Early Management of Gunshot Injuries to the Face in Civilian Practice

2007 ◽  
Vol 31 (11) ◽  
pp. 2104-2110 ◽  
Author(s):  
Miriam Glapa ◽  
Jeffrey F. Kourie ◽  
Dietrich Doll ◽  
Elias Degiannis
2012 ◽  
Vol 6 (1) ◽  
pp. 42-46 ◽  
Author(s):  
Steven M Yevich ◽  
Stephen Robert Lee ◽  
Bradford G Scott ◽  
Hashem M Shaltoni ◽  
Michel E Mawad ◽  
...  

2021 ◽  
Vol 6 (4) ◽  
pp. 235-241
Author(s):  
Nasrin Bharti

Bell's palsy is an idiopathic, unilateral facial paralysis, caused by a malfunction anywhere along the facial nerve's peripheral portion, from the pons distally. Bell's palsy is treated by removing the cause of nerve injury, strengthening the face muscles, and restoring facial function. Physical therapy in the form of neuromuscular electrical stimulation (NMES), massage and facial exercises is used as adjuvant to hasten recovery. The aim of this study is to access of role of neuromuscular electrical stimulation (NMES) treatment in Bell’s palsy patients. A detailed neurological assessment of three patients was done with emphasis on facial muscles and severity of paralysis was graded according to House Brackmann scale (HBS). Conventional physiotherapy was given in the form of electrical stimulation, facial massage, exercises and functional re-education on a daily basis. Patients were assessed at weekly and 1months after the treatment. They experienced complete recovery within 1month follow-up, no recurrence was observed and all patients have normal facial movement. Physiotherapy in the form of NMES and facial exercises has a effective role in the early management of Bell’s palsy. Keywords: Bell’s palsy; neuromuscular electrical stimulation; House Brackmann scale; physiotherapy.


1993 ◽  
Vol 35 (4) ◽  
pp. 569-577 ◽  
Author(s):  
Tugrul Kihtir ◽  
Rao R. Ivatury ◽  
Ronald J. Simon ◽  
Zahi Nassoura ◽  
Stanley Leban

Author(s):  
Geeta Behera ◽  
Suneel Sangaraju ◽  
Friji Meethale Thiruvoth ◽  
Nirupama Kasturi ◽  
Krishna Ramesh Babu

Abstract Prevention and early management of postburn cicatricial ectropion is the best strategy to avoid ocular complications, with poor visual prognosis in extreme cases. A 51-year-old man presented with diminution of vision and absolute inability to close both eyes, 3 months after thermal burn injuries to face, upper limbs, and trunk. His best corrected visual acuity (BCVA) was 1/60 in BE. He had bilateral extremely severe ectropion involving both upper and lower lids with complete inability to close the eyes. The ensuing exposure keratitis developed secondary infection by Methicillin-resistant Staphylococcus aureus (MRSA) in the right eye and multidrug-resistant Pseudomonas aeruginosa in the left eye. His extreme ectropion prevented infection healing, so its release and full-thickness skin grafting was done when partial resolution of infection was noted. After 3 months, he had moderate residual ectropion in BE; vascularized corneal scar in the inferior part of the right eye (BCVA:20/40) and adherent leucoma in left eye (BCVA:HM). Prioritizing ectropion surgery in our extreme case for infection control, facilitated corneal healing. Our case highlights the extreme consequences of not taking preventive measures or of managing incident ectropion following thermal injury to the face.


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