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https://www.readbyqxmd.com/read/29737736/-the-diagnostic-value-of-laryngeal-electromyography-in-vocal-fold-paralysis-and-arytenoid-dislocation
#1
Peng Cheng Yu, Nan Gao, Xu Mao Li, Xia Zhao, Guang Bin Sun
OBJECTIVES: To identify diagnostic value of laryngeal electromyography (LEMG) in differentiating vocal fold paralysis (VFP) from arytenoid dislocation. METHODS: The history, laryngeal morphologic characteristics and LEMG of 36 patients with VFP and 10 patients with arytenoid dislocation were compared and analyzed. RESULTS: The most common cause of 36 VFP patients was surgical damage (24 cases), and the most common cause of 10 arytenoid dislocation patients was history of endotracheal intubation (9 cases)...
March 2018: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
https://www.readbyqxmd.com/read/29673578/diagnosis-of-primary-hemifacial-spasm
#2
J-P Lefaucheur, N Ben Daamer, S Sangla, C Le Guerinel
The diagnosis of primary hemifacial spasm (pHFS), due to a benign compression of the facial motor nerve by a vessel, within or close to its root exit zone, is often made with delay. Misdiagnosis includes psychogenic spasm, tics, facial myokymia or blepharospasm, but in fact post-facial palsy synkinesis (post-paralytic HFS) is the closest clinical condition, because it is limited to the territory of the facial nerve of a single hemiface. The differential diagnosis between these two entities, whose pathophysiological mechanisms are very different, can be made by electroneuromyographic (ENMG) examination...
April 16, 2018: Neuro-Chirurgie
https://www.readbyqxmd.com/read/29668505/comparison-of-functional-results-after-cross-face-nerve-graft-spinal-accessory-nerve-and-masseter-nerve-innervated-gracilis-for-facial-paralysis-reconstruction-the-chang-gung-experience
#3
David Chwei-Chin Chuang, Johnny Chuieng-Yi Lu, Tommy Nai-Jen Chang, Vincent G Laurence
BACKGROUND: Using functioning free muscle transplantation (FFMT) for facial paralysis and postparalysis facial synkinesis reconstruction is our preferred technique. Gracilis was the first choice of muscle. Three motor neurotizers: cross-face nerve graft (CFNG), spinal accessory nerve (XI) and masseter nerve (V3) have been used as neurotizers for different indications. METHODS: A total of 362 cases of facial reanimation with FFMT were performed between 1986 and 2015...
April 17, 2018: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/29668050/long-term-outcome-of-selective-neurectomy-for-refractory-periocular-synkinesis
#4
Martinus M van Veen, Joseph R Dusseldorp, Tessa A Hadlock
OBJECTIVE: The objective of this study was to investigate the long-term effect and treatment stability of selective neurectomy for refractory periocular synkinesis. METHODS: We performed a retrospective review of all patients treated with highly selective neurectomy for refractory periocular synkinesis between August 2009 and August 2015. Primary outcome was time to recommencing treatment for periocular synkinesis. Palpebral fissure width was measured preoperatively, postoperatively, and at long-term ( > 2...
April 18, 2018: Laryngoscope
https://www.readbyqxmd.com/read/29514718/brief-electrical-stimulation-and-synkinesis-after-facial-nerve-crush-injury-a-randomized-prospective-animal-study
#5
Adrian Mendez, Alex Hopkins, Vincent L Biron, Hadi Seikaly, Lin Fu Zhu, David W J Côté
BACKGROUND: Recent studies have examined the effects of brief electrical stimulation (BES) on nerve regeneration, with some suggesting that BES accelerates facial nerve recovery. However, the facial nerve outcome measurement in these studies has not been precise or accurate. Furthermore, no previous studies have been able to demonstrate the effect of BES on synkinesis. The objective of this study is to examine the effect of brief electrical stimulation (BES) on facial nerve function and synkinesis in a rat model...
March 7, 2018: Journal of Otolaryngology—Head & Neck Surgery
https://www.readbyqxmd.com/read/29510722/recovery-of-facial-expressions-using-functional-electrical-stimulation-after-full-face-transplantation
#6
Çağdaş Topçu, Hilmi Uysal, Ömer Özkan, Özlenen Özkan, Övünç Polat, Merve Bedeloğlu, Arzu Akgül, Ela Naz Döğer, Refik Sever, Ömer Halil Çolak
BACKGROUND: We assessed the recovery of 2 face transplantation patients with measures of complexity during neuromuscular rehabilitation. Cognitive rehabilitation methods and functional electrical stimulation were used to improve facial emotional expressions of full-face transplantation patients for 5 months. Rehabilitation and analyses were conducted at approximately 3 years after full facial transplantation in the patient group. We report complexity analysis of surface electromyography signals of these two patients in comparison to the results of 10 healthy individuals...
March 6, 2018: Journal of Neuroengineering and Rehabilitation
https://www.readbyqxmd.com/read/29390531/dexmedetomidine-based-monitored-conscious-sedation-combined-local-anesthesia-for-levator-resection-in-a-10-year-old-child-with-marcus-gunn-jaw-winking-synkinesis-a-case-report
#7
Ye Tu, Feng Gao
RATIONALE: Levator resection has become a routine procedure for patients with severe Marcus Gunn jaw-winking synkinesis (MGJWS). To optimize the surgical outcome, adult patients need to be kept awake, or easily aroused and responsive to verbal commands during the operation. However, levator resection is commonly performed under general anesthesia in pediatric patients. In the present case, we described a successful anesthetic protocol of conscious sedation with local anesthesia for levator resection in a child...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29369999/paradoxical-frontalis-activation-an-underrecognized-consequence-of-facial-palsy
#8
Lilli Cooper, Charles Izard, Victoria Harries, Catriona Neville, Vanessa Venables, Raman Malhotra, Charles Nduka
BACKGROUND: Aberrant reinnervation and synkinesis are common and debilitating after facial palsy. Paradoxical frontalis activation can antagonize eye closure and increase the risk of corneal damage. If recognized, judicious botulinum toxin injection to the affected side may reduce this risk. METHODS: One hundred consecutive patients with synkinesis were identified from a prospective database. Routine facial view photographs were converted to a standardized scale using iris diameter...
February 2018: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29355973/innervation-status-in-chronic-vocal-fold-paralysis-and-implications-for-laryngeal-reinnervation
#9
R Jun Lin, Libby J Smith, Michael C Munin, Shaum Sridharan, Clark A Rosen
OBJECTIVE: Treatment options for symptomatic unilateral vocal fold paralysis (VFP) include vocal fold augmentation, laryngeal framework surgery, and laryngeal reinnervation. Laryngeal reinnervation (LR) has been suggested to provide "tone" to the paralyzed VF. This implies a loss of tone as a result of denervation without reinnervation. We performed laryngeal electromyography (LEMG) in patients with chronic VFP to understand the innervation status associated with a chronically paralyzed vocal fold...
January 22, 2018: Laryngoscope
https://www.readbyqxmd.com/read/29283938/immediate-hypoglossal-facial-anastomosis-in-patients-with-facial-interruption
#10
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/29260776/-the-possibilities-for-the-restoration-of-the-laryngeal-function-the-current-state-of-the-art
#11
REVIEW
I V Reshetov, G V Polunin, A V Ananichuk, L I Ippolitov, A A Kovalenko
The restoration of the functional competence of the larynx following bilateral laryngeal nerve damage and vocal fold paralysis is a serious challenge for the surgeon that has thus far no satisfactory solution. Physiological re-innervation that occurs naturally with time is non-selective and, in the majority of the cases, leads to synkinesis. Laryngeal pacing achieved with the application of the implantable microchips appears to be a promising approach. The animal experiments have demonstrated the possibility of successful restoration of all the functions of the larynx by means of laryngeal pacing but simultaneously revealed a number of technical issues that have to be addressed if the further progress in this field is to be achieved including the choice of the proper materials for implantation, solution of problems pertaining to the neuromuscular mapping during pacer implantation, etc...
2017: Vestnik Otorinolaringologii
https://www.readbyqxmd.com/read/29181327/acquired-ptosis-associated-with-oculomotor-and-contralateral-facial-nerve-synkinesis-the-first-reported-case
#12
Mauro Tarallo, Magda Gharbiya, Maria Giuseppina Onesti, Andrea Conversi, Marco Toscani, Pasquale Fino, Nicolò Scuderi, Giuseppe Di Taranto
No abstract text is available yet for this article.
2017: International Journal of Ophthalmology
https://www.readbyqxmd.com/read/29107795/gustatory-lid-retraction-an-unusual-congenital-cranial-dysinnervation-disorder
#13
Arif O Khan, Zabila Khan
Congenital cranial dysinnervation disorders are developmental abnormalities of cranial nerves that often include abnormal synkinesis. Among the most common ophthalmic congenital cranial dysinnervation disorders are Duane retraction syndrome and the Marcus-Gunn jaw-winking phenomenon. This report documents gustatory lid retraction as an unusual congenital cranial dysinnervation.
December 2017: Journal of AAPOS: the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
https://www.readbyqxmd.com/read/29100751/factors-affecting-the-effect-of-physical-rehabilitation-therapy-for-synkinesis-as-a-sequela-to-facial-nerve-palsy
#14
Keishi Fujiwara, Yasushi Furuta, Naoko Yamamoto, Kanako Katoh, Satoshi Fukuda
OBJECTIVE: To investigate factors affecting the effect of physical rehabilitation therapy for synkinesis as a sequela to facial nerve palsy. METHODS: A total of 37 patients with peripheral facial nerve palsy in Teine-Keijinkai Hospital were enrolled in this study. All patients showed synkinesis at 6 months after the onset of facial nerve palsy and were instructed in physical rehabilitation by expert staff from their first visit. The degree of synkinesis was evaluated at 6, 9 and 12 months after the onset of facial nerve palsy based on Sunnybrook facial grading system score and asymmetry in eye opening width...
October 31, 2017: Auris, Nasus, Larynx
https://www.readbyqxmd.com/read/29044090/contralateral-eye-surgery-with-adjustable-suture-for-management-of-third-nerve-palsy-with-aberrant-regeneration
#15
Phuong Thi Thanh Nguyen, Shailja Tibrewal, Suma Ganesh
Aberrant regeneration of the third nerve following its palsy is commonly seen after trauma and compressive lesions. This phenomenon is thought to result due to misdirection of the regenerating axons. Surgical management is a great challenge in the third nerve palsy owing to multiple muscle involvement and is often accompanied by ptosis and poor Bell's phenomenon. We present a case of a 27-year-old male who developed isolated complete third nerve palsy of the left eye following head trauma. Features of aberrant regeneration were seen after 6 months, namely, inverse Duane's sign and Pseudo-Von Graefe's sign...
October 2017: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/29036947/commentary-on-oculonasal-synkinesis-video-report-and-surgical-solution-of-a-rare-phenomenon
#16
Aaron M Kosins, Peter Palhazi
No abstract text is available yet for this article.
September 1, 2017: Aesthetic Surgery Journal
https://www.readbyqxmd.com/read/29036940/oculonasal-synkinesis-video-report-and-surgical-solution-of-a-rare-phenomenon
#17
Giuseppe Guarro, Francesco Brunelli, Barbara Rasile, Carmine Alfano
Background: Synkinesis represents involuntary muscular movements that occur in association with voluntary contraction of other muscle groups. Oculonasal synkinesis is a rare phenomenon. Objectives: In a series of videos, the authors present clinical findings and surgical correction of oculonasal synkinesis. Methods: Two women who underwent surgical procedures to correct oculonasal synkinesis were evaluated in a prospective study. One patient presented with bilateral synkinesis after 2 previous rhinoplasties...
September 1, 2017: Aesthetic Surgery Journal
https://www.readbyqxmd.com/read/29033208/surgical-treatment-of-synkinesis-between-smiling-and-eyelid-closure
#18
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...
December 2017: Journal of Cranio-maxillo-facial Surgery
https://www.readbyqxmd.com/read/29032419/objective-assessment-of-the-reliability-of-the-house-brackmann-and-fisch-grading-of-synkinesis
#19
Verena Meier-Gallati, Henning Scriba
The objective of this paper is to assess synkinesis associated with post paretic voluntary facial movements using the objective OSCAR method and to investigate the correlation between synkinesis and paresis to compare the objective results with the subjective scaling systems of Fisch and House-Brackmann. The development of an objective assessment of synkinesis with the OSCAR method is focused on the clinically most relevant eye-mouth and forehead-mouth synkinetic movements. Thirteen patients with unilateral facial paralysis and synkinesis of the University Hospital Zurich were examined...
December 2017: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/28991664/incobotulinumtoxina-treatment-of-facial-nerve-palsy-after-neurosurgery
#20
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
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