A comparison of the incidence of facial palsy following parotidectomy performed by ENT and non-ENT surgeons

2006 ◽  
Vol 121 (1) ◽  
pp. 40-43 ◽  
Author(s):  
C Y Eng ◽  
A S Evans ◽  
M S Quraishi ◽  
P A Harkness
Keyword(s):  
Facial Palsy ◽  
Nerve Palsy ◽  
Facial Nerve Palsy ◽  
District General Hospital ◽  
Complication Rates ◽  
Retrospective Case ◽  
Parotid Surgery ◽  
Significant Difference ◽  
Benign Histology ◽  
The Difference

Objective: To compare the complication rates of parotidectomy operations on benign histology performed by ENT and non-ENT surgeons.Study design and setting: A seven-year (1994–2000) retrospective case notes review of patients undergoing parotidectomy in a United Kingdom district general hospital was performed. Patients with malignant histology were excluded.Participants: Patients were identified from the hospital computer database. One hundred and fifty-nine patients underwent parotidectomy for both benign and malignant conditions over the seven-year period. One hundred and thirty-seven (86 per cent) patients had parotidectomy for benign conditions and were included in this study.Main outcome measures: The presence or absence of facial palsy and other associated complications following parotidectomy surgery in both groups.Results: The temporary facial palsy rates for ENT and non-ENT surgeons were 56 per cent and 57 per cent, respectively. The permanent facial palsy rates for ENT and non-ENT surgeons were 2 per cent and 7 per cent, respectively. Differences in facial palsy were not statistically significant. The difference in other complication rates such as Frey's syndrome, haematoma, salivary fistula, and neuroma were also not statistically significant.Conclusion: Our complication rates were comparable with published results. There was no significant difference in the observed rate of post-operative facial nerve palsy and other known complications following parotid surgery performed by ENT and non-ENT surgeons.

scholarly journals Difference between Right and Left Facial Surface Electromyography in Healthy People

2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
Bo-Hyun Kim ◽  
Kyeong Han Kim ◽  
Lak-Hyung Kim ◽  
Jong-Uk Kim ◽  
Tae-Han Yook
Keyword(s):  
Surface Electromyography ◽  
Nerve Palsy ◽  
Facial Nerve Palsy ◽  
Asymmetry Index ◽  
Healthy People ◽  
Mean Square ◽  
Frontalis Muscle ◽  
Significant Difference ◽  
Orbicularis Oris Muscle ◽  
Age And Sex

Introduction. The study was to see whether there were differences in values of facial surface electromyography in subjects of good heath by muscles, age, and sex. Methods. It draws ratio between lower value and higher value (R-LV/HV) and asymmetry index (AI), based on root mean square (RMS) from measurement of facial surface electromyography (sEMG) in 154 people of healthy people (male:female = 70:84) aging between more than 20 and less than 70. Results. For R-LV/HV, it averages 81.70±14.60% on frontalis muscle, 73.74±19.12% on zygomaticus muscle, and 79.72±14.77% on orbicularis oris muscle. With analysis of the AI average was 10.87±10.14% on frontalis muscle, 16.71±14.79% on zygomaticus muscle, and 12.10±10.05% on orbicularis oris muscle. Both values were statistically significant in three parts of muscles as shown. Both of R-LV/HV and AI show no statistically significant difference on age and sex (p>0.05). Conclusions. It could provide basic data for the future diagnosis of facial nerve palsy patients by measuring facial sEMG values for healthy people.

Three Case Reports of Patients with Facial Nerve Palsy Treated by SJS Non-Resistance Technique-Facial Palsy (SJSNRT-F) Combined with Korean Medicine Treatment

2021 ◽  
Vol 16 (2) ◽  
pp. 87-95
Author(s):  
Yunha Lee ◽  
Jiwon Chai ◽  
Dongjoo Choi ◽  
Seunghyeok Ku ◽  
SungHyun Kim ◽  
...  
Keyword(s):  
Facial Nerve ◽  
Facial Palsy ◽  
Nerve Palsy ◽  
Facial Nerve Palsy ◽  
Case Reports ◽  
Korean Medicine

Auditory brain stem evoked potentials in patients suffering from peripheral facial nerve palsy and diabetes mellitus

1986 ◽  
Vol 100 (6) ◽  
pp. 629-634 ◽  
Author(s):  
J. Ben-David ◽  
R. Gertner ◽  
L. Podoshin ◽  
M. Fradis ◽  
H. Pratt ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Facial Palsy ◽  
Nerve Palsy ◽  
Evoked Potential ◽  
Facial Nerve Palsy ◽  
Auditory Brainstem ◽  
Peripheral Facial Palsy ◽  
Auditory Brain Stem ◽  
Peripheral Facial Nerve Palsy ◽  
Diabetic Person

AbstractForty-two patients affected by acute idiopathic peripheral facial palsy (AIPFP) underwent auditory brainstem evoked potential (ABEP) investigation in order to further our understanding of the nature of facial palsy. Twenty-two of these patients suffered from diabetes mellitus. Our results indicate that the AIPFP of the diabetic person may be considered as a preliminary sign of diabetic peripheral neuropathy.

A case report of facial nerve palsy associated with chickenpox

1994 ◽  
Vol 108 (8) ◽  
pp. 676-678 ◽  
Author(s):  
Yoshiharu Watanabe ◽  
Minoru Ikeda ◽  
Nobuo Kukimoto ◽  
Mutsumi Kuga ◽  
Hiroshi Tomita
Keyword(s):  
Case Report ◽  
Facial Nerve ◽  
Facial Palsy ◽  
Poor Prognosis ◽  
Nerve Palsy ◽  
Facial Nerve Palsy ◽  
English Literature ◽  
Infection Route ◽  
Peripheral Facial Palsy ◽  
Route Of Infection

AbstractWe examined a very unusual patient who developed peripheral facial palsy with chickenpox. A survey of the English literature revealed that eight such patients had been reported, but the period between the appearance of the vesicles of varicella and the facial nerve palsy ranged from five days before to 16 days after the eruption development. We presume that the route of infection was neurogenous in patients who had palsy after the appearance of the eruptions, but haematogenous in patients who had palsy before the appearance of vesicles. The two patients whose infection route was presumed to be haematogenous, had a poor prognosis.

scholarly journals Ionophoresis and LASER applications in facial nerve palsy

2019 ◽  
Vol 10 (Vol 10 No. 4) ◽  
pp. 551-554
Author(s):  
Cristina Octaviana DAIA ◽  
Ștefana CROITORU ◽  
Ioana CAZACU ◽  
Ruxandra SCUTUROIU ◽  
Octaviana DAIA ◽  
...  
Keyword(s):  
Complete Remission ◽  
Facial Nerve ◽  
Temporomandibular Joint ◽  
Facial Palsy ◽  
Nerve Palsy ◽  
Facial Nerve Palsy ◽  
Facial Nerve Paralysis ◽  
Nerve Paralysis ◽  
Combined Application ◽  
Number Of Patients

Background and aim of the study. The aim of this article is to present the functional gain of the specific rehabilitation program in patients with facial nerve paralysis, irrespective of etiology, following a complex physiotherapeutic treatment, consisting of the combined application of ionophoresis and LASER. Material and Method. We performed a retrospective analysis of 26 patients having their consent and The Theaching Emergency Hospital “Bagdasar-Arseni” (TEHBA) ethics Committee’s approval, N.O. 683/21.02.2019. The patients were admitted to the Neuro-Muscular Rehabilitation Clinic Division of TEHBA between April 2011 and March 2019. The patients were over the age of 18, diagnosed with facial nerve palsy and received physiotherapy consisting of the combined application of: ionophoresis with 1% potassium iodide, applied to positive electrode, preauricular, and the negative electrode, retroauricular, for 20 minutes and LASER, to the temporomandibular joint on the affected part, 4 points : radiant exposure per dose 3 J/cm2, frequency 5 Hz, probe area 1 cm2, power 62 mW, for 10 sessions and two sets of the same formula at the temporomandibular joint on the opposite side. Results. From the etiological point of view, the study included an equal number of patients with peripheric facial palsy (PFP) and with central facial palsy (CFP), respectively 13 in each group. Overall, at least 1 patient in 2 had a positive response to physiotherapy. In the patients with PFP, 77% of patients responded to the treatment and 46% had complete remission. In the patients with CFP, only 30% responded to treatment and only one had complete remission. Approximately half of the patients did not have any adverse reactions (46%), while the rest showed temporary erythema (46%), or local tingling sensation over a variable period of time (8%). Conclusion. Applying the combination of ionophoresis and LASER as physiotherapic treatment is particularly effective in peripheric facial nerve paresis. The method is safe and well tolerated, therefore we propose its use in this type of pathology. Key words: Laser therapy, facial nerve paralysis, ionophoresis,

scholarly journals Bilateral facial palsy in an adult with chickenpox

2020 ◽  
Vol 6 (12) ◽  
pp. 2286
Author(s):  
Arthur Wong ◽  
Jeyanthi Kulasegarah
Keyword(s):  
Facial Nerve ◽  
Facial Palsy ◽  
Nerve Palsy ◽  
Facial Nerve Palsy ◽  
Clinical Signs ◽  
The Body ◽  
Varicella Zoster ◽  
Ramsay Hunt Syndrome ◽  
Hunt Syndrome ◽  
Nerve Recovery

<p class="abstract">Chickenpox is a result of primary infection with varicella zoster virus. Isolated facial nerve palsy as a complication is rare, and here we report an extraordinary case of bilateral facial nerve palsy following chickenpox in an adult. A 55-year-old male presented to the emergency department with a day’s history of facial weakness. He had recently contracted chickenpox with an onset 16 days prior. Physical examination noted crusted vesicles all over the body and a bilateral facial palsy. There were no clinical signs of meningitis or cerebrovascular accident. He was managed with a short course of oral aciclovir and prednisolone and recovered fully after a month. Presentations of facial nerve palsy in chickenpox are rare and should be differentiated from Ramsay Hunt syndrome. Prognosis is relatively good with the majority of known cases seeing complete facial nerve recovery within 6 months.  </p>

scholarly journals Right sided facial palsy more common in males while left sided facial palsy more common in females

2018 ◽  
Vol 6 (7) ◽  
pp. 2291
Author(s):  
Gaurav Jain ◽  
Virendra Verma
Keyword(s):  
Facial Nerve ◽  
Retrospective Analysis ◽  
Facial Palsy ◽  
Nerve Palsy ◽  
Facial Nerve Palsy ◽  
Age Groups ◽  
Age Group ◽  
Males And Females ◽  
The Mean ◽  
Diagnosis Age

Background: The study describes the retrospective analysis of 54 cases of facial nerve palsy patients seen in our neurophysiology Laboratory during February 2016 to January 2018.Methods: Clinically diagnosed cases of facial nerve palsy encountered at neurophysiology laboratory were analyzed on the basis of their diagnosis, age, sex, side affected and their seasonal occurrence. Patients were grouped in to four age groups of <20 yr, 21-40 yr, 41-60 yr and >60 yr.Results: Out of total 54 facial palsy cases with the mean age of 34.39±14.25 yr, 29 (53.70%) were males and 25 (46.30%) were females. Facial palsy was most common in 21-40 yr age group (42.59%, n=23), followed by 41-60 yr age group (29.63%, n=16). Nearly equal number of cases of right sided (26; 48.15%) and left sided (28; 51.85%) facial palsy were observe. However, right side facial palsy was more common in males with right side to left side facial palsy ratio of 1.90:1 and left sided facial palsy was more common in females with right side to left side facial palsy ratio of 1:2.57.Conclusions: Facial palsy cases are uniformly distributed among males and females with preponderance of right facial palsy in males and left facial palsy in females.

scholarly journals Neurotologic Complications Following Microvascular Decompression: A Retrospective Study

2019 ◽  
Vol 81 (01) ◽  
pp. 037-042
Author(s):  
Matthew Bartindale ◽  
Ayah Mohamed ◽  
Jason Bell ◽  
Matthew Kircher ◽  
Jacqueline Hill ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Retrospective Study ◽  
Microvascular Decompression ◽  
Tertiary Care ◽  
Significant Risk ◽  
Complication Rates ◽  
Case Review ◽  
Inclusion Criteria ◽  
Retrospective Case ◽  
Significant Difference

Objective The main purpose of this article is to determine the frequency of neurotologic complications after posterior fossa microvascular decompression (MVD) surgery. Design Retrospective case review. Setting Tertiary care referral center. Participants A total of 215 consecutive MVD operations by a single surgeon between March 1996 and May 2016 were reviewed with 192 surgeries on 183 patients meeting inclusion criteria. Main Outcome Measures Neurotologic complications secondary to MVD. Results The 52 males and 131 females had a mean age of 58.52 years (range, 28–92 years). Indications for MVD were trigeminal neuralgia (n = 162), hemifacial spasm (n = 23), glossopharyngeal neuralgia (n = 13), vagal palsy (n = 1), and tinnitus (n = 1). The outcomes examined were postoperative hearing loss, tinnitus, vertigo, and hemifacial paresis. At least one of these complications was present in 17.7% of patients. There were 4.17% with permanent hearing loss, 6.77% with transient hearing loss, 5.21% with tinnitus, 5.73% with vertigo, and 0.52% with hemifacial paresis. There was no significant difference in complication rates based on surgical indication. Conclusions Neurotologic complications are a significant risk when performing MVD. It is important for otolaryngologists as well as neurosurgeons to be aware of such complications. We recommend perioperative audiometry in all patients undergoing MVD and believe there is utility in routine otolaryngologist involvement.

Complications following intracranial pressure monitoring in children: a 6-year single-center experience

2018 ◽  
Vol 21 (3) ◽  
pp. 278-283 ◽  
Author(s):  
Ruichong Ma ◽  
David Rowland ◽  
Andrew Judge ◽  
Amedeo Calisto ◽  
Jayaratnam Jayamohan ◽  
...  
Keyword(s):  
Intracranial Pressure ◽  
Case Series ◽  
Complication Rates ◽  
Safe Procedure ◽  
Icp Monitoring ◽  
Retrospective Case ◽  
Wide Range ◽  
Neurosurgical Patients ◽  
Significant Difference ◽  
Csf Leakage

OBJECTIVEIntracranial pressure (ICP) monitoring is an important tool in the neurosurgeon’s armamentarium and is used for a wide range of indications. There are many different ICP monitors available, of which fiber-optic intraparenchymal devices are very popular. Here, the authors document their experience performing ICP monitoring from 2005 to 2015 and specifically complication rates following insertion of the Microsensor ICP monitor.METHODSA retrospective case series review of all patients who underwent ICP monitoring over a 10-year period from 2005 to 2015 was performed.RESULTSThere were 385 separate operations with an overall complication rate of 8.3% (32 of 385 cases). Hardware failure occurred in 4.2% of cases, the CSF leakage rate was 3.6%, the postoperative hemorrhage rate was 0.5%, and there was 1 case of infection (0.3% of cases). Only patients with hardware problems required further surgery as a result of their complications, and no patient had any permanent morbidity or mortality from the procedure. Younger patients (p = 0.001) and patients with pathologically high ICP (13% of patients with high ICP vs 6.5% of patients with normal ICP; p = 0.04) were significantly more likely to have complications. There was no significant difference in the complication rates between general neurosurgical patients and craniofacial patients (7.6% vs 8.8%, respectively; p = 0.67).CONCLUSIONSIntraparenchymal ICP monitoring is a safe procedure associated with low complications and morbidity in the pediatric craniofacial and neurosurgical population and should be offered to appropriate patients to assess ICP with the reassurance of the safety record reported in this study.

Facial palsy: aetiology, diagnosis and management

Dental Update ◽  
2019 ◽  
Vol 46 (6) ◽  
pp. 565-572
Author(s):  
Sarah McKernon ◽  
Ayisha Davies House ◽  
Colette Balmer
Keyword(s):  
Facial Nerve ◽  
Facial Palsy ◽  
Clinical Relevance ◽  
Management Strategy ◽  
Nerve Palsy ◽  
Facial Nerve Palsy ◽  
Motor Neurone ◽  
Cranial Neuropathy ◽  
Evidence Based ◽  
The Many

Facial nerve palsy is the most frequently occurring cranial neuropathy reported to affect 1 in 60 people during their lifetime. An important step in examining these patients, is establishing whether the palsy is caused by an upper or lower motor neurone. Of the many potential aetiologies, Bell's palsy is the most frequently occurring lower motor neurone lesion. The prognosis for this is good, with approximately 85% of patients making a full recovery within three weeks. The aims of this article are to review the appropriate anatomy, potential causes of facial nerve palsy and describe a recommended assessment and management strategy for these patients. CPD/Clinical Relevance: To inform readers of the variety of causes of facial nerve palsy and present the evidence-based management.

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