Facial Reanimation in Congenital Facial Palsy (Moebius Syndrome)

2020 ◽  
pp. 1-10
Author(s):  
José E. Telich Tarriba ◽  
Alexander Cárdenas-Mejía
Keyword(s):  
Facial Palsy ◽  
Moebius Syndrome ◽  
Facial Reanimation

scholarly journals Congenital unilateral facial palsy revealing a facial nerve agenesis: a case report and review of the literature

2019 ◽  
Vol 5 (1) ◽  
pp. 20180029
Author(s):  
Yaotse Elikplim Nordjoe ◽  
Ouidad Azdad ◽  
Mohamed Lahkim ◽  
Laila Jroundi ◽  
Fatima Zahrae Laamrani
Keyword(s):  
Case Report ◽  
Facial Nerve ◽  
Temporal Bone ◽  
Facial Paralysis ◽  
Facial Palsy ◽  
Rare Condition ◽  
Review Of The Literature ◽  
Moebius Syndrome ◽  
Temporal Bone Ct

Facial nerve aplasia is an extremely rare condition that is usually syndromic, namely, in Moebius syndrome. The occurrence of isolated agenesis of facial nerve is even rarer, with only few cases reported in the literature. We report a case of congenital facial paralysis due to facial nerve aplasia diagnosed on MRI, while no noticeable abnormality was detected on the temporal bone CT.

scholarly journals Facial reanimation with masseter nerve–innervated free gracilis muscle transfer in established facial palsy patients

2019 ◽  
Vol 46 (2) ◽  
pp. 122-128 ◽  
Author(s):  
Tae Suk Oh ◽  
Hyung Bae Kim ◽  
Jong Woo Choi ◽  
Woo Shik Jeong
Keyword(s):  
Facial Palsy ◽  
Gracilis Muscle ◽  
Muscle Transfer ◽  
Facial Reanimation

scholarly journals Facial reanimation by hypoglossal-facial neurorrhaphy

2014 ◽  
Vol 33 (01) ◽  
pp. 17-21
Author(s):  
Yvens Barbosa Fernandes ◽  
Ricardo Ramina ◽  
Hélio Sérgio Fernandes Cyrino ◽  
Marcílio Silva Prôa Júnior
Keyword(s):  
Retrospective Study ◽  
Facial Nerve ◽  
Facial Palsy ◽  
Vestibular Schwannomas ◽  
Surgical Results ◽  
Good Outcome ◽  
Facial Reanimation ◽  
Radical Removal ◽  
One Year

Abstract Objective: Facial palsy may still occur after removal of large vestibular schwannomas. The aim of this paper is to describe the outcome of patients submitted to facial reanimation and make a concise revision about modern techniques available to reanimate a paralyzed face. Methods: A retrospective study of was performed about the surgical results of 12 patients submitted to hypoglossal-facial neurorrhaphy. These patients were submitted to radical removal of large vestibular schwannomas (> 3 cm) before and anatomic preservation of the facial nerve was not possible. Results: In 10 cases (83%) patients had a good outcome with House-Brackmann facial grading III. In two other cases the facial grading was IV and VI. All patients were follow-up for at least one year after the reanimation procedure. Conclusion: Hypoglossal-facial neurorrhaphy is a very useful technique to restore facial symmetry and minimize the sequela of a paralyzed face. Long last palsy seemed to be the main reason of poor outcome in two cases.

Managing the child with a diagnosis of Moebius syndrome: more than meets the eye

2016 ◽  
Vol 101 (9) ◽  
pp. 843-846 ◽  
Author(s):  
Victoria H McKay ◽  
Leila L Touil ◽  
Dagan Jenkins ◽  
Adel Y Fattah
Keyword(s):  
Multidisciplinary Team ◽  
Facial Palsy ◽  
Nerve Palsy ◽  
Abducens Nerve ◽  
Accurate Diagnosis ◽  
Abducens Nerve Palsy ◽  
Moebius Syndrome ◽  
Diagnosis And Management ◽  
Vertical Gaze

Moebius syndrome (MBS) is a congenital, non-progressive facial and abducens nerve palsy in the presence of full vertical gaze and may be associated with limb abnormalities and craniofacial dysmorphisms. MBS is now defined as a disorder of rhombencephalic maldevelopment and recent gene discoveries have shown this to be a dominant disorder in a subset of patients. Accurate diagnosis and management by a multidisciplinary team with expertise in congenital facial palsy is paramount.

Facial Palsy, Radiographic and Other Workup Negative: FROWN

2020 ◽  
pp. 10.1212/CPJ.0000000000001020
Author(s):  
Jacqueline J Greene ◽  
Reza Sadjadi ◽  
Nate Jowett ◽  
Tessa Hadlock
Keyword(s):  
Facial Nerve ◽  
Facial Palsy ◽  
Malignant Tumors ◽  
Malignant Neoplasm ◽  
Acute Onset ◽  
Peripheral Facial Palsy ◽  
Facial Reanimation ◽  
Term Evaluation ◽  
Slow Onset

AbstractObjectives:Slow-onset peripheral facial palsy is far less common than acute-onset peripheral facial palsy and necessitates diagnostic evaluation for a benign or malignant tumors, or other less common etiologies. In the rare scenario when no clarifying etiology is discovered following long-term evaluation (no radiographic or hematologic abnormalities and an otherwise unremarkable evaluation), a diagnostic and management dilemma occurs. We present a series of patients with this possible new clinical entity: facial palsy, radiographic and other workup negative (FROWN), and propose a management strategy for this diagnosis of exclusion.Methods:A series of 3,849 patients presenting with facial palsy to a tertiary Facial Nerve Center was retrospectively assessed to identify those with progressive loss of facial function over at least 1 month. Exclusion criteria included history, physical or hematologic findings indicative of known diseases associated with facial palsy, and radiographic studies demonstrating a benign or malignant tumor.Results:Patients with slow-onset facial palsy constituted 5% (190 patients) of the cohort and were ultimately diagnosed with either a benign or malignant neoplasm or other facial nerve pathology. Fourteen patients with slow-onset facial palsy remained without a diagnosis following long-term evaluation and serial imaging. Eleven patients underwent dynamic facial reanimation surgery and facial nerve and muscle biopsy, with no clear histopathologic diagnosis.Conclusion:Patients with slow-onset facial palsy with negative radiographic and medical evaluations over several years may be characterized as having FROWN, an idiopathic and as yet poorly understood condition, which appears to be amenable to facial reanimation, but which requires further investigation as to its pathophysiology.

Facial Reanimation Surgery With Micro-vascular Gracilis Free Flap for Unilateral Facial Palsy

2014 ◽  
Vol 65 (2) ◽  
pp. 69-75 ◽  
Author(s):  
Ivan Doménech Juan ◽  
Jordi Tornero ◽  
Paula Cruz Toro ◽  
Nuria Ortiz Laredo ◽  
Jorge Vega Celiz ◽  
...  
Keyword(s):  
Free Flap ◽  
Facial Palsy ◽  
Facial Reanimation

scholarly journals A Systematic Review of the Psychosocial Adjustment of Children and Adolescents with Facial Palsy: The Impact of Moebius Syndrome

2020 ◽  
Vol 17 (15) ◽  
pp. 5528
Author(s):  
Matthew Hotton ◽  
Esme Huggons ◽  
Claire Hamlet ◽  
Kathleen Bogart ◽  
David Johnson ◽  
...  
Keyword(s):  
General Population ◽  
Children And Adolescents ◽  
Psychosocial Adjustment ◽  
Facial Palsy ◽  
Moebius Syndrome ◽  
Social Difficulties ◽  
Study Methodology ◽  
The Impact ◽  
Published Research ◽  
Facial Function

Introduction: Facial palsy is often associated with impaired facial function and altered appearance. However, the literature with regards to the psychological adjustment of children and adolescents with facial palsy has not been systematically reviewed to date. This paper aimed to review all published research with regards to psychosocial adjustment for children and adolescents with facial palsy. Methods: MEDLINE, CINAHL, Embase, PsychInfo and AMED databases were searched and data was extracted with regards to participant characteristics, study methodology, outcome measures used, psychosocial adjustment and study quality. Results: Five studies were eligible for inclusion, all of which investigated psychosocial adjustment in participants with Moebius syndrome, a form of congenital facial palsy. Many parents reported their children to have greater social difficulties than general population norms, with difficulties potentially increasing with age. Other areas of psychosocial adjustment, including behaviour, anxiety and depression, were found to be more comparable to the general population. Discussion: Children and adolescents with Moebius syndrome may experience social difficulties. However, they also demonstrate areas of resilience. Further research including individuals with facial palsy of other aetiologies is required in order to determine the psychosocial adjustment of children and adolescents with facial palsy.

Dual Coaptation of Facial Nerve Using Masseteric Branch of Trigeminal Nerve for Iatrogenic Facial Palsy: Preliminary Reports

2019 ◽  
Vol 129 (5) ◽  
pp. 505-511
Author(s):  
Yoon Se Lee ◽  
Joong Ho Ahn ◽  
Hong Ju Park ◽  
Ho Jun Lee ◽  
Mi Rye Bae ◽  
...  
Keyword(s):  
Facial Nerve ◽  
Trigeminal Nerve ◽  
Facial Palsy ◽  
Recovery Period ◽  
Interposition Graft ◽  
Dynamic Movement ◽  
Facial Reanimation ◽  
Group A ◽  
Group B ◽  
Eye Closure

Objectives: Immediate facial nerve substitution or graft technique has been used for the repair of facial nerve defects occurring as a result of tumour dissection. However, some patients report unsatisfactory outcomes, such as difficulty in maintaining resting or smiling symmetry, due to persistent flaccid facial palsy. Here we evaluated the functional outcomes of transferring the masseteric branch of the trigeminal nerve to the facial nerve adjunct to facial nerve graft. Methods: We reviewed the medical records of seven patients who underwent facial reanimation surgery between 2014 and 2016. The patients were divided into two groups according to the type of facial reanimation surgery: group A, masseteric nerve innervation with interposition graft; group B, interposition graft only. The postoperative resting symmetry and dynamic movement were compared. Results: Facial contraction was first observed in group A at 4 months and in group B at 7.3 months. Most of the patients achieved reliable resting symmetry; however, one patient in group B exhibited unsatisfactory facial weakness on the affected side. Group A patients showed better dynamic movement than group B patients. Eye closure, oral excursion and oral continence were better in group A than in group B patients. Smile symmetry in both groups was similar due to hyperkinetic movement in group A patients and flaccidity in group B patients. Conclusions: Dual innervation of the masseteric branch of the trigeminal nerve improves the dynamic movement of paralysed facial muscles and shortens the recovery period in patients with iatrogenic facial palsy.

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