1,242 results match your criteria Facial Nerve Repair


A 10-year study of penetrating head and neck injury by assault in the North East of England.

Oral Maxillofac Surg 2021 Jun 21. Epub 2021 Jun 21.

Department of Oral and Maxillofacial Surgery, Royal Victoria Infirmary, Queen Victoria Road, Newcastle upon Tyne, NE1 4LP, UK.

Introduction: Assaults inflicting penetrating head and neck trauma have potential for serious morbidity or mortality. This paper studies in-depth all cases treated at a level one trauma centre in the North East of England over 10 years.

Methods: All patients assaulted with sharp implements to the head and neck treated from 2010 to 2019 were identified using clinical codes. Read More

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Assessment of complications of the open treatment of mandibular condylar fractures

J Pak Med Assoc 2021 06;71(6):1689-1692

Department of Oral and Maxillofacial Surgery, Armed Forces Institute of Dentistry, Rawalpindi, Pakistan.

The objective of our study was to analyze the complications of open treatment of mandibular condylar fractures operated via various surgical approaches. Thirtyeight patients with 42 fracture sides having moderate to severely displaced condylar fractures were studied. Open treatment was performed, and patients were assessed for complications of open treatment in terms of facial nerve paresis, unaesthetic scar, salivary fistula/sialocele. Read More

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Maximizing the Smile Symmetry in Facial Paralysis Reconstruction: An Algorithm Based on Twenty Years' Experience.

Facial Plast Surg 2021 Jun 1;37(3):360-369. Epub 2021 Jun 1.

Department of Plastic and Reconstructive Surgery, Clínica Universidad de Navarra, Pamplona, Spain.

Over the last two decades, the senior author (B.H.) has had an extensive experience with facial paralysis reconstruction. Read More

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Severe Craniofacial Morbidity from a Bean Bag Projectile.

Plast Reconstr Surg Glob Open 2021 May 21;9(5):e3589. Epub 2021 May 21.

Division of Plastic and Reconstructive Surgery, Department of Surgery, University of California San Francisco, San Francisco, Calif.

Bean bag munitions, less-lethal weapons primarily used by law enforcement, can cause severe morbidity. Although bean bag munitions are less likely to cause severe injury when compared with regular gunshot rounds, it is crucial to understand that bean bag munitions may be life-threatening. In this case, we describe our experience with a patient who suffered a zygomaticomaxillary complex fracture, facial nerve injury, and retained munition round in his maxillary sinus from a bean bag projectile shot during an altercation with the police. Read More

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Correction to: The application of venous nerve conduit trap in the immediate repair and reconstruction of facial nerve in parotid gland tumor: an attempt of a new technique.

Eur Arch Otorhinolaryngol 2021 May 24. Epub 2021 May 24.

Department of Head and Neck Surgery, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, School of Medicine, University of Electronic Science and Technology, Chengdu, China.

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Perigeniculate arachnoid cysts and CSF fistulae of the fallopian canal: Histopathologic correlates of a rare clinical entity.

World J Otorhinolaryngol Head Neck Surg 2021 Apr 24;7(2):71-81. Epub 2021 Jan 24.

Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins University, USA.

Cerebrospinal fluid (CSF) fistulae originating from the fallopian canal of the facial nerve is hypothesized to arise due to atypical patterns of subarachnoid space extension into the geniculate ganglion or more distal regions along the intratemporal course of the facial nerve, but its pathogenesis remains poorly understood. Although a rare etiology of CSF fistulae of the temporal bone, there are significant clinical ramifications due to the risk of recurrent meningitis, difficulty in identifying the anatomic location of the CSF leak, and technical challenges associated with surgical repair. We present three clinical cases of arachnoid cysts within the geniculate fossa with or without CSF fistulization and provide histopathologic correlates of this rare clinical phenomenon from a human temporal bone collection. Read More

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Identification of sensory and motor nerve fascicles by immunofluorescence staining after peripheral nerve injury.

J Transl Med 2021 05 13;19(1):207. Epub 2021 May 13.

Department of Neurosurgery, University of Maryland School of Medicine, 10 South Pine Street, MSTF Building 823, Baltimore, MD, 21201, USA.

Background: Inappropriate matching of motor and sensory fibers after nerve repair or nerve grafting can lead to failure of nerve recovery. Identification of motor and sensory fibers is important for the development of new approaches that facilitate neural regeneration and the next generation of nerve signal-controlled neuro-prosthetic limbs with sensory feedback technology. Only a few methods have been reported to differentiate sensory and motor nerve fascicles, and the reliability of these techniques is unknown. Read More

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Identification of genes involved in neuronal cell death and recovery over time in rat axotomy and neurorrhaphy models through RNA sequencing.

Mol Cell Neurosci 2021 Jun 5;113:103628. Epub 2021 May 5.

Regeneration Medicine Research Center, Yonsei University Wonju College of Medicine, Wonju, Republic of Korea. Electronic address:

Facial nerves are frequently injured during cosmetic or other types of facial surgery. However, information on the genes involved in the damage and recovery of the facial nerves is limited. Here, we aimed to identify the genes affected by facial nerve injury and repair using next-generation sequencing. Read More

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Post-surgery cholesteatoma complicated by facial nerve paralysis: A case report from Afghanistan.

Int J Surg Case Rep 2021 May 28;82:105916. Epub 2021 Apr 28.

Medical Research Center, Kateb University, Kabul, Afghanistan. Electronic address:

Introduction: Cholesteatoma is a benign tumoral lesion of squamous epithelial cells in middle ear that can exist as congenital or acquired forms.

Presentation Of Cases: A 35-year-old housewife presented to ENT clinic of a private hospital in Kabul, Afghanistan, with a complete facial nerve paralysis in the right side. In her antecedents, there is a tympanomastoidectomy due to chronic middle ear infection. Read More

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The application of venous nerve conduit trap in the immediate repair and reconstruction of facial nerve in parotid gland tumor: an attempt of a new technique.

Eur Arch Otorhinolaryngol 2021 May 4. Epub 2021 May 4.

Department of Head and Neck Surgery, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, School of Medicine, University of Electronic Science and Technology, Chengdu, China.

Objective: To introduce the application of venous nerve conduit in the immediate repair and reconstruction of facial nerve in parotid gland tumor.

Methods: Three patients with parotid gland tumor in Sichuan Provincial Cancer Hospital were reviewed. All patients were found that the tumor encased and invaded the facial nerve which was difficult to be separated during the operation when all patients were treated with facial nerve repair and reconstruction with the venous nerve conduit trapping technique. Read More

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Structural remodeling in related brain regions in patients with facial synkinesis.

Neural Regen Res 2021 Dec;16(12):2528-2533

Center of Rehabilitation Medicine, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine; School of Rehabilitation Science, Shanghai University of Traditional Chinese Medicine, Shanghai, China.

Facial synkinesis is a troublesome sequelae of facial nerve malfunction. It is difficult to recover from synkinesis, despite improved surgical techniques for isolating the peripheral facial nerve branches. Furthermore, it remains unclear whether long-term dysfunction of motor control can lead to irreversible plasticity-induced structural brain changes. Read More

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December 2021

Facial nerve regeneration using silicone conduits filled with ammonia-functionalized graphene oxide and frankincense-embedded hydrogel.

Inflamm Regen 2021 Apr 26;41(1):13. Epub 2021 Apr 26.

Department of Anatomy, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran.

Background: Silicone tube (ST) conduits have been accepted as a therapeutic alternative to direct nerve suturing in the treatment of nerve injuries; however, the search for optimal adjuncts to maximize the outcomes is still ongoing. Frankincense (Fr) and graphene oxide (GO) have both been cited as neuroregenerative compounds in the literature. This study assesses the efficacy of these materials using a ST conduit in a rat facial nerve motor neuron axotomy model, distal to the stylomastoid foramen. Read More

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Unexpected pain with electrocortical stimulation in a teenager with temporal encephalocele.

Epilepsy Behav Rep 2021 31;16:100444. Epub 2021 Mar 31.

Department of Neurology, University of Wisconsin-Madison School of Medicine and Public Health, 1685 Highland Ave, Madison, WI 53705, United States.

Temporal lobe encephalocele has emerged as a potentially unrecognized cause of drug-resistant temporal lobe epilepsy (TLE) that can be effectively treated with epilepsy surgery. Here we present a case in which a 17-year-old male with drug-resistant epilepsy and left temporal encephalocele underwent workup for epilepsy surgery, and experienced unexpected pain with electrocortical stimulation. Stimulation of stereo-EEG electrodes in the left temporal pole resulted in severe, unilateral left-sided facial pain due to inadvertent stimulation of the trigeminal nerve. Read More

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Complete laceration of motor branches of facial nerve and its successful repair: A case report from Afghanistan.

Int J Surg Case Rep 2021 Apr 26;81:105839. Epub 2021 Mar 26.

Medical Research Center, Kateb University, Kabul, Afghanistan. Electronic address:

Introduction: Facial nerve (the seventh cranial nerve) injury causes functional, aesthetic, and psychological difficulties. The second most common cause of facial nerve palsy is trauma.

Presentation Of Cases: A previously healthy 21-year-old worker, was brought to emergency room after car accident, with complete paralysis of all muscles of the left side of his face. Read More

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Use of the supraclavicular artery island flap for reconstruction of maxillofacial defects: a case report and literature review.

BMC Surg 2021 Apr 14;21(1):193. Epub 2021 Apr 14.

The Third Hospital of Mianyang & Sichuan Mental Health Center, Head, Neck and Maxillofacial Surgery & Thyroid Department, Mianyang, 621000, Sichuan, China.

Background: Free flaps are widely used in maxillofacial reconstruction; however, this approach was not feasible in the current case. It was not possible because the free flap method requires microvascular anastomosis expertise, which is difficult, time-consuming and costly.

Case Presentation: An 86-year-old woman suffered squamous cell carcinoma on the right side of her face, which resulted in a large soft-tissue defect. Read More

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[Evaluation of the effects auricular reconstruction with Medpor combined with hearing rehabilitation].

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2021 Apr;56(4):333-339

Department of Otorhinolaryngology Head and Neck Surgery, Shanghai Ninth People's Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200011, China.

To investigate the clinical effects of single-stage auricular reconstruction and hearing rehabilitation in children with microtia and external auditory canal atresia. Sixty eight cases of microtia with external auditory canal atresia (53 males and 15 females, age from 7 to 12 years, with a median age of 8.8 years), who received operations in Shanghai Ninth People's Hospital, Shanghai Jiaotong University School of Medicine from July 2017 to December 2019 were collected. Read More

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Auricular reconstruction using Medpor combined with different hearing rehabilitation approaches for microtia.

Acta Otolaryngol 2021 Jun 6;141(6):572-578. Epub 2021 Apr 6.

Department of Otolaryngology-Head and Neck Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine; Institute of Otology, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Background: Congenital microtia-atresia affects patients in two specific ways: severe conductive hearing loss and difficulty in integrating into social environments due to auricle malformation.

Aims/objectives: To investigate the safety and efficacy of single-stage auricular reconstruction and hearing rehabilitation in children with microtia and external auditory canal atresia.

Material And Methods: From January 2016 to December 2019, we included 32 patients with microtia and external canal atresia who received auricle reconstruction with high-density polyethylene (Medpor) framework and three different hearing rehabilitation approaches at the Ninth People's Hospital affiliated to Shanghai Jiao Tong University School of Medicine. Read More

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Transcriptome analysis of molecular mechanisms underlying facial nerve injury repair in rats.

Neural Regen Res 2021 Nov;16(11):2316-2323

Department of Otolaryngology, Affiliated Hospital of Nantong University, Nantong, Jiangsu Province, China.

Although the transcriptional alterations inside the facial nucleus after facial nerve injury have been well studied, the gene expression changes in the facial nerve trunk after injury are still unknown. In this study, we established an adult rat model of facial nerve crush injury by compressing the right lateral extracranial nerve trunk. Transcriptome sequencing, differential gene expression analysis, and cluster analysis of the injured facial nerve trunk were performed, and 39 intersecting genes with significant variance in expression were identified. Read More

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November 2021

ITPR1 Mutation Contributes to Hemifacial Microsomia Spectrum.

Front Genet 2021 4;12:616329. Epub 2021 Mar 4.

Department of Oral and Cranio-Maxillofacial Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Hemifacial microsomia (HM) is a craniofacial congenital defect involving the first and second branchial arch, mainly characterized by ocular, ear, maxilla-zygoma complex, mandible, and facial nerve malformation. HM follows autosomal dominant inheritance. Whole-exome sequencing of a family revealed a missense mutation in a highly conserved domain of . Read More

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Middle Cranial Fossa Approach to Repair Tegmen Dehiscence Using Self-setting Calcium Phosphate Cement: A Retrospective Case Review.

Otol Neurotol 2021 07;42(6):931-937

Department of Otolaryngology, Head and Neck Surgery, Sir Charles Gairdner Hospital, Perth.

Objectives: To review the outcomes of repairing tegmen dehiscence using the middle cranial fossa approach with a self-setting bone cement.

Study Design: Retrospective case series.

Setting: Two academic tertiary hospitals. Read More

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Microsurgical Repair of Inferior Alveolar Nerve Injuries Associated With Endodontic Treatment: Results on Sensory Function and Relief of Pain.

J Oral Maxillofac Surg 2021 Feb 6. Epub 2021 Feb 6.

Active Medical Staff, Department of Surgery, Northside Hospital, Atlanta, GA; Director of Fellowship Program, Georgia Oral & Facial Reconstructive Surgery, Atlanta, GA; and Clinical Associate Professor, Dental College of Georgia, Augusta University, August, GA.

Purpose: An uncommon, but serious complication of endodontic treatment is inferior alveolar nerve (IAN) injury warranting operative intervention for exploration, debridement, and repair. The purpose of the study was to evaluate outcomes of microneurosurgical intervention for endotontic-related IAN injuries in terms of achievement of functional sensory recovery (FSR) and pain relief and to identify factors affecting outcomes.

Methods: A retrospective cohort study of patients who had microsurgical exploration and repair of IAN injuries sustained during endodontic therapy was performed. Read More

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February 2021

Management of Acute Facial Nerve and Parotid Injuries.

Facial Plast Surg 2021 Mar 1. Epub 2021 Mar 1.

Department of Otolaryngology Head and Neck Surgery, Our Lady of the Lake Regional Medical Center, Baton Rouge, Louisiana.

Acute soft tissue trauma to the head and neck is a common reason for emergency department presentation and should be appropriately evaluated by a facial plastic surgeon. The evaluation of a patient who has suffered facial trauma should always include a comprehensive facial nerve exam and carry a low threshold of suspicion for parotid duct injury when involving the cheek. Injuries to the facial nerve and parotid duct can result in significant long-term functional, cosmetic, and emotional morbidity, particularly when diagnosis is delayed. Read More

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The effect of delayed photobiomodulation on neurosensory disturbance recovery after zygomatic trauma: A parallel controlled clinical trial.

J Photochem Photobiol B 2021 Apr 9;217:112153. Epub 2021 Feb 9.

Radiation Sciences Research Center, Laser Research Center in Medical Sciences, AJA University of Medical Sciences, Tehran, Iran; International Network for Photo Medicine and Photo Dynamic Therapy (INPMPDT), Universal Scientific Education and Research Network (USERN), Tehran, Iran. Electronic address:

Introduction: Zygomatic fractures are usually accompanied with neural complications, which are routinely treated by surgery or medication. However, photobiomodulation has been proven as a non-invasive method with better results in nerve's regeneration and repair. Therefore, in this study, we aimed to investigate the healing effect of photobiomodulation on neurosensory defect after facial trauma. Read More

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Facial Nerve Repair: Bioengineering Approaches in Preclinical Models.

Tissue Eng Part B Rev 2021 Apr 13. Epub 2021 Apr 13.

Department of Plastic Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.

Injury to the facial nerve can occur after different etiologies and range from simple transection of the branches to varying degrees of segmental loss. Management depends on the extent of injury and options include primary repair for simple transections and using autografts, allografts, or conduits for larger gaps. Tissue engineering plays an important role to create artificial materials that are able to mimic the nerve itself without extra morbidity in the patients. Read More

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How Many Oral Surgeons Does It Take to Classify a Nerve Injury?

J Oral Maxillofac Surg 2021 Jan 17. Epub 2021 Jan 17.

Private practice, Georgia Oral and Facial Reconstructive Surgery, Marietta, GA; Department of Surgery, Northside Hospital, Atlanta, GA; Clinical Assistant Professor, Oral & Maxillofacial Surgery, Dental College of Georgia, Augusta University, Augusta, GA;and Director, Maxillofacial Consultations, Ltd., Greensboro, GA.

Purpose: There is inconsistency in clinical grading of peripheral trigeminal nerve (TN5) injuries that impact patient care. The study goal is to assess the current status of evaluation and classification of TN5 injuries by oral and maxillofacial surgeons (OMSs).

Patients And Methods: A cross-sectional study design used an electronic survey to 100 selected OMSs to determine their clinical TN5 injury practice, including neurosensory testing, confidence level with current protocols, and evaluation and treatment of a hypothetical TN5 injury case. Read More

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January 2021

Effect of Distal Masseter to Facial Nerve Transfer in Paralytic Patients with Preserved Facial Nerve Continuity on Improving Scaled Measurement of Improvement in Lip Excursion (SMILE): A Vectoral Analysis.

Turk Arch Otorhinolaryngol 2020 Dec 1;58(4):249-253. Epub 2020 Dec 1.

Department of Otorhinolaryngology, Başkent University School of Medicine, İstanbul, Turkey.

Objective: Distal masseter-to-facial neurorrhaphy is an option to improve smile excursion in facial paralysis patients in the early period without truncating the facial nerve truncus and by ensuring the continuity of the facial nerve. This study aimed to study the effect of distal masseter-to-facial neurorrhaphy on smile excursion.

Methods: Charts of eight patients were retrospectively examined. Read More

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December 2020

When to Say When-Reasons to Abort Surgery for Congenital Aural Atresia.

Otol Neurotol 2021 04;42(4):e476-e482

Department of Otolaryngology-Head and Neck Surgery, University of Virginia, Charlottesville, Virginia.

Objective: To determine reasons for premature termination in surgery for congenital aural atresia (CAA).

Study Design: Retrospective chart review.

Setting: High-volume tertiary care center. Read More

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The Experience of a Facial Nerve Unit in the Treatment of Patients With Facial Paralysis Following Skull Base Surgery.

Otol Neurotol 2020 Dec;41(10):e1340-e1349

Department of Otorhinolaryngology.

: The management of facial paralysis following skull base surgery is complex and requires multidisciplinary intervention. This review shows the experience of a facial nerve (FN) unit in a tertiary university referral center. A multidisciplinary approach has led to the breaking of some old treatment paradigms. Read More

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December 2020

The use of interosseous dental wires and sutures for internal fixation in a patient with multiple comminuted middle facial fractures and facial nerve injury: A demonstrative case report.

Int J Surg Case Rep 2021 Feb 15;79:188-192. Epub 2021 Jan 15.

Department of Surgery, Division of Plastic Surgery, King Saud University, Riyadh, Saudi Arabia. Electronic address:

Introduction: The use of plates and screws for facial fractures is considered the gold standard; providing accurate reduction and rigid fixation.

Case Report: We report on a case with multiple comminuted middle facial fractures and concurrent facial nerve injury. The fractures were fixed with a combination of interosseous dental wires and polypropylene sutures with a satisfactory outcome. Read More

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February 2021

Autologous Temporalis Subfascial Fat Graft for Skull Base Repair: A Novel Technique.

Oper Neurosurg (Hagerstown) 2021 03;20(4):E274-E278

Department of Neurological Surgery, CHI St. Vincent Arkansas Neuroscience Institute, Sherwood, Arkansas.

Background: Autologous abdominal fat grafts are occasionally used in the repair of skull base exposures. This surgical procedure typically requires an additional surgical site and may have unexpected postoperative complications.

Objective: To describe an operative technique for harvesting subfascial fat from the temporal extension of the buccal fat pad for the repair of skull base defects. Read More

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