, M A S Mohammed, Alberto M Saibene, Silvia Cupello, Antonino Privitera, Valeria M A Battista, Alessandro Lozza, Fabiana Allevi
Synkinetic movements are common among patients with incomplete recovery from facial palsy, with reported rates ranging from 9.1% to almost 100%. The authors propose the separation of the neural stimulus of the orbicularis oculi from that of the zygomatic muscular complex to treat eyelid closure/smiling synkinesis. This technique, associated with an anastomosis between the masseteric nerve and a central branch of the facial nerve, as well as with the use of a cross-facial nerve graft, resolves most of the spasms of the midface musculature, leading to a more relaxed tone when the mimic muscle is at rest and enhancing muscle excursion during voluntary and spontaneous smiling...
September 18, 2017: Journal of Cranio-maxillo-facial Surgery
https://www.readbyqxmd.com/read/29029275/surgical-management-of-intrinsic-tumors-of-the-facial-nerve
#17
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/29021412/postoperative-headache-after-undergoing-acoustic-neuroma-surgery-via-the-retrosigmoid-approach
#18
Noritaka Aihara, Hiroshi Yamada, Mariko Takahashi, Akira Inagaki, Shingo Murakami, Mitsuhito Mase
To estimate the duration of postoperative headache after surgery for acoustic neuroma and the effects of age, sex, tumor size, extent of tumor resection, type of skin incision, surgical duration, hearing preservation, and postoperative facial nerve palsy. This retrospective review analyzed clinical data from 97 patients who had undergone surgery for unilateral acoustic neuroma via the retrosigmoid approach >1 year previously. We investigated whether patients had headache at hospital discharge and during attendance at outpatient clinics...
October 12, 2017: Neurologia Medico-chirurgica
https://www.readbyqxmd.com/read/28991664/incobotulinumtoxina-treatment-of-facial-nerve-palsy-after-neurosurgery
#19
Mihail A Akulov, Ol'ga R Orlova, Aleksandra S Orlova, Dmitrij J Usachev, Vadim N Shimansky, Sergey V Tanjashin, Svetlana E Khatkova, Anna V Yunosha-Shanyavskaya
BACKGROUND: This study evaluates the effect of incobotulinumtoxinA in the acute and chronic phases of facial nerve palsy after neurosurgical interventions. METHODS: Patients received incobotulinumtoxinA injections (active treatment group) or standard rehabilitation treatment (control group). Functional efficacy was assessed using House-Brackmann, Yanagihara System and Sunnybrook Facial Grading scales, and Facial Disability Index self-assessment. RESULTS: Significant improvements on all scales were seen after 1month of incobotulinumtoxinA treatment (active treatment group, р<0...
October 15, 2017: Journal of the Neurological Sciences
https://www.readbyqxmd.com/read/28988846/facial-nerve-neuroma-in-the-geniculate-ganglion-extending-into-the-internal-auditory-canal-a-case-report
#20
Mohamed Aboshanif, Eigo Omi, Shinsuke Suzuki, Teruyuki Sato, Koh Koizumi, Kazuo Ishikawa, Masataka Takahashi
Facial nerve schwannoma is a very rare benign tumor representing less than 1% of intrapetrous lesions. Our patient is a forty-one year old female who has suffered from recurrent right facial palsy for the last six years. She was first misdiagnosed as having Bell's palsy and received corticosteroids which resulted in little improvement. She then had facial nerve decompression surgery which resulted in a partial improvement. Since then, she has suffered from recurrent attacks of facial palsy. Two years ago, she came to our hospital seeking further treatment options...
October 5, 2017: Auris, Nasus, Larynx
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