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.

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 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.

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.

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.

Distal Facial Nerve Exposure: A Key to Partial Parotidectomy

2008 ◽  
Vol 139 (2_suppl) ◽  
pp. P36-P36 ◽  
Author(s):  
Robert C Wang ◽  
Annabel E Barber ◽  
Paul Vantine ◽  
Marcia Ditmyer
Keyword(s):  
Logistic Regression ◽  
Facial Nerve ◽  
Univariate Analysis ◽  
Nerve Function ◽  
Facial Nerve Function ◽  
Nerve Branch ◽  
Cutaneous Sensation ◽  
Parotid Duct ◽  
Group 2 ◽  
Group 1

Objective 1) Learn techniques and outcomes of distal facial nerve identification compared with antegrade exposure in partial parotidectomy. 2) Be able to incorporate other modifications of parotidectomy facilitated by distal facial n. isolation including preservation of the greater auricular nerve, superficial musculo-aponeurotic system (SMAS), and parotid duct. Methods 29 parotidectomies done using antegrade facial nerve trunk exposure (Group 1) and 13 consecutive partial parotidectomies done with distal facial nerve branch dissection (Group 2) for benign neoplasms and intraparotid lymph nodes were reviewed from 2001 to 2008. The greater auricular nerve and SMAS were preserved when possible. Branches draining to the main parotid duct from the lesion were incised rather than the main parotid duct whenever feasible. Outcomes examined include postoperative facial nerve function, cutaneous sensation, SMAS preservation, sialocele or salivary fistula. Logistic Regression was used to determine if select variables (age; antegrade vs. retrograde nerve exposure; and size of tumor) significantly affected outcomes. A series of univariate analysis of variance with Bonferroni post hoc tests were subsequently used to confirm findings of the logistic regression. Results No difference in facial nerve function was found between the groups. Group 2 had better cutaneous sensation and SMAS preservation. More salivary fistulas and parotid swelling were associated with parotid duct transection in Group 1. There were no tumor recurrences. Conclusions Partial parotidectomy utilizing distal facial nerve exposure can reduce the extent of surgical dissection, facilitate preservation of the parotid duct and greater auricular nerve, improve contour with primary SMAS closure, and allow greater flexibility in skin incisions.

scholarly journals Terapi Medikamentosa pada Paralisis Saraf Fasialis Akibat Fraktur Tulang Temporal

2015 ◽  
Vol 4 (1) ◽  
Author(s):  
Jacky Munilson ◽  
Yan Edward ◽  
Dedy Rusdi
Keyword(s):  
Facial Nerve ◽  
Temporal Bone ◽  
Medical Therapy ◽  
Bone Fracture ◽  
Facial Nerve Paralysis ◽  
Facial Nerve Function ◽  
Temporal Bone Fracture ◽  
Nerve Paralysis ◽  
Complete Paralysis ◽  
Therapy Result

AbstrakPendahuluan: Paralisis saraf fasialis merupakan salah satu komplikasi fraktur tulang temporal. Fraktur tulang temporal dapat berupa fraktur longitudinal, transversal maupun campuran. Paralisis saraf fasialis lebih banyak ditemukan pada fraktur tulang transversal dibandingkan longitudinal. Penatalaksanaan paralisis saraf fasialis akibat fraktur tulang temporal masih kontroversi, dapat berupa terapi medikamentosa maupun terapi bedah. Metode: Satu kasus paralisis saraf fasialis akibat fraktur temporal longitudinal tahun yang ditatalaksana dengan terapi medikamentosa. Hasil: Terdapat peningkatan fungsi saraf pasialis dengan terapi medikamentosa pada paralisis parsial saraf fasialis akibat fraktur temporal longitudinal. Diskusi: Penatalaksanaan paralisis saraf fasialis akibat fraktur tulang temporal masih merupakan hal yang kontroversial. Pasien dengan paralisis parsial (House Brackmann II-V) cukup dilakukan observasi dan terapi dengan steroid berupa prednison, sedangkan pada paralisis komplit (House Brackmann VI), terapi medikamentosa dengan steroid dapat dikombinasikan dengan terapi bedah berupa dekompresi atau grafting. Pertimbangan untuk melakukan pembedahan tergantung dari pemeriksaan CT Scan dan tes elektrofisiologisKata kunci: Paralisis saraf fasialis, fraktur tulang temporal, terapi medikamentosaAbstractFacial nerve paralysis is one of the temporal bone fracture complications. Temporal bone fracture is classified as longitudinal, transversal and mixed type. Facial nerve paralysis is more common in transversal rather than longitudinal type. The treatment of facial nerve paralysis due to temporal bone fracture still remain controversial, whether its medical therapy or surgical approach.Methode: One case of facial nerve paralysis caused by longitudinal type of temporal bone fracture has been treated by medical therapy. Result: There is an increase of facial nerve function treated with medical therapy in a case of partial nerve paralysis due to longitudinal type of temporal bone fracture. Discussion: Management of facial nerve paralysis due to temporal bone fracture is still controversial. Patient with partial paralysis (House Brackmann II-V) treated with observation and medical therapy using steroid, whereas complete paralysis (House Brackmann VI) treated with medical therapy using steroid, combine with decompression and grafting surgery. Considerations for surgery depend on computed tomography and electrophysiology examination.Keywords: Facial nerve paralysis, temporal bone fracture, medical therapy

scholarly journals Efficacy of surgical repair for the functional restoration of injured facial nerve

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Li Li ◽  
Zhaomin Fan ◽  
Haibo Wang ◽  
Yuechen Han
Keyword(s):  
Facial Nerve ◽  
Nerve Injury ◽  
Sural Nerve ◽  
Surgical Repair ◽  
Functional Restoration ◽  
Nerve Lesion ◽  
Nerve Function ◽  
Facial Nerve Function ◽  
Great Auricular Nerve ◽  
Facial Nerve Lesion

Abstract Background Early surgical repair to restore nerve integrity has become the most commonly practiced method for managing facial nerve injury. However, the evidence for the efficacy of surgical repair for restoring the function of facial nerves remains deficient. This study evaluated the outcomes of surgical repair for facial nerve lesions. Methods This retrospective observational study recruited 28 patients with the diagnosis of facial nerve injury who consecutively underwent surgical repairs from September 2012 to May 2019. All related clinical data were retrospectively analyzed according to age, sex, location of the facial nerve lesion, size of the facial nerve defect, method of repair, facial electromyogram, and blink reflex. Facial function was then stratified with the House-Brackmann grading system pre-operation and 3, 9, 15, and 21 months after surgical repair. Results The 28 patients enrolled in this study included 17 male and 11 female patients with an average age of 34.3 ± 17.4 years. Three methods were applied for the repair of an injured facial nerve, including great auricular nerve transplantation in 15 patients, sural nerve grafting in 7 patients, and hypoglossal to facial nerve anastomosis in 6 patients. Facial nerve function was significantly improved at 21 months after surgery compared with pre-operative function (P = 0.008). Following surgical repair, a correlation was found between the amplitude of motor unit potential (MUP) and facial nerve function (r = -6.078, P = 0.02). Moreover, the extent of functional restoration of the facial nerve at 21 months after surgery depended on the location of the facial nerve lesion; lesions at either the horizontal or vertical segment showed significant improvement(P = 0.008 and 0.005), while no functional restoration was found for lesions at the labyrinthine segment (P = 0.26). Conclusions For surgical repair of facial nerve lesions, the sural nerve, great auricular nerve, and hypoglossal-facial nerve can be grafted effectively to store the function of a facial nerve, and MUP may provide an effective indicator for monitoring the recovery of the injured nerve.

Orthodromic (Intra/Extracranial) Neurography to Monitor Facial Nerve Function Intraoperatively

Neurosurgery ◽  
1988 ◽  
Vol 22 (5) ◽  
pp. 945-950 ◽  
Author(s):  
U. D. Schmid ◽  
M. Sturzenegger ◽  
H. P. Ludin ◽  
R. W. Seiler ◽  
H. J. Reulen
Keyword(s):  
Facial Nerve ◽  
Evoked Potential ◽  
Cranial Nerves ◽  
Nerve Function ◽  
Signal Averaging ◽  
Facial Nerve Function ◽  
Tumor Capsule ◽  
Stylomastoid Foramen ◽  
Lower Cranial Nerves ◽  
Stimulation Of

Abstract This report introduces the technique of orthodromic neurography for monitoring of facial nerve function during operation in the cerebellopontine angle. By stimulation of the intracisternal segment of the facial nerve, a compound nerve action potential with amplitudes of 15 to 480 μV can be recorded extracranially from the nerve near the stylomastoid foramen after 0.95 to 2.27 ms. Usually there is no need for signal averaging, and the method is independent of the effect of muscle relaxants. With the use of the same electrophysiological equipment as for evoked potential neuromonitoring, immediate and repeated localization of the facial nerve and its discrimination from the trigeminal and the lower cranial nerves during nerve preparation within the tumor capsule is possible.

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