Bilateral facial nerve paralysis in the outpatient setting; the need for follow-up in the face of a serious pathology

2016 ◽  
Vol 34 (7) ◽  
pp. 1320.e3-1320.e4 ◽  
Author(s):  
Benjamin Chaucer ◽  
Lalanthica Yogendran ◽  
Lyudmila Rubinshteyn
Keyword(s):  
Facial Nerve ◽  
Outpatient Setting ◽  
Facial Nerve Paralysis ◽  
Nerve Paralysis ◽  
The Face

scholarly journals A Prospective Study of Physical Therapy in Facial Nerve Paralysis: Experience at a Multispeciality Hospital of Kashmir

JMS SKIMS ◽  
2012 ◽  
Vol 15 (2) ◽  
pp. 145-148
Author(s):  
Sheikh Javeed Ahmad ◽  
Abdul Hamid Rather
Keyword(s):  
Physical Therapy ◽  
Facial Nerve ◽  
Prospective Study ◽  
Facial Nerve Paralysis ◽  
Partial Recovery ◽  
Early Management ◽  
Nerve Paralysis ◽  
Seventh Cranial Nerve ◽  
The Face ◽  
A Prospective Study

BACKGROUND: Bell's palsy is an acute weakness of seventh cranial nerve leading to loss of movement on one side of the face. It usually recovers of its own without treatment in most of the patients but not all. Physical therapy in the form of electrotherapy, massage and facial exercises is used as adjuvant to hasten recovery. OBJECTIVES: To analyze the role of physiotherapy in the form of electrotherapy in patients with peripheral facial paralysis attending multispecialty hospital in Kashmir. METHODS: A prospective study was carried out on 50 patients of facial nerve paralysis attending OPD between Jan 2009 and Jan 2010. All of the patients were subjected to medical treatment. The patients were put to Physical Therapy in the form of electrotherapy followed by facial exercises. All patients received electrotherapy to the paralyzed facial muscles for a period of 2 weeks but some were given extended doses for 4 weeks. 20 patients presented for the treatment in the first week, 12 in second week and 18 presented after three weeks or later. RESULTS: Fifty patients (30 female, 20 male) of facial nerve paralysis were included. Time span between medical diagnosis and physical therapy was from 1 week to 4 weeks. Patients were assessed at 4 weeks, 2 months and 6 months after the treatment. Out of 20 patients who presented in 1st week and received steroids and electrotherapy 19(95%) had fully recovered except for one case that was irregular for treatment. Out of 12 Patients who presented in 2nd week of illness, 8(66.6%) patients had full recovery and partial recovery in rest of 4 (33.4%) patients. Eighteen patients (100%) who presented in third week onwards of illness had partial recovery. CONCLUSION: Physiotherapy in the form of electrotherapy and facial exercises has a effective role in the early management of peripheral facial palarlysis. JMS 2012;15(2):145-48

M. A. Zakharchenko. About the treatment of facial nerve paralysis by anastomosis with the accessory nerve. Journal of neuropathology and psychiatry named after Korsakov, 1908, book. five

1909 ◽  
Vol XVI (1) ◽  
pp. 195-196
Author(s):  
P. Zhilin
Keyword(s):  
Facial Nerve ◽  
Accessory Nerve ◽  
Facial Nerve Paralysis ◽  
Nerve Paralysis ◽  
The Face

The author's impressions of this operation are not in her favor. The goal that the surgeon, resorting to such an operation, sets himself, namely, to return to the patient the lost symmetry of the face during rest, voluntary and affective movements, is not achieved at all.

scholarly journals Evaluation of Clinical Outcome in Traumatic Facial Nerve Paralysis

2021 ◽  
Author(s):  
Abhijit Shankar ◽  
Shibu George ◽  
Satheesh Somaraj
Keyword(s):  
Clinical Outcome ◽  
Facial Nerve ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Objective Evaluation ◽  
Facial Nerve Paralysis ◽  
Temporal Bone Fracture ◽  
Nerve Paralysis ◽  
Tertiary Center

Abstract Introduction The facial nerve is the most commonly paralyzed nerve in the human body, resulting in far-reaching functional, aesthetic and emotional concerns to the patient. Objective Evaluation of the clinical outcome of 47 patients with traumatic facial nerve paralyses, with respect to clinical recovery and audiological sequelae. Methods A descriptive longitudinal study was conducted over 24 months between January 2017 and December 2018 at a tertiary center with detailed clinical, topodiagnostic, audiometric and radiological evaluation and regular follow-up after discharge. Results Road traffic accidents constituted 82.98% of the trauma cases, out of which 76.60% were found to be under the influence of alcohol.Delayed facial paralysis was observed in 76.60% cases. Temporal bone fracture was reported in 89.36%, with otic capsule (OC) sparing fractures forming 91.49% of the cases. Topologically, the injury was mostly at the suprachordal region around the second genu. The majority of the patients (65%) attained full recovery of facial nerve function with conservative medical management. Audiometrically, 77.27% of the patients had hearing loss at the time of presentation, of which 64.71% were conductive in nature; 51.22% attained normal hearing at follow-up visits. Conclusion Early initiation of steroid therapy, concurrent eye care and physiotherapy are the cornerstones in the management of traumatic facial nerve paralysis.

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

2021 ◽  
Author(s):  
Anne F. Klassen ◽  
Charlene Rae ◽  
Lucas Gallo ◽  
Jonathan H. Norris ◽  
Kathleen Bogart ◽  
...  
Keyword(s):  
Facial Nerve ◽  
Psychometric Validation ◽  
Facial Nerve Paralysis ◽  
Nerve Paralysis ◽  
The Face

scholarly journals Oncocytoma of the Parotid Gland with Facial Nerve Paralysis

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Seijiro Hamada ◽  
Keishi Fujiwara ◽  
Hiromitsu Hatakeyama ◽  
Akihiro Homma
Keyword(s):  
Parotid Gland ◽  
Facial Nerve ◽  
Malignant Tumor ◽  
Case Reports ◽  
Benign Tumors ◽  
Facial Nerve Paralysis ◽  
Gland Tumor ◽  
Nerve Paralysis ◽  
Parotid Gland Tumor

Parotid gland tumor with facial nerve paralysis is strongly suggestive of a malignant tumor. However, several case reports have documented benign tumors of the parotid gland with facial nerve paralysis. Here, we report a case of oncocytoma of the parotid gland with facial nerve paralysis. A 61-year-old male presented with pain in his right parotid gland. Physical examination demonstrated the presence of a right parotid gland tumor and ipsilateral facial nerve paralysis of House–Brackmann (HB) grade III. Due to the facial nerve paralysis, a malignant tumor of the parotid gland was suspected and right parotidectomy was performed. Oncocytoma was confirmed histopathologically. The facial nerve paralysis was resolved 2 months after surgery. During the follow-up period (one and a half years), no recurrence was observed. As the tumor showed a distinctive dumbbell shape and increased somewhat due to inflammation (i.e., infection), the facial nerve was pinched by the enlarged tumor. Ischemia and strangulation of the nerve were considered to be the cause of the facial nerve paralysis associated with the benign tumor in this case.

scholarly journals The Epidemiology and Management of Bell’s Palsy in the Sudan

2018 ◽  
Vol 12 (1) ◽  
pp. 827-836 ◽  
Author(s):  
Ahmed Hassan Kamil Mustafa ◽  
Ahmed Mohammed Sulaiman
Keyword(s):  
Facial Nerve ◽  
Bell’S Palsy ◽  
Facial Nerve Paralysis ◽  
Age Group ◽  
Bell's Palsy ◽  
Cross Sectional ◽  
Nerve Paralysis ◽  
Dental Hospital ◽  
The Face ◽  
The Right

Background: Bell’s palsy is an acute idiopathic facial nerve paralysis of sudden onset. It is the most common cause of lower motor neuron facial nerve paralysis with an annual incidence of 15-30 per 100,000. The objective of this work is to study the prevalence and the management of Bell’s palsy in the Sudan. A descreptive retrospective cross-sectional study was carried at Khartoum Teaching Dental Hospital, Khartoum General Teaching Hospital. In the retrospective, the records and files of 698 patients with Bell’s palsy, were reviewed in relation to age, gender, site, risk factors, season, and type of treatment. In addition, 48 patients with Bell’s palsy were evaluated using the House–Brackman scale in relation to the above-mentioned variables. Therefore, a total number of 746 cases were studied. Fifty five percent of them were females and the remaining 45% were males, around 38% of them were in the age group 21-40 year. Fifty seven percent of the patients were affected on the right side of the face. Winter was the commonest season of onset where 53.5% of the cases occurred. Steroids are the commonly prescribed drugs in majority of the cases, accounting for 47.3%. Study Design: The study is a retrospective cross sectional hospital based study. The study was carried out in Khartoum Teaching Dental Hospital and in the Physiotherapy Department of Khartoum Teaching General hospital. The files and records of the patients with Bell’s palsy in Khartoum Teaching Dental Hospital in the years 1/1/2004 -31/12/2008, and Khartoum Teaching General Hospital (physiotherapy department) in the years 2007- July 2009 (total number 746). Results: A total number of 746 cases were studied . Fifty five percent of them were females and the remaining 45% were male. Around 38% of them were in the group 21-40 year. Fifty seven percent of the patients were affected on the right side of the face. Winter was the commonest season of the onset where 53.5% of the cases occurred. Conclusion: The study showed predominance of females. A peak incidence was seen in the age group 21-40 years. A predilection was found for the right side of face.

Validation of a Patient-Graded Instrument for Facial Nerve Paralysis: The FaCE Scale

2001 ◽  
Vol 111 (3) ◽  
pp. 387-398 ◽  
Author(s):  
Jeffrey B. Kahn ◽  
Richard E. Gliklich ◽  
K. Paul Boyev ◽  
Michael G. Stewart ◽  
Ralph B. Metson ◽  
...  
Keyword(s):  
Facial Nerve ◽  
Facial Nerve Paralysis ◽  
Nerve Paralysis ◽  
Face Scale ◽  
The Face

scholarly journals Idiopathic Facial Nerve Paralysis & Response to Physiotherapy in Pregnant Woman; A Case Report

2021 ◽  
Vol 35 (3) ◽  
pp. 75-77
Author(s):  
Wajida Perveen
Keyword(s):  
Case Report ◽  
Pregnant Woman ◽  
Facial Nerve ◽  
Nerve Palsy ◽  
Facial Nerve Palsy ◽  
Late Complication ◽  
Extreme Condition ◽  
Facial Nerve Paralysis ◽  
Nerve Paralysis ◽  
The Face

Facial nerve palsy is a common condition affecting both genders and all age group. However, its incidence in pregnant females needs greater care. It may affect only lower half of the face or full one side of the face or in extreme condition bilateral sides. Symptoms include deviation of angle of mouth towards sound side, flattening of nasolabial folds, loss of forehead wrinkles and inability to completely close the eyelid along with loss of taste on anterior two third of tongue. Here we present a rare case report of facial nerve palsy in a pregnant woman in third trimester of pregnancy. She was offered an evidence based physiotherapy treatment regime along with pharmacological treatment and she recovered; however late complication of “Ptosis” was reported.

Clinical features and management of facial nerve paralysis in children: analysis of 24 cases

2009 ◽  
Vol 124 (4) ◽  
pp. 402-406 ◽  
Author(s):  
H E Cha ◽  
M K Baek ◽  
J H Yoon ◽  
B K Yoon ◽  
M J Kim ◽  
...  
Keyword(s):  
Facial Nerve ◽  
Recovery Rate ◽  
Medical Center ◽  
Treatment Modalities ◽  
Facial Nerve Paralysis ◽  
Radiological Investigation ◽  
Nerve Paralysis ◽  
Common Cause ◽  
Facial Nerve Decompression

AbstractObjectives:To evaluate the causes, treatment modalities and recovery rate of paediatric facial nerve paralysis.Materials and methods:We analysed 24 cases of paediatric facial nerve paralysis diagnosed in the otolaryngology department of Gachon University Gil Medical Center between January 2001 and June 2006.Results:The most common cause was idiopathic palsy (16 cases, 66.7 per cent). The most common degree of facial nerve paralysis on first presentation was House–Brackmann grade IV (15 of 24 cases). All cases were treated with steroids. One of the 24 cases was also treated surgically with facial nerve decompression. Twenty-two cases (91.6 per cent) recovered to House–Brackmann grade I or II over the six-month follow-up period.Conclusion:Facial nerve paralysis in children can generally be successfully treated with conservative measures. However, in cases associated with trauma, radiological investigation is required for further evaluation and treatment.

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