3,598 results match your criteria Hemifacial Spasm


Eye Tracking as a Proxy for Perceptual Evaluation of Repaired Cleft Lip.

J Craniofac Surg 2018 Dec 13. Epub 2018 Dec 13.

UT Southwestern Medical Center.

Human interactions begin with near-instantaneous visual evaluation of the face, modifying emotional responses and social behavior toward the person. Eye-tracking technology can provide a potential window into how humans undertake this evaluation, and the threshold of whether a face containing a craniofacial difference is perceived as "normal." This study's main questions were whether gaze patterns differ from normal when evaluating children with craniofacial differences, and whether these gaze patterns vary with different levels of craniofacial deformity. Read More

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December 2018
2 Reads

Salvage or Solution: Alloplastic Reconstruction in Hemifacial Microsomia.

Cleft Palate Craniofac J 2018 Dec 13:1055665618817669. Epub 2018 Dec 13.

4 American Craniofacial Associates, Athens, Greece.

Introduction:: Skeletal reconstruction in severe grades of hemifacial microsomia (HFM) continues to be challenging. Traditional techniques of autografts and osseous distraction for reconstruction of the glenoid fossa, condyle, and ramus can fall short of expectations and can create new problems. This intercontinental study analyzes the role of alloplastic skeletal rehabilitation in severe HFM. Read More

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December 2018

Quantitative Evaluation of Cephalometric Radiographs of Patients With Hemifacial Microsomia.

Cleft Palate Craniofac J 2018 Dec 11:1055665618813453. Epub 2018 Dec 11.

4 Department of Oral and Maxillofacial Surgery, Toya Kyokai Hospital, Toyako-cho, Abuta-gun, Japan.

Objective:: To clarify the morphological characteristics of hemifacial microsomia (HFM) by quantitative analysis of cephalometric radiographs.

Design:: Retrospective study of imaging data.

Setting:: Imaging data were obtained from the records of Sapporo Medical University Hospital. Read More

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December 2018

Methicillin-resistant Staphylococcus aureus Meningitis as a Complication of Facial Nerve Decompression for Vertebrobasilar Dolichoectasia.

Cureus 2018 Oct 1;10(10):e3392. Epub 2018 Oct 1.

Radiology, VA Medical Center, Riviera Beach, USA.

We present a case of a 55-year-old lady with intermittent twitching of the left side of her face, involving her left eyelid and the angle of the mouth, ongoing for two years. She failed multiple trials of botulinum toxin injections as well as oral anti-spasmodic medications. The patient was diagnosed with an ectatic left vertebral artery, causing a compression of cranial nerve VII on the same side on magnetic resonance imaging (MRI) of the brain. Read More

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October 2018
8 Reads

Three-dimensional evaluation of facial asymmetry in patients with hemifacial microsomia using stereophotogrammetry.

J Craniomaxillofac Surg 2018 Nov 16. Epub 2018 Nov 16.

Section of Orthodontics, Centro Universitario di Odontoiatria (Director: Prof. Guido Maria Macaluso), Department of Medicine and Surgery, University of Parma, Via Gramsci, 14, 43126, Parma, Italy.

Purpose: To quantify the surface facial asymmetry in a group of young patients with hemifacial microsomia (HFM) and to investigate differences with a homogeneous sample of healthy subjects, using a novel stereophotogrammetric method.

Materials And Methods: Twelve patients (mean age 13.1 ± 3. Read More

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November 2018
1 Read

Surgery-First Orthognathic Surgery for Severe Facial Asymmetry Combined With Mandibular Distraction Osteogenesis Using a Three-Dimensional Internal Distractor.

J Craniofac Surg 2018 Nov 30. Epub 2018 Nov 30.

Department of Plastic, Reconstructive and Aesthetic Surgery, Tokyo Metropolitan Police Hospital.

Severe facial asymmetry in adults with hemifacial microsomia or other types of mandibular hypoplasia is challenging to treat with simultaneous maxillomandibular distraction osteogenesis using an external distractor combined with intermaxillary fixation (IMF). Using an external distractor also produces significant distress for patients for at least 8 weeks. Furthermore, mandibular-driven distraction tends to elongate the midface, with difficulty positioning of the center of the maxilla in the center of the face and horizontalization of the occlusal plane. Read More

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November 2018
1 Read

Cavernous angioma of the cerebellopontine angle presenting as hemifacial spasm.

Neurol India 2018 Nov-Dec;66(6):1826-1828

Department of Critical Care Medicine, Shengli Oilfield Central Hospital of Binzhou Medical University, Dongying, Shandong, China.

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December 2018
1 Read

Ring graft technique for microvascular decompression.

Neurol India 2018 Nov-Dec;66(6):1687-1691

Department of Neurosurgery, GIPMER and Maulana Azad Medical College, New Delhi, India.

Introduction: Various nerve compression syndromes, such as trigeminal neuralgia (TN), glossopharyngeal neuralgia (GN), and hemifacial spasm (HFS), are caused by compression of the concerned nerve by the adjacent vessel. Patients who do not respond to medical management are usually treated by "microvascular decompression (MVD) of the nerve." Teflon patch graft is the most commonly used material for MVD. Read More

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December 2018
1 Read
1.084 Impact Factor

A 26-Year Experience with Microsurgical Reconstruction of Hemifacial Atrophy and Linear Scleroderma.

Plast Reconstr Surg 2018 Nov;142(5):1275-1283

Madison, Wis.; and Livingston, N.J. From the Division of Plastic and Reconstructive Surgery, University of Wisconsin School of Medicine and Public Health; and Summit Medical Group.

Background: Parry Romberg disease (hemifacial atrophy) and linear scleroderma (coup de sabre) are progressive, usually unilateral facial atrophies of unknown cause. The gold standard treatment for these patients has been microsurgical reconstruction following the "burning out" of the facial atrophy and stable contour for 2 years.

Methods: The authors report their experience treating patients with hemifacial atrophy and linear scleroderma with free tissue transfers between 1989 and 2016. Read More

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November 2018

Synchronous bilateral hemifacial spasm: case-report and literature review.

Acta Neurochir (Wien) 2018 Dec 4. Epub 2018 Dec 4.

Department of Neurosurgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Jiefang Avenue 1277, Wuhan, 430022, Hubei, China.

Bilateral hemifacial spasm (biHFS) is an infrequent cranial nerve disorder that causes patients to suffer from severe psychological stress, and there are no reported cases of synchronous biHFS. In this study, a 46-year-old right-handed woman was diagnosed with a synchronous biHFS. After one unilateral microvascular decompression (MVD) surgery, the left facial twitching movements relieved immediately, and the right side twitching movements self-relieved the next day. Read More

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December 2018
2 Reads

Isolated Fetal Cardiac Abnormalities: Are They Really Isolated?

AJP Rep 2018 Oct 30;8(4):e355-e358. Epub 2018 Nov 30.

Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Weill Cornell Medicine, New York, New York.

 To determine the rate of unsuspected noncardiac abnormalities in newborns suspected to have isolated cardiac abnormalities in the second trimester.  A review of the ultrasound database from the Weill Cornell Medical Center identified fetuses with a suspected cardiac abnormality from January 2006 to November 2016. Cases with prenatally suspected noncardiac structural abnormalities, abnormal fetal or neonatal karyotype or microarray, and those who delivered at an outside institution or underwent abortion were excluded. Read More

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October 2018
2 Reads

Fully endoscopic microvascular decompression for hemifacial spasm.

Authors:

J Neurosurg 2018 Oct 1:1-7. Epub 2018 Oct 1.

OBJECTIVEHemifacial spasm (HFS) is characterized by involuntary tonic and/or clonic contractions of facial nerve muscles. Fully endoscopic microvascular decompression (E-MVD) for HFS has not been widely adopted. This paper aims to illustrate the safety and efficacy of the fully endoscopic technique for HFS treatment. Read More

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October 2018
3 Reads

Microtia Reconstruction in Hemifacial Microsomia Patients: Three Framework Coverage Techniques.

Plast Reconstr Surg 2018 Dec;142(6):1558-1570

Seoul, Republic of Korea From the Seoul Center for Developmental Ear Anomalies and the Department of Plastic and Reconstructive Surgery, Korea University Anam Hospital.

Background: Microtia with hemifacial microsomia is difficult to treat because of skin volume deficiency. To provide further information for coverage techniques in microtia reconstruction, the authors have reviewed and analyzed patients who underwent surgery at their center.

Methods: A total 52 patients with microtia with hemifacial microsomia who underwent reconstruction between 2006 and 2016 were involved. Read More

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December 2018
1 Read

Surgical management of coexisting trigeminal neuralgia and hemifacial spasm.

Surg Neurol Int 2018 23;9:214. Epub 2018 Oct 23.

Department of Neurosurgery, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.

Background: Coexisting hemifacial spasm (HFS) and trigeminal neuralgia (TN) without any mass lesion in the posterior fossa is a rare condition. Hence, the surgical strategy of coexisting HFS and TN has rarely been discussed.

Case Description: We present a rare case of coexisting HFS and TN without any mass lesion in posterior fossa having microvascular confliction of trigeminal nerve with superior cerebellar artery (SCA) and facial nerve with anterior inferior cerebellar artery (AICA). Read More

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October 2018

Hemifacial spasm secondary to vascular loop compression: a rare case report.

Oral Radiol 2018 Sep 20;34(3):273-276. Epub 2017 Jun 20.

Department of Oral Medicine and Radiology, SDM College of Dental Sciences and Hospital, Dharwad, Karnataka, 580009, India.

Hemifacial spasm (HFS) is characterised by brief, persistent, involuntary paroxysmal contractions of the facial muscles innervated by the facial nerve. Broadly its aetiology is portrayed as primary and secondary. Primary HFS is a result of vascular compression of the ipsilateral facial nerve at its root exit zone, and secondary HFS can occur after any injury to the facial nerve from the internal auditory canal to the stylomastoid foramen, which may be a result of a cerebellopontine angle tumour, schwannoma, fusiform aneurysm, or demyelinating lesion such as multiple sclerosis. Read More

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September 2018
9 Reads

An unusual case of short-lasting unilateral neuralgiform headache attacks.

Cephalalgia 2018 Nov 27:333102418815652. Epub 2018 Nov 27.

1 Neurology Department, Hospital de Santo António, CHP - Centro Hospitalar do Porto, Porto, Portugal.

Background: Short-lasting unilateral neuralgiform headaches include those with conjunctival injection and tearing and with cranial autonomic symptoms. Most frequently reported as idiopathic, there is a growing number of symptomatic cases described.

Case Report: A 57-year old man presented a 16-year history of right hemifacial short-lasting pain attacks accompanied by ipsilateral autonomic symptoms and simultaneous malar contractions. Read More

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November 2018

Nervus intermedius section to mobilize the anterior inferior cerebellar artery in microvascular decompression surgery for hemifacial spasm: a technical case report.

World Neurosurg 2018 Nov 23. Epub 2018 Nov 23.

Department of Neurosurgery, Tazuke Kofukai Medical Research Institute and Kitano Hospital, Osaka.

Background: The course of the the anterior inferior cerebellar artery (AICA) in the cerebellopontine angle may affect the technical options in microvascular decompression surgery (MVD) for hemifacial spasm. Complex relationship between the AICA and the nervus intermedius has rarely been discussed in patients with hemifacial spasms.

Case Description: A 74-year-old woman presented with left facial spasms for 8 years. Read More

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November 2018
5 Reads

Endovascular Flow Diversion for Hemifacial Spasm Induced by a Vertebral Artery Aneurysm: First Experience.

Oper Neurosurg (Hagerstown) 2018 Nov 24. Epub 2018 Nov 24.

Department of Neurosurgery, University of California-San Diego, La Jolla, California.

Background And Importance: Flow diversion for the treatment of aneurysm-induced hemifacial spasm (HFS) has not been previously described.

Clinical Presentation: The authors present the case of a 60-yr-old woman who presented with 1 yr of progressive left HFS secondary to a vertebral artery aneurysm compressing the root entry zone of cranial nerve VII. The patient's aneurysm was successfully treated with a flow diverting stent. Read More

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November 2018

The development of multiple ocular complications in a patient with Parry-Romberg syndrome.

Clin Exp Optom 2018 Nov 22. Epub 2018 Nov 22.

School of Optometry, University of Alabama at Birmingham and Birmingham Veterans Affairs Medical Center, Birmingham, Alabama, USA.

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November 2018
2 Reads

Hemifacial Hyperhidrosis in a Patient With an Apical Non-Small Cell Lung Cancer.

JAMA Oncol 2018 Nov 15. Epub 2018 Nov 15.

Department of Radiation Oncology and Molecular Radiation Sciences, the Johns Hopkins Hospital, Baltimore, Maryland.

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November 2018

Cerebellopontine angle epidermoid with ipsilateral external ear atresia: an embryological association or a coincidence?

Br J Neurosurg 2018 Nov 19:1-3. Epub 2018 Nov 19.

a Department of Neurosurgery , Sawai Maan Singh Medical College , Jaipur , India.

The cerebellopontine angle (CPA) is the most common site for intracranial epidermoids. They may have varied presentations viz facial pain, hemifacial spasms, headache and uncommonly features of raised intracranial pressure. Their association with external ear atresia has not been reported in literature to date. Read More

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November 2018

Closed Loop Microfabricated Facial Reanimation Device Coupling EMG-Driven Facial Nerve Stimulation with a Chronically Implanted Multichannel Cuff Electrode.

Conf Proc IEEE Eng Med Biol Soc 2018 Jul;2018:2206-2209

Permanent facial paralysis and paresis (FP) results from damage to the facial nerve (FN), and is a debilitating condition with substantial functional and psychological consequences for the patient. Unfortunately, surgeons have few tools with which they can satisfactorily reanimate the face. Current strategies employ static (e. Read More

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Comparison of serum concentration of Ca, P, Mg, and Fe between hemifacial spasm patients and healthy controls; prospective randomized controlled study.

Niger J Clin Pract 2018 Nov;21(11):1537-1541

Departement of Neurology, Kayseri Training and Research Hospital, Kayseri, Turkey.

Purpose: In this study, we aimed to measure the serum vitamin D level in hemifacial spasmic (HFS) patients and show the role of HFS in the pathogenesis and place in etiology.

Materials And Methods: This study included 43 prospective newly diagnosed HFS patients and 43 healthy volunteers in the neurology clinic. The serum (Ca, P, Mg, Fe) concentration of 4 essential elements was measured with a biochemical device. Read More

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November 2018

The association between auditory nerve neurovascular conflict and sudden unilateral sensorineural hearing loss.

Laryngoscope Investig Otolaryngol 2018 Oct 6;3(5):384-387. Epub 2018 Oct 6.

Departments of Otolaryngology Head Neck and Maxillofacial Surgery.

Hypothesis: There may be an association between a neurovascular conflict (NVC) of the auditory nerve and unilateral sudden sensorineural hearing loss (SSNHL).

Background: Compression of cranial nerves by vascular structures can lead to significant symptomatology that may require surgical decompression. Notable examples are trigeminal neuralgia and hemifacial spasm. Read More

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October 2018
8 Reads

Microtia and Related Facial Anomalies.

Clin Perinatol 2018 Dec 18;45(4):679-697. Epub 2018 Sep 18.

Children's ENT and Facial Plastic Surgery, Children's Hospitals and Clinics of Minnesota, 2530 Chicago Avenue, Suite 450, Minneapolis, MN 55404, USA.

Infants may be born with external ear deformities or malformations that can present a diagnostic clue to an affiliated syndrome while also presenting the possibility of surgical intervention. Microtia is a malformation of the ear that is associated with other craniofacial or systemic anomalies in 50% of cases. Surgical correction of microtia and associated facial anomalies is complex and must be integrated thoughtfully into the overall care plan for children with complex medical needs. Read More

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December 2018
4 Reads

Tc-99m ECD Brain Perfusion Single-photon Emission Computed Tomography in Parry-Romberg Syndrome.

Indian J Nucl Med 2018 Oct-Dec;33(4):366-367

Department of Nuclear Medicine and PET, All India Institute of Medical Sciences, New Delhi, India.

We report a 15-year-old girl referred to our department for a brain perfusion study with a diagnosis of Parry-Romberg syndrome with left hemifacial atrophy and left enophthalmos. In the presence of a normal magnetic resonance imaging, Tc-99m ECD brain perfusion revealed left temporal lobe hypoperfusion with preserved perfusion in rest of the cortical and subcortical regions and both cerebellar hemispheres. Read More

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November 2018
4 Reads

Balancing Distraction Forces in the Mandible: Newton's Third Law of Distraction.

Plast Reconstr Surg Glob Open 2018 Sep 14;6(9):e1856. Epub 2018 Sep 14.

Division of Plastic and Reconstructive Surgery, Department of Surgery, Children's Hospital of Philadelphia, Philadelphia, Pa.

Vertical mandibular distraction results in translation of both proximal and distal segments. The force exerted on the condylar segment not only places unwanted force on the joint but also rotates the coronoid process into the cranial base. To prevent these sequelae, we investigate the use of a "check plate" on the condylar segment in an attempt to decrease force at the Temporomandibular joint (TMJ) and prevent unwanted rotation of the coronoid. Read More

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September 2018
5 Reads

Novel De Novo EFTUD2 Mutations in 2 Cases With MFDM, Initially Suspected to Have Alternative Craniofacial Diagnoses.

Cleft Palate Craniofac J 2018 Oct 21:1055665618806379. Epub 2018 Oct 21.

3 Craniofacial Team, Children's Hospital, New Orleans, LA, USA.

We report 2 cases of mandibulofacial dysostosis with microcephaly (MFDM) with different and novel de novo mutations in the elongation factor Tu GTP binding domain containing 2 gene. Both cases were initially thought to have alternative disorders but were later correctly diagnosed through whole-exome sequencing. These cases expand upon our knowledge of the phenotypic spectrum in patients with MFDM, which will aid in defining the full phenotype of this disorder and increase awareness of this condition. Read More

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October 2018
7 Reads

Using principal component analysis to describe the midfacial deformities in patients with craniofacial microsomia.

J Craniomaxillofac Surg 2018 Dec 25;46(12):2032-2041. Epub 2018 Sep 25.

The Craniofacial Unit, Great Ormond Street Hospital, Great Ormond St, WC1N 3JH, London, United Kingdom.

Purpose: Craniofacial microsomia (CFM) is the result of a disturbance in embryologic development and is characterised by an asymmetric, mostly unilateral facial underdevelopment. The aim of this study is to understand the midfacial involvement in CFM using principal component analysis (PCA).

Materials And Methods: Pre-operative data from 19 CFM and 23 control patients were collected. Read More

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December 2018
5 Reads

Retrospective clinical analysis of 320 cases of microvascular decompression for hemifacial spasm.

Medicine (Baltimore) 2018 Oct;97(41):e11825

Department of Neurosurgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing.

To investigate effects of microvascular decompression (MVD) surgical treatment on hemifacial spasm.A retrospective analysis of 320 adult patients (95 male cases, 29.7% and 225 female cases, 70. Read More

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October 2018

New findings in facial-onset sensory and motor neuronopathy (FOSMN) syndrome.

Rev Neurol (Paris) 2018 Oct 4. Epub 2018 Oct 4.

Division of Neuromuscular Diseases, Department of Neurology and Neurosurgery, Federal University of São Paulo (UNIFESP), rua Estado de Israel, 899 Vila Clementino, São Paulo, Brazil.

Facial-onset sensory and motor neuronopathy (FOSMN) syndrome represents a rare, slowly progressive, lower motor neuron disease with sensory compromise, involving mainly the face, bulbar region and upper limbs. However, non-motor symptoms and neurogenetic studies have rarely been evaluated in large case series. In the present study, 10 unrelated Brazilian patients with FOSMN syndrome underwent extensive clinical, laboratory, neurophysiological and neurogenetic assessment. Read More

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October 2018
12 Reads

Accuracy of a CAD/CAM surgical template for mandibular distraction: a preliminary study.

Br J Oral Maxillofac Surg 2018 Nov 4;56(9):814-819. Epub 2018 Oct 4.

Department of Oral and Craniomaxillofacial Surgery, Ninth People's Hospital, Shanghai JiaoTong University School of Medicine, Shanghai, China; Shanghai Key Laboratory of Stomatology & Shanghai Research Institute of Stomatology, National Clinical Research Center of Stomatology, Shanghai, China. Electronic address:

We have assessed the accuracy and clinical validation of virtual planning using a surgical template in 16 patients with hemifacial microsomia being treated by mandibular distraction osteogenesis. Virtual planning and simulation were first done on three-dimensional models. Distraction was simulated on the virtual model and the new morphology of the mandible was previewed. Read More

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November 2018
1 Read

Prosthetic material degeneration over time as a possible factor in delayed recurrence of hemifacial spasm after successful microvascular decompression.

Surg Neurol Int 2018 10;9:187. Epub 2018 Sep 10.

Department of Neurosurgery, Faculty of Medicine, Juntendo University, Tokyo, Japan.

Background: The effectiveness of microvascular decompression in treating hemifacial spasm is widely accepted. However, some experience recurrence of hemifacial spasm after successful decompression surgery. Especially, delayed recurrence more than 5 years after surgery is rare and the cause of this phenomenon is unknown. Read More

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September 2018
7 Reads

Hemifacial Spasm Caused by a Vein: A Case Report.

Asian J Neurosurg 2018 Jul-Sep;13(3):786-788

Department of Neurosurgery, Seoul St. Mary's Hospital, Seoul, Republic of Korea.

Hemifacial spasm (HFS) caused by a venous offender is rare, and its clinical course and optimal surgical strategy are unclear. A case of 57-year-old male who had an HFS caused by a venous offender is described in this report. Frontalis, orbicularis oculi, orbicularis oris, and mentalis muscles were involved while his platysma muscle showed no spasm. Read More

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October 2018

Congenital infiltrating lipomatosis of the face with hyperplastic mandibular, maxillary and pterygoid bones: case report and a review of literature.

Int Med Case Rep J 2018 18;11:233-238. Epub 2018 Sep 18.

Department of Oral and Maxillofacial Surgery, Komfo Anokye Teaching Hospital, Kumasi, Ghana.

Congenital infiltrating lipomatosis of the face (CILF) is a rare lipomatous lesion, commonly seen in childhood, and it is characterized by collections of mature, unencapsulated adipose tissues that infiltrate facial soft and hard tissues. The lesion is seen as an overgrowth of bone and soft tissue and is generally present clinically as slow-growing painless masses. In this case report, we described one case of CILF, which is one of the first cases reported in Ghana and Africa as a whole, along with a literature review on the diagnosis and current treatment strategies. Read More

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September 2018
7 Reads

Foreign Body Granuloma After Cranial Surgery: A Systematic Review of Reported Cases.

World Neurosurg 2018 Dec 27;120:457-475. Epub 2018 Sep 27.

Department of Neurosurgery, Adnan Menderes University School of Medicine, Aydın, Turkey.

Background: In cranial surgery, different foreign body (FB) materials are used and may be left intentionally or unintentionally in the surgical field after closure, inducing a foreign body granuloma (FBG). This is a rare complication in neurosurgery, but it may be a diagnostic dilemma, with sometimes medicolegal implications.

Methods: We performed a systematic review of the English literature between 1965 and 2018 and found a total of 77 articles concerning 100 cases of FBG caused by retained material located within the cranium or surrounding soft tissues. Read More

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December 2018
5 Reads
2.420 Impact Factor

[A Case of Onion-Skin Hemifacial Dysesthesia Caused by Ossification of the Cervical Posterior Longitudinal Ligament].

No Shinkei Geka 2018 09;46(9):783-787

Department of Neurosurgery, Hokkaido University Graduate School of Medicine.

Background: The spinal trigeminal nucleus is a cranial nerve which extends caudally from the medulla to the upper cervical segment of the spinal cord. An upper cervical lesion can cause pain or dysesthesia of the face sparing the central area, which is called onion-skin pattern.

Case Presentation: We present a rare case of a 73-year-old man with cervical ossification of the posterior longitudinal ligament(OPLL)causing onion-skin pattern dysesthesia. Read More

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September 2018
1 Read

Intraoperative Measuring of the Offending Vessel's Pressure on the Facial Nerve at Root Exit Zone in Patients with Hemifacial Spasm During Microvascular Decompression: A Prospective Study.

World Neurosurg 2018 Sep 25. Epub 2018 Sep 25.

Department of Neurosurgery, the Second Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, People's Republic of China. Electronic address:

Objective: The compression of the offending vessel on the facial nerve at root exit zone is considered as the leading cause of hemifacial spasm (HFS). However, the correlation between the severity of spasm and the pressure of neurovascular compression (NVC) has not yet been investigated. The aim of this study was to investigate the clinical correlation between the severity of HFS and the pressure of NVC. Read More

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September 2018
3 Reads

Microanatomy Around the Facial Nerve Pathway for Microvascular Decompression Surgery Investigated with Correlative Light Microscopy and Block-Face Imaging.

World Neurosurg 2018 Oct 6;118:e526-e533. Epub 2018 Jul 6.

Department of Neurosurgery, Gunma University Graduate School of Medicine, Maebashi, Gunma, Japan. Electronic address:

Background: Microvascular decompression for hemifacial spasm is performed at the root exit zone. More proximal segments of the facial nerve, defined as the root emerging zone (REmZ), may also be susceptible to neurovascular compression. Consequently, detailed knowledge of the microanatomy around facial nerve fibers at the pontomedullary junction is essential for consistent success of microvascular decompression. Read More

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October 2018
1 Read

Discussion: Incidents of Mandibular Distraction Osteogenesis for Hemifacial Microsomia.

Authors:
Larry H Hollier

Plast Reconstr Surg 2018 Oct;142(4):1009-1010

Houston, Texas From the Division of Plastic Surgery, Texas Children's Hospital and Baylor College of Medicine.

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October 2018
1 Read

Structural comparison of hemifacial microsomia mandible in different age groups by three-dimensional skeletal unit analysis.

J Craniomaxillofac Surg 2018 Nov 23;46(11):1875-1882. Epub 2018 Aug 23.

Department of Oral and Maxillofacial Surgery (Head: Pf. HJ Kim), Oral Science Research Center, College of Dentistry, Yonsei University, Seoul, Republic of Korea. Electronic address:

Purpose: The goal of this study was to understand the three-dimensional (3D) structural characteristics of hemifacial microsomia (HFM) mandible in terms of skeletal units, especially to locate the underdeveloped skeletal regions for treatment. Another goal was to compare the HFM structure of different age groups to understand growth potential relevant to treatment scheduling.

Materials And Methods: We reconstructed 3D mandibles from computed tomographic images of French and Korean patients with HFM (N = 28; group II) and normal subjects (N = 27; group I). Read More

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November 2018

Botulinum neurotoxin for the treatment of movement disorders.

Aust J Gen Pract 2018 Sep;47(9):598-601

MD (Med), DM (Neuro), FRACP, Neurologist, Staff Specialist, Canberra Hospital.

Background: Botulinum neurotoxin (BoNT) is an exotoxin that causes neuromuscular weakness. BoNT serotypes A and B have been used for decades for the safe and effective treatment of various movement disorders, including some forms of focal dystonia. These conditions, such as cervical dystonia, hemifacial spasm, blepharospasm and spasmodic dysphonia, can have a substantial impact on patients' quality of life, but are often under-recognised. Read More

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September 2018

Blepharospasm with elevated anti-acetylcholine receptor antibody titer.

Arq Neuropsiquiatr 2018 Aug;76(8):522-526

Department of Neurology, First Affiliated Hospital, Zhejiang University School of Medicine, 79 Qingchun Road, Hangzhou 310003, China.

Objectives: To determine whether serum levels of anti-acetylcholine receptor antibody (anti-AChR-Abs) are related to clinical parameters of blepharospasm (BSP).

Methods: Eighty-three adults with BSP, 60 outpatients with hemifacial spasm (HFS) and 58 controls were recruited. Personal history, demographic factors, response to botulinum toxin type A (BoNT-A) and other neurological conditions were recorded. Read More

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August 2018
1.010 Impact Factor

Describing the mandible in patients with craniofacial microsomia based on principal component analysis and thin plate spline video analysis.

Int J Oral Maxillofac Surg 2018 Sep 15. Epub 2018 Sep 15.

The Craniofacial Unit, Great Ormond Street Hospital, London, UK.

Craniofacial microsomia (CFM) is most often described as a unilateral malformation of derivatives of the first and second branchial arches. The mandible has been classified using several classification systems. However, all are based on two-dimensional imaging. Read More

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September 2018

Facial solitary morphea profunda presenting with painful trigeminal neuropathy: A case report.

Cephalalgia 2018 Sep 13:333102418801580. Epub 2018 Sep 13.

2 Department of Dermatology, Clínica Universidad de Navarra, Pamplona, Spain.

Background Localized facial scleroderma usually presents as frontal linear morphea or progressive hemifacial atrophy. Only isolated cases of trigeminal painful neuropathy have been described. Case report A 43-year-old woman developed an oval lesion on the right cheek. Read More

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September 2018
1 Read

Etiology and Pathogenesis of Hemifacial Microsomia.

J Dent Res 2018 Nov 11;97(12):1297-1305. Epub 2018 Sep 11.

1 Department of Oral and Craniomaxillofacial Surgery, Shanghai Ninth People's Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.

Hemifacial microsomia (HFM) is a common congenital malformation of the craniofacial region. There are 3 possible pathogenic models of HFM-vascular abnormality and hemorrhage in the craniofacial region, damage to Meckel's cartilage, and the abnormal development of cranial neural crest cells-and the most plausible hypothesis is the vascular abnormality and hemorrhage model. These 3 models are interrelated, and none of them is completely concordant with all the variable manifestations of HFM. Read More

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November 2018
4 Reads

Long-term outcome of flexible onabotulinum toxin A treatment in facial dystonia.

Eye (Lond) 2018 Sep 10. Epub 2018 Sep 10.

Corneo Plastic Unit, Queen Victoria Hospital NHS Trust, East Grinstead, UK.

Purpose: The purpose of this study was to assess the long-term outcome of onabotulinum used to treat facial dystonia and compare a flexible and fixed treatment regimen.

Methods: This was a retrospective comparative study looking at benign essential blepharospasm (BEB), hemifacial spasm (HFS) and aberrant facial nerve regeneration synkinesis (AFR) treatment with onabotulinum toxin A (Botox®) over a minimum of 10 years. Fifty-one patients were recruited into the study, with each dystonia subgroup having 17 patients. Read More

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September 2018
9 Reads

The accuracy of virtual-surgical-planning-assisted treatment of hemifacial microsomia in adult patients: distraction osteogenesis vs. orthognathic surgery.

Int J Oral Maxillofac Surg 2018 Sep 7. Epub 2018 Sep 7.

State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Department of Orthognathic and TMJ Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu, China. Electronic address:

Hemifacial microsomia (HFM) is a common congenital craniofacial deformity with a high prevalence. Orthognathic surgery and distraction osteogenesis are two conventionally used treatments of HFM. The main objective of this retrospective study was to evaluate the accuracy of two treatments with the help of virtual surgical planning in adult HFM patients. Read More

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September 2018
7 Reads