15,607 results match your criteria facial paralysis


Management of facial nerve schwannoma: when is the timing for surgery.

Eur Arch Otorhinolaryngol 2021 Apr 8. Epub 2021 Apr 8.

Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, Seoul, 06351, South Korea.

Purpose: Although the estimated prevalence is extremely low, facial nerve schwannoma (FNS) is the most common primary tumor of the facial nerve (FN). In the present study, the outcome of surgical management in 18 patients with FNS was analyzed and an appropriate time for surgery was proposed.

Materials And Methods: A total of 18 patients with FNS who underwent surgical management by a single surgeon from 1999 to 2018 were retrospectively analyzed. Read More

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A New Neurorehabilitative Postsurgery Intervention for Facial Palsy Based on Smile Observation and Hand-Mouth Motor Synergies.

Neural Plast 2021 24;2021:8890541. Epub 2021 Mar 24.

Unit of Neuroscience, Department of Medicine and Surgery, University of Parma, Italy.

Objective: To perform a preliminary test of a new rehabilitation treatment (FIT-SAT), based on mirror mechanisms, for gracile muscles after smile surgery.

Method: A pre- and postsurgery longitudinal design was adopted to study the efficacy of FIT-SAT. Four patients with bilateral facial nerve paralysis (Moebius syndrome) were included. Read More

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Management of Multiple Head and Neck Paragangliomas With Assistance of a 3-D Model.

Ear Nose Throat J 2021 Apr 8:1455613211009441. Epub 2021 Apr 8.

Department of Otolaryngology-Head and Neck Surgery, 1500Johns Hopkins School of Medicine, Baltimore, MD, USA.

Introduction: Extirpation of multiple head and neck paragangliomas carries challenge due to close anatomic relationships with critical neurovascular bundles.

Objectives: This study aims to assess whether the application of 3-D models can assist with surgical planning and treatment of these paragangliomas, decrease surgically related morbidity and mortality.

Methods: Fourteen patients undergoing surgical resection of multiple head and neck paragangliomas were enrolled in this study. Read More

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Selective Denervation of the Facial Dermato-Muscular Complex in the Rat: Experimental Model and Anatomical Basis.

Front Neuroanat 2021 22;15:650761. Epub 2021 Mar 22.

Clinical Laboratory for Bionic Extremity Reconstruction, Department of Plastic, Reconstructive and Aesthetic Surgery, Medical University of Vienna, Vienna, Austria.

The facial dermato-muscular system consists of highly specialized muscles tightly adhering to the overlaying skin and thus form a complex morphological conglomerate. This is the anatomical and functional basis for versatile facial expressions, which are essential for human social interaction. The neural innervation of the facial skin and muscles occurs via branches of the trigeminal and facial nerves. Read More

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A framework for the evaluation of patients with congenital facial weakness.

Orphanet J Rare Dis 2021 Apr 7;16(1):158. Epub 2021 Apr 7.

Department of Genetics and Genomic Sciences, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

There is a broad differential for patients presenting with congenital facial weakness, and initial misdiagnosis unfortunately is common for this phenotypic presentation. Here we present a framework to guide evaluation of patients with congenital facial weakness disorders to enable accurate diagnosis. The core categories of causes of congenital facial weakness include: neurogenic, neuromuscular junction, myopathic, and other. Read More

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Psychometric Validation of the FACE-Q Craniofacial Module for Facial Nerve Paralysis.

Facial Plast Surg Aesthet Med 2021 Apr 7. Epub 2021 Apr 7.

Division of Plastic and Reconstructive Surgery, Brigham and Women's Hospital, Boston, Massachusetts, USA.

Systematic reviews have identified the need for a patient-reported outcome measure for facial nerve paralysis (FNP). The aim of this study was to determine the psychometric properties of FACE-Q Craniofacial module scales when used in a combined sample of children and older adults with FNP. Data were collected between December 2016 and December 2019. Read More

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

Acta Otolaryngol 2021 Apr 6:1-7. 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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Bell's Palsy-Retroauricular Pain Threshold.

Medicina (Kaunas) 2021 Mar 13;57(3). Epub 2021 Mar 13.

Faculty of Medicine, University of Novi Sad, 3 Hajduk Veljkova Street, 21000 Novi Sad, Serbia.

Non-motor symptoms in the form of increased sensitivity are often associated with the onset of idiopathic Bell's palsy (IBP). The aims were to determine whether the pain threshold in the retroauricular regions (RAR) in IBP patients and the time of its occurrence is related to IBP severity. The study was conducted among 220 respondents (142 IBP patients, 78 healthy subjects (HS)). Read More

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[Professor 's clinical experience of acupuncture for peripheral facial paralysis].

Zhongguo Zhen Jiu 2021 Mar;41(3):313-5

College of Acupuncture-Moxibustion and Tuina, Anhui University of CM, Hefei 230038.

Professor -'s clinical experience and characteristics of acupuncture for peripheral facial paralysis were introduced from three aspects: differentiation of meridians and tendons, treatment by stages, and examples of proven cases. In the treatment of peripheral facial paralysis, Professor carefully examines the situation of pathogenic factors and health. In the acute stage, the treatment focuses on eliminating pathogenic factors and supporting the health; in the recovery stage, penetrating needling is recommended with strengthening the health and eliminating pathogenic factors as main purpose; in the sequelae stage, wheat-grain moxibustion is recommended with strengthening the health as main purpose. Read More

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[Characteristics of clinical application of electroacupuncture therapy for peripheral neuropathy based on data mining].

Zhen Ci Yan Jiu 2021 Mar;46(3):240-7

Institute of Acupuncture-moxibustion and Massage, Hebei University of Chinese Medicine, Shijiazhuang 050200, China.

Objective: To investigate the application characteristics of electroacupuncture (EA) in the treatment of peripheral neuropathy, so as to provide a basis for clinical use of EA therapy.

Methods: Keywords of "electroacupuncture"peripheral neuropathy" "facial paralysis" "trigeminal neuralgia" "sciatica" "common peroneal nerve injury" "diabetic peripheral neuropathy" "intercostal neuralgia" "gluteal epithelial neuritis" "ulnar nerve injury" "median nerve paralysis" "postherpetic neuralgia", and "great occipital neuralgia" were used to search articles in both English and Chinese published from 1999 to 2019 in databases of CNKI, Wanfang, VIP, CBM, Ovid, PubMed and Embase and related books such as electroacupuncture, and neurology, followed by establishing a database of "Electroacupuncture Treatment of Peripheral Neuropathy". Then, the collected articles were put into statistical analysis after sorting, screening, input, checking, and data extracting by using data mining technology and statistical software EpiData. Read More

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CT of Skull Base Fractures: Classification Systems, Complications, and Management.

Radiographics 2021 Apr 2:200189. Epub 2021 Apr 2.

From the Department of Diagnostic Radiology and Nuclear Medicine (D.D., K.C., D.G., R.E.M.), R. Adams Cowley Shock Trauma Center (D.D., B.A., A.J.N.), Department of Neurosurgery (B.A.), Division of Plastic Surgery (A.J.N.), and Department of Otorhinolaryngology-Head and Neck Surgery (D.J.E.), University of Maryland Medical Center, 22 S Greene St, Baltimore, MD 21201; Department of Radiology, Boston Medical Center, Boston University School of Medicine, Boston, Mass (O.S.); and Department of Diagnostic Radiology and Nuclear Medicine, University of Maryland School of Medicine, Baltimore, MD (K.C.).

As advances in prehospital and early hospital care improve survival of the head-injured patient, radiologists are increasingly charged with understanding the myriad skull base fracture management implications conferred by CT. Successfully parlaying knowledge of skull base anatomy and fracture patterns into precise actionable clinical recommendations is a challenging task. The authors aim to provide a pragmatic overview of CT for skull base fractures within the broader context of diagnostic and treatment planning algorithms. Read More

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[Comparative analysis of the hearing of three type reconstruction material in type Ⅱ tympanoplasty of 286 cases].

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2021 Mar;35(3):212-215

Department of Otolaryngology Head and Neck Surgery,First Affiliated Hospital of Air Force Military Medical University,Xi'an,710032,China.

To compare the effect on hearing of different reconstruction material in type Ⅱ tympanoplasty. Retrospectively analysis of 286 patients who accepted type Ⅱ tympanoplasty. The air-bone gap of 0. Read More

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[Bibliometric analysis of refractory facial paralysis based on CNKI database].

Zhongguo Zhen Jiu 2021 Feb;41(2):229-32

Institute of Acupuncture and Moxibustion, China Academy of Chinese Medical Sciences, Beijing 100700, China.

The current development situation and the hotspot of the relevant research on refractory facial paralysis are explored. The articles on refractory facial paralysis are retrieved from CNKI database. The bibliographic items co-occurrence matrix builder (BICOMB) 2. Read More

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February 2021

[Professor 's clinical experience of acupuncture and moxibustion for peripheral facial paralysis].

Zhongguo Zhen Jiu 2021 Feb;41(2):189-91

Second Affiliated Hospital of Heilongjiang University of CM, Harbin 150001, China.

Professor 's academic thought and clinical experience of acupuncture for peripheral facial paralysis are summarized. According to the different stages of facial paralysis, professor 's treatment plan has its own emphasis. In the acute stage, professor emphasizes the importance of standardized western medicine treatment, and proposes early acupuncture treatment. Read More

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February 2021

Primary bilateral tuberculous otitis media with peripheral facial paralysis: a case report and literature review.

Int J Clin Exp Pathol 2021 1;14(3):304-313. Epub 2021 Mar 1.

Department of Otolaryngology, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine Hangzhou 310006, Zhejiang, China.

Tuberculous otitis media (TOM) is a rare disease. This study presents our experience in the diagnosis and treatment of TOM. A 49-year-old female had repeated ear discharge, vertigo, and severe hearing loss for six years, and underwent mastoid surgery four times because she was misdiagnosed with chronic suppurative otitis media. Read More

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Determining the Prognosis of Bell's Palsy Based on Severity at Presentation and Electroneuronography.

Otolaryngol Head Neck Surg 2021 Mar 30:1945998211004169. Epub 2021 Mar 30.

Otolaryngology-Head and Neck Surgery, Madigan Army Medical Center, Tacoma, Washington, USA.

Objective: To examine the demographics of Bell's palsy and determine how House-Brackmann (HB) grade at nadir and electroneuronography (ENoG) results correlate with HB grade after recovery and development of synkinesis.

Study Design: Retrospective cohort study.

Setting: Tertiary care military medical center. Read More

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A unique association of bifacial weakness, paresthesia and vestibulocochlear neuritis as post-COVID-19 manifestation in pregnant women: a case report.

Pan Afr Med J 2021 13;38:30. Epub 2021 Jan 13.

Department of Otolaryngology, Head and Neck Surgery, Cheikh Khalifa International University Hospital, Faculty of Medicine, Mohammed VI University of Health Sciences (UM6SS), Casablanca, Morocco.

SARS-CoV-2 is an infection due to a novel virus belonging to the coronavirus family. Since December 2019, first human cases of COVID-19 have been identified in Wuhan (China) and rapidly has been progressed to a global pandemic declared by the world health organization (WHO) on March 11 2020. The major complication of COVID-19, is pneumonia, but other presentations like cardiovascular and neurological complications have been reported. Read More

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Reply to the letter "Is unilateral facial palsy truly caused by SARS-COV-2?"

Arq Neuropsiquiatr 2021 02;79(2):184-185

Universidade Federal do Rio de Janeiro, Rio de Janeiro RJ, Brazil.

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February 2021

Is unilateral facial palsy truly caused by SARS-CoV-2?

Arq Neuropsiquiatr 2021 02;79(2):183

Pontifícia Universidade Católica de São Paulo, Programa de Estudos Pós-Graduação em Fonoaudiologia, São Paulo SP, Brazil.

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February 2021

Evaluating Functional Outcomes in Reanimation Surgery for Chronic Facial Paralysis: A Systematic Review.

Plast Reconstr Surg Glob Open 2021 Mar 18;9(3):e3492. Epub 2021 Mar 18.

Hansjörg Wyss Department of Plastic Surgery, New York University Langone Health, New York, N.Y.

Chronic facial paralysis can lead to significant functional and psychosocial impairment. Treatment often involves free muscle flap-based facial reanimation surgery. Although surgical techniques have advanced considerably over the years, consensus has yet to be reached for postoperative outcome evaluation. Read More

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Diffuse-Type Tenosynovial Giant Cell Tumor Arising in the Temporomandibular Joint Extending to the External Auditory Canal: A Case Report and Literature Review.

Ear Nose Throat J 2021 Mar 23:1455613211002954. Epub 2021 Mar 23.

Department of Otolaryngology-Head and Neck Surgery, Asahikawa Medical University, Japan.

A 74-year-old Japanese woman with a 1-year history of right preauricular pain and a 2-month history of bleeding from the right ear was admitted to our department. Tumor was observed in the anterior wall in the right external auditory canal. Bony swelling of the right preauricular area was palpated. Read More

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Lower Lip Reanimation: Experience Using the Anterior Belly of Digastric Muscle in 2-stage Procedure.

Plast Reconstr Surg Glob Open 2021 Mar 15;9(3):e3461. Epub 2021 Mar 15.

St Andrew's Centre for Plastic Surgery & Burns, Broomfield Hospital, Chelmsford, United Kingdom.

Lower lip depression was historically regarded a neglected area of facial paralysis, but, with refinement of techniques, has gained increasing attention. We present the first detailed description and evaluation of a 2-stage technique, using first cross facial nerve graft and then the anterior belly of digastric muscle (ABDM), innervated by the cross facial nerve graft, to restore dynamic and spontaneous lower lip depression.

Methods: Retrospective analysis of 2-stage lower lip reanimations between 2010 and 2018 was performed. Read More

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Facial Nerve Paraganglioma Masquerading as Bell palsy: A Reconstructive Pitfall.

J Craniofac Surg 2021 Mar 12. Epub 2021 Mar 12.

Division of Plastic Surgery Department of Otorhinolaryngology - Head and Neck Surgery Department of Pathology Department of Neurosurgery, Rush University Medical Center, Chicago, IL.

Background: Facial paralysis can drastically diminish satisfaction in one's social interactions and overall quality of life. Bell palsy is the most common cause of facial palsy, however, a diagnosis of "atypical" BP may originate from an entirely different pathological process. This case highlights a rare case of facial nerve paraganglioma, initially misdiagnosed as BP, that resulted in facial paralysis from neoplastic invasion of the facial nerve. Read More

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Efficacy of Mirror Biofeedback Rehabilitation on Synkinesis in Acute Stage Facial Palsy in Children.

Otol Neurotol 2021 Mar 19. Epub 2021 Mar 19.

Department of Otolaryngology, Tokyo Metropolitan Children's Medical Center Department of Otolaryngology, Tokyo Metropolitan Tama Medical Center Department of Otolaryngology, Graduate School of Medicine, The University of Tokyo, Bunkyo-ku, Tokyo, Japan.

Objectives: To evaluate the efficacy of mirror biofeedback rehabilitation for synkinesis in severe acute facial paralysis in children.

Methods: Eight pediatric patients with facial paralysis with an initial electroneurography (ENoG) value less than 10% who underwent mirror biofeedback rehabilitation (the child-rehabilitation group) were enrolled. Seven infants (under age 2 yr) who were unable to undergo rehabilitation (the infant-and-toddler control group) and adult patients (n = 13, range, 33-56 yr) who underwent rehabilitation (the adult-rehabilitation group) comprised the control groups. Read More

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Primary neoplasms of the parapharyngeal space: diagnostic and therapeutic pearls and pitfalls.

Eur Arch Otorhinolaryngol 2021 Mar 19. Epub 2021 Mar 19.

Department of Otorhinolaryngology - Head and Neck Surgery, Inselspital, Bern University Hospital, Freiburgstrasse, 3010, Bern, Switzerland.

Purpose: Parapharyngeal space neoplasms (PSNs) are rare tumors of the head and neck region. In this study, we report our institutional experience with PSNs over a 27-years period.

Methods: Patients treated between 1992 and 2018 were identified through our tumor board database. Read More

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Pontine stroke mimicking Bell's palsy: a cautionary tale!

BMJ Case Rep 2021 Mar 18;14(3). Epub 2021 Mar 18.

Department of Neurology, Royal Berkshire NHS Foundation Trust, Reading, UK.

Stroke has been called apoplexy since the ancient times of Babylonia. Johann Jakob Wepfer, a Swiss physician, first described the aetiology, clinical features, pathogenesis and postmortem features of an intracranial haemorrhage in 1655. Haemorrhagic and ischaemic strokes are the two subtypes of stroke. Read More

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Delayed facial palsy after cochlear implantation caused by reactivation of Herpesvirus: A case report and review of the literature.

Auris Nasus Larynx 2021 Mar 15. Epub 2021 Mar 15.

Department of Otorhinolaryngology, Head and Neck Surgery, Keio University School of Medicine, 35 Shinanomachi Shinjuku-ku, Tokyo 160-8582, Japan.

Cochlear implantation has many complications; however, delayed facial palsy is relatively rare. In this report, we present the case of a 60-year-old woman with delayed facial palsy after cochlear implantation. Eleven days after the operation, the patient complained of right facial palsy (Yanagihara score 6, House-Brackmann [HB] grade VI). Read More

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Peripheral Facial Nerve Palsy Following BNT162b2 (COVID-19) Vaccination.

Isr Med Assoc J 2021 Mar;23(3):143-144

Department of Ophthalmology, Shamir Medical Center (Assaf Harofeh), Zerifin, Israel.

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Sciatic-to-Femoral Nerve End-to-End Coaptation for Proximal Lower Extremity Function in Patients With Acute Flaccid Myelitis: Technical Note and Review of the Literature.

Oper Neurosurg (Hagerstown) 2021 Mar 17. Epub 2021 Mar 17.

Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.

Background: Acute flaccid myelitis (AFM) is an acute-onset anterior horn disease resulting in flaccid paralysis of extremities, trunk, facial, and cervical musculature in children following upper respiratory or gastrointestinal viral illness. Nerve transfer procedures have been shown to restore function.

Objective: To present a technical description of sciatic-to-femoral nerve transfers in 4 children with AFM. Read More

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