Facial paralysis during air travel: case series and literature review

2012 ◽  
Vol 126 (10) ◽  
pp. 1063-1065 ◽  
Author(s):  
K L Ah-See ◽  
M Shakeel ◽  
S K Maini ◽  
S S M Hussain
Keyword(s):  
Literature Review ◽  
Facial Paralysis ◽  
Facial Palsy ◽  
Case Series ◽  
Air Travel ◽  
Bony Defect ◽  
Management Protocol ◽  
Computed Tomography Scanning ◽  
Tube Dysfunction ◽  
Tomography Scanning

AbstractObjective:We report three cases of recurrent, unilateral facial palsy associated with air travel.Method:The three cases are presented, along with a brief literature review concerning barotrauma and its association with air travel and facial palsy.Results:All three patients experienced unilateral facial paralysis during air travel, accompanied by additional symptoms which varied between cases. Symptoms resolved spontaneously in all cases. Two patients received ventilation tube insertion to prevent further recurrence. Computed tomography scanning revealed no bony defect in two patients, while the third exhibited dehiscence of the facial canal which may have contributed to the condition.Conclusion:Available evidence suggests that eustachian tube dysfunction can contribute to increased pressure within the middle ear, leading to neuropraxia of the facial nerve. Cases of facial paralysis associated with air travel are under-reported. Since there is no evidence-based management protocol for this condition, further investigation of its pathology is encouraged in order to improve our understanding.

Levator recession and minimal lateral tarsorrhaphy for the management of lagophthalmos and corneal exposure in facial palsy

2019 ◽  
pp. 112067211988198
Author(s):  
Bahram Eshraghi ◽  
Hadi Ghadimi ◽  
Mojgan Nikdel
Keyword(s):  
Facial Paralysis ◽  
Facial Palsy ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Case Series ◽  
Levator Muscle ◽  
Vehicle Accident ◽  
Parotid Surgery ◽  
Common Etiology ◽  
Additional Procedure

Purpose: Recession of levator muscle can potentially decrease the severity of corneal exposure by reducing margin-reflex distance 1. The purpose of this study is evaluation of effects of levator recession on lagophthalmos in facial palsy. Materials and methods: In a non-comparative case series of consecutive patients with exposure keratopathy due to facial paralysis between 2012 and 2017, levator recession was performed through lid crease incision. Small-size (⩽3 mm) lateral tarsorrhaphy was performed on a case-by-case basis for those with moderate-to-severe keratopathy. Preoperative and postoperative measurements of margin-reflex distance 1 and lagophthalmos were compared using paired t-test. Results: Thirty-four patients (14 men and 20 women) were enrolled with an average age of 52.3 years. Mean follow-up was 13.3 months (range, 6–36 months). The most common etiology of facial paralysis was Bell’s palsy (22 cases), followed by motor vehicle accident (8), parotid surgery (3), and brain tumor surgery (1). No additional procedure was performed for eight patients, while lateral tarsorrhaphy was performed in 26 cases. Mean margin-reflex distance 1 decreased from 5.0 ± 0.4 mm to 4.0 ± 0.5 mm ( p < 0.001) and mean lagophthalmos decreased from 3.3 ± 0.9 mm to 1.8 ± 0.9 mm ( p < 0.001). Subgroups of patients with additional lateral tarsorrhaphy and without tarsorrhaphy experienced the same amount of reduction in margin-reflex distance 1 and lagophthalmos. Conclusion: Recession of levator muscle was effective in reduction of margin-reflex distance 1 and lagophthalmos in facial palsy patients. This procedure can be added to the surgical armamentarium for management of patients with facial palsy and lagophthalmos.

Rehabilitation of congenital facial palsy with temporalis flap – Case series and literature review

2012 ◽  
Vol 76 (8) ◽  
pp. 1205-1210 ◽  
Author(s):  
Nicolas Leboulanger ◽  
Jean-Baptiste Maldent ◽  
Fergal Glynn ◽  
Jean-Baptiste Charrier ◽  
Jean-Paul Monteil ◽  
...  
Keyword(s):  
Literature Review ◽  
Facial Palsy ◽  
Case Series

Peripheral facial paralysis associated with HIV infection: A case series and literature review

2018 ◽  
Vol 172 ◽  
pp. 124-129 ◽  
Author(s):  
Pornchai Sathirapanya ◽  
Chris Fujitnirun ◽  
Suwanna Setthawatcharawanich ◽  
Kanitpong Phabphal ◽  
Kitti Limapichat ◽  
...  
Keyword(s):  
Literature Review ◽  
Hiv Infection ◽  
Facial Paralysis ◽  
Case Series ◽  
Peripheral Facial Paralysis

Infrapopliteal Arterial Pseudoaneurysm Development Secondary to Blunt Trauma: Case Series and Literature Review

2020 ◽  
Vol 54 (4) ◽  
pp. 367-374
Author(s):  
Matthew T. Chrencik ◽  
Brian Caraballo ◽  
John Yokemick ◽  
Peter J. Pappas ◽  
Brajesh K. Lal ◽  
...  
Keyword(s):  
Literature Review ◽  
Blunt Trauma ◽  
Case Series ◽  
Duplex Ultrasound ◽  
Endovascular Coiling ◽  
Skeletal Trauma ◽  
Delay In Diagnosis ◽  
Tibial Arteries ◽  
Pulsatile Mass ◽  
Orthopedic Injuries

Objectives: Infrapopliteal arterial pseudoaneurysms (IAP) following blunt trauma with associated orthopedic injuries are uncommon, often present in a delayed fashion, and encompass a diagnostic and therapeutic dilemma. Herein, we present a series of IAPs that were diagnosed following blunt trauma and their management. Methods: Case series consisting of 3 patients and a review of the international literature. Results: Our case series included 3 patients presenting with IAPs following blunt trauma with associated orthopedic injuries. They were all identified in a delayed manner (>3 weeks) after the orthopedic injuries were treated. All patients presented with pain and a pulsatile mass while one concurrently had neurologic deficits. The pseudoaneurysms were diagnosed by duplex ultrasound and confirmed by angiography to be originating from the tibioperoneal trunk, anterior tibial, and posterior tibial arteries respectively. Two patients were treated with surgical excision. Of these, one required an arterial bypass procedure while the other underwent direct ligation only. The third patient was treated by endovascular coiling. A literature review from 1950 to the present found 51 reported cases of IAP resulting from blunt trauma. Ninety percent of trauma-related infrapopliteal injuries occurred in men with a mean delay in diagnosis of 5.6 months (median 1.8 months) after injury. Since 1950, management has shifted from primarily ligation to incorporating minimally invasive endovascular techniques when appropriate. Conclusions: Infrapopliteal artery pseudoaneurysms are rare following blunt skeletal trauma. A delay in diagnosis often occurs and can result in major morbidity and extensive surgical intervention. We recommend a high index of suspicion and a thorough vascular examination in patients with lower extremity skeletal trauma to help identify and treat these injuries early and effectively.

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