scholarly journals Electroacupuncture Is Effective for Peripheral Facial Paralysis: A Meta-Analysis

2020 ◽  
Vol 2020 ◽  
pp. 1-11
Author(s):  
Wei-Hua Wang ◽  
Ruo-Wen Jiang ◽  
Na-Chuan Liu
Keyword(s):  
Facial Nerve ◽  
Facial Paralysis ◽  
Meta Analysis ◽  
Poor Quality ◽  
Nerve Function ◽  
Facial Nerve Function ◽  
Peripheral Facial Paralysis ◽  
Eligibility Criteria ◽  
Quality Of Evidence

Objective. To explore the status of electroacupuncture (EA) among other treatments for peripheral facial paralysis (PFP). Methods. Randomized controlled trials comparing EA with other treatments that met the eligibility criteria published in databases were included. The differences were observed and quantified through the risk ratio (RR) for dichotomous outcomes and the standardized mean difference (SMD) for continuous outcomes. Then, their 95% confidence intervals (CI) were recorded. Results. Twenty-three studies involving 1985 participants were included. META-analysis results showed that EA was better than manual acupuncture for PFP (RR: 1.16, 95% CI 1.11 to 1.22, for responding rate; SMD: 2.26, 95% CI 0.15 to 4.37, for facial nerve function) and current promoted recovery (RR: 1.21, 95% CI 1.15 to 1.27, for responding rate; SMD: 2.87, 95% CI 1.16 to 4.58, for facial nerve function). When combined with other treatments, EA improved their effectiveness (RR: 1.19, 95% CI 1.12 to 1.28, responding rate; SMD: 1.85, 95% CI 0.67 to 3.03, facial nerve function). Conclusion. Patients with PFP received EA (used separately or combined with other treatments) resulting in a better prognosis. However, the quality of evidence was very low-to-moderate. Considering the poor quality of evidence, we are not very confident in the results. We look forward to more research and update results in the future and improve the evidence quality.

scholarly journals Complete Facial Paralysis Caused by Stabbing With a Car Key at the Stylomastoid Foramen

2021 ◽  
pp. 014556132110565
Author(s):  
Bo Yang ◽  
Fang Zhang ◽  
Ying Tian ◽  
Huijun Yang
Keyword(s):  
Facial Nerve ◽  
Facial Paralysis ◽  
Bone Fracture ◽  
Nerve Function ◽  
Facial Nerve Function ◽  
Peripheral Facial Paralysis ◽  
Nerve Branch ◽  
Temporal Bone Fracture ◽  
Stylomastoid Foramen ◽  
Great Auricular Nerve

Non-iatrogenic traumatic facial paralysis is most common in intratemporal facial nerve injury caused by temporal bone fracture, followed by intraparotid facial nerve branch injury. Facial paralysis caused by injury to the extratemporal trunk of the facial nerve is extremely rare. We present a case of a 60-year-old man suffering from immediate complete left peripheral facial paralysis due to blunt transection of extratemporal trunk of facial nerve by stabbing with a car key. There was a facial nerve defect about 1 cm in length. The great auricular nerve was grafted to repair the facial nerve. Over 12 months, his facial nerve function improved to a House–Brackmann III/VI.

Application of Intelligent Facial Dynamic Information Image in Warm Acupuncture and Moxibustion on Peripheral Facial Paralysis (Preprint)

2020 ◽  
Author(s):  
Yanping Chen ◽  
Dongjie Yu ◽  
Jane Cansoni
Keyword(s):  
Facial Paralysis ◽  
Computer Technology ◽  
Treatment Time ◽  
Facial Features ◽  
Nerve Function ◽  
Facial Nerve Function ◽  
Peripheral Facial Paralysis ◽  
Image Information ◽  
Dynamic Image ◽  
Acupuncture And Moxibustion

BACKGROUND Background: Nowadays, the application of computer technology in the medical field is more and more extensive, and many diseases can achieve better diagnosis and treatment effects through computer technology. OBJECTIVE Objective: The paper applies intelligent facial dynamic image information to the clinical treatment of peripheral acupuncture and moxibustion for the treatment of peripheral facial paralysis. An automatic acupoint positioning algorithm based on facial information dynamic image is proposed, which provides an objective and standard basis for the treatment of facial acupuncture and moxibustion. METHODS Methods: The paper selects the head threshold, that is, the facial dynamic image information as the research background, and divides the facial features according to the "three courts and five eyes" rule, and uses the Minimum Eigenvalue operator to detect the corner points of the facial features, locate the facial features, and use the face. The feature position is used as a reference coordinate for facial acupoint positioning. RESULTS Results: After verification, it was found that the positioning was accurate, and the peripheral facial paralysis of the patient was improved after warm acupuncture point positioning treatment, which improved the facial nerve function of the patient, improved the treatment efficiency and shortened the treatment time. Therefore, this technology is worthy of clinical promotion. CONCLUSIONS Conclusion: Through experimental analysis, the algorithm is proved to be effective and accurate. Based on facial dynamic image information to locate acupoints, warm acupuncture has a significant effect on peripheral facial paralysis, which can significantly improve facial nerve function and shorten treatment time, which is worthy of clinical promotion.

Impact of Facial Nerve Function on Quality of Life after Vestibular Schwannoma Surgery

2014 ◽  
Vol 75 (S 02) ◽  
Author(s):  
J. Perez ◽  
C. Stetter ◽  
J. Friedrich ◽  
R. Ernestus ◽  
G. Gelbrich ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Facial Nerve ◽  
Vestibular Schwannoma ◽  
Nerve Function ◽  
Facial Nerve Function

Hypoglossal-Facial Nerve Anastomosis: A Meta-Analytic Study

2007 ◽  
Vol 116 (7) ◽  
pp. 542-549 ◽  
Author(s):  
Sertac Yetiser ◽  
Ugur Karapinar
Keyword(s):  
Facial Nerve ◽  
Meta Analysis ◽  
Statistical Significance ◽  
Cranial Nerves ◽  
Facial Nerve Paralysis ◽  
Nerve Function ◽  
Facial Nerve Function ◽  
Reliable Technique ◽  
Nerve Paralysis ◽  
Nerve Anastomosis

Objectives: A meta-analysis was conducted on the outcome of facial nerve function after hypoglossal-facial nerve anastomosis in humans. The roles of the timing of and the underlying cause for surgery, the type of the repair, and previous facial nerve function in the final result were analyzed. Methods: Articles were identified by means of a PubMed search using the key words “facial-hypoglossal anastomosis,” which yielded 109 articles. The data were pooled from existing literature written in English or French. Twenty-three articles were included in the study after we excluded those that were technical reports, those describing anastomosis to cranial nerves other than the hypoglossal, and those that were experimental animal studies. Articles that reported facial nerve function after surgery and timing of repair were included. Facial nerve function had to be reported according to the House-Brackmann scale. If there was more than 1 article by the same author(s), only the most recent article and those that did not overlap and that matched the above criteria were accepted. The main parameter of interest was the rate of functional recovery of the facial nerve after anastomosis. This parameter was compared among all groups with Pearson's X2 test in the SPSS program for Windows. Statistical significance was set at a p level of less than .05. Results: Analysis of the reports indicates that early repair, before 12 months, provides a better outcome. The severity of facial nerve paralysis does not have a negative effect on prognosis. Gunshot wounds and facial neuroma are the worst conditions for favorable facial nerve recovery after anastomosis. Transection of the hypoglossal nerve inevitably results in ipsilateral tongue paralysis and atrophy. Modification of the anastomosis technique seems to resolve this problem. Nevertheless, the effect of modified techniques on facial reanimation is still unclear, because the facial nerve function results were lacking in these reports. Conclusions: Hypoglossal-facial nerve anastomosis is an effective and reliable technique that gives consistent and satisfying results.

Congenital facial nerve agenesis

2001 ◽  
Vol 115 (1) ◽  
pp. 53-54 ◽  
Author(s):  
P. N. Jervis ◽  
P. D. Bull
Keyword(s):  
Surgical Treatment ◽  
Parotid Gland ◽  
Facial Nerve ◽  
Facial Paralysis ◽  
Facial Palsy ◽  
Surgical Procedure ◽  
Nerve Function ◽  
Facial Nerve Function ◽  
Stylomastoid Foramen ◽  
Unrelated Condition

We present a case of a seven-year-old child with a congenital facial palsy, diagnosed at birth, who subsequently developed a non-tuberculous mycobacterial (NTM) infection of the ipsilateral parotid gland. This required parotid exploration to treat the NTM disease with the intention of identifying and protecting the facial nerve to preserve any residual facial nerve function. At operation, thorough exploration revealed the complete absence of the nerve both at the stylomastoid foramen and more peripherally within the substance of the parotid gland. Exploration of the facial nerve for congenital facial paralysis is not normally indicated. Surgical treatment, if required, tends to involve the use of techniques such as cross facial nerve and free vascularized muscle grafting. To our knowledge this is the first reported case of complete congenital facial nerve agenesis, diagnosed incidentally during a surgical procedure for an unrelated condition.

scholarly journals Surgery versus radiosurgery for facial nerve schwannoma: a systematic review and meta-analysis of facial nerve function, postoperative complications, and progression

2020 ◽  
pp. 1-12
Author(s):  
Juliana Rotter ◽  
Victor M. Lu ◽  
Christopher S. Graffeo ◽  
Avital Perry ◽  
Colin L. W. Driscoll ◽  
...  
Keyword(s):  
Systematic Review ◽  
Facial Nerve ◽  
Meta Analysis ◽  
Management Strategies ◽  
Complication Rates ◽  
Nerve Function ◽  
Facial Nerve Function ◽  
Operative Outcomes ◽  
Facial Nerve Schwannoma

OBJECTIVEIntracranial facial nerve schwannomas (FNS) requiring treatment are frequently recommended for surgery or stereotactic radiosurgery (SRS). The objective of this study was to compare facial nerve function outcomes between these two interventions for FNS via a systematic review and meta-analysis.METHODSA search of the Ovid EMBASE, PubMed, SCOPUS, and Cochrane databases from inception to July 2019 was conducted following PRISMA guidelines. Articles were screened against prespecified criteria. Facial nerve outcomes were classified as improved, stabilized, or worsened by last follow-up. Incidence was pooled by random-effects meta-analysis of proportions.RESULTSThirty-three articles with a pooled cohort of 519 patients with FNS satisfied all criteria. Twenty-five articles described operative outcomes in 407 (78%) patients; 10 articles reported SRS outcomes in 112 (22%). In the surgical cohort, facial nerve function improved in 23% (95% CI 15%–32%), stabilized in 41% (95% CI 32%–50%), and worsened in 30% (95% CI 21%–40%). In the SRS cohort, facial nerve function was improved in 20% (95% CI 9%–34%), stable in 66% (95% CI 54%–78%), and worsened in 9% (95% CI 3%–16%). Compared with SRS, microsurgery was associated with a significantly lower incidence of stable facial nerve function (p < 0.01) and a significantly higher incidence of worsened facial nerve function (p < 0.01). Tumor progression and complication rates were comparable. Outcome certainty assessments were very low to moderate for all parameters.CONCLUSIONSUnfavorable facial nerve function outcomes are associated with surgical treatment of intracranial FNS, whereas stable facial nerve function outcomes are associated with SRS. Therefore, SRS should be recommended to patients with FNS who require treatment, and surgery should be reserved for patients with another indication, such as decompression of the brainstem. Further study is required to definitively optimize and validate management strategies for these rare skull base tumors.

Surgery versus Radiosurgery for Facial Nerve Schwannoma: Systematic Review and Meta-analysis of Facial Nerve Function

2020 ◽  
Author(s):  
Juliana Rotter ◽  
Victor M. Lu ◽  
Avital Perry ◽  
Christopher S. Graffeo ◽  
Matthew L. Carlson ◽  
...  
Keyword(s):  
Systematic Review ◽  
Facial Nerve ◽  
Meta Analysis ◽  
Nerve Function ◽  
Facial Nerve Function ◽  
Facial Nerve Schwannoma

Differential Facial Nerve Function in Tumors of the Internal Auditory Meatus

1983 ◽  
Vol 92 (1) ◽  
pp. 39-41 ◽  
Author(s):  
J. Gail Neely ◽  
Charles R. Neblett
Keyword(s):  
Facial Nerve ◽  
Facial Paralysis ◽  
Postoperative Period ◽  
Tumor Infiltration ◽  
Nerve Function ◽  
Internal Auditory Meatus ◽  
Facial Nerve Function ◽  
Eighth Nerve ◽  
Auditory Dysfunction ◽  
Facial Nerves

Fifty-five consecutive cases of neoplastic involvement of the internal auditory meatus resulting in ipsilateral retrocochlear auditory dysfunction were reviewed. The majority of these tumors (89%) were solitary schwannomas of the eighth nerve. Eleven percent were other tumors. Preoperative facial paralysis was unusual in eighth nerve schwannomas (6.1%) and much more common in other tumors (66.6%). These data tend to suggest that facial paralysis preoperatively increases the probability that the tumor is other than an eighth nerve schwannoma. Furthermore, facial paralysis resulting from an eighth nerve schwannoma indicates a poorer prognosis for ultimate facial nerve function. The small numbers in this series, though far from conclusive, suggest that normally functioning facial nerves may be infiltrated by eighth nerve schwannomas. Failure of eventual recovery of facial nerve function in the postoperative period may suggest tumor infiltration.

scholarly journals Effect of Penetration Electroacupuncture Combined with Intermediate Frequency Electrotherapy, Facial Acupoint Massage, and Cervical Reduction on Facial Nerve Function and Curative Effect of Senile Refractory Facial Paralysis

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Xiao-Jun Wang ◽  
Ni-Na He ◽  
Wen-Bin Ji ◽  
Li Yu ◽  
Ping Zhang
Keyword(s):  
Facial Nerve ◽  
Facial Paralysis ◽  
Remission Rate ◽  
Combined Treatment ◽  
Intermediate Frequency ◽  
Control Group ◽  
Nerve Function ◽  
Facial Nerve Function ◽  
Tcm Syndrome ◽  
Better Than

Objective. This study aimed to explore the curative effects on senile refractory facial paralysis treated by penetration electroacupuncture combined with intermediate frequency electrotherapy, facial acupoint massage, and cervical reduction on facial nerve. Methods. 106 elderly patients with intractable facial paralysis that were retrospectively analyzed were all admitted from January 2019 to June 2020. The 106 patients were evenly divided into 2 groups according to the treatment method. The control group was treated with penetration electroacupuncture, while the observation group was treated with penetration electroacupuncture plus intermediate frequency electrotherapy + facial acupoint massage + cervical reduction treatment. Then, House–Brackmann (H-B) facial nerve function evaluation, RPA score, TCM syndrome score, disease remission rate, and incidence of adverse events were evaluated and compared between the two groups. Results. After 4 weeks of treatment, the H-B facial nerve function grading in the observation group was better than that in the control group ( P  < 0.05). And the disease remission rate after 1 week, 2 weeks, and 4 weeks of treatment was higher than that in the control group ( P  < 0.05). Meanwhile, the TCM syndrome score and RPA score after 2 weeks and 4 weeks of treatment were better than that in the control group ( P  < 0.05). Conclusion. For the elderly patients with refractory facial paralysis, the application of the combined treatment that penetration electroacupuncture + medium frequency electrotherapy + facial acupoint massage + cervical adjustment can significantly improve the facial nerve function and reduce various diseases, and the effect of this combined treatment plan is more significant than that of penetration electroacupuncture treatment.

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