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

AbstractIntroduction:Following the onset of facial palsy, physiotherapists routinely inspect the inside of the patient's mouth and cheek for complications such as ulceration or trauma. In several patients with complete facial nerve palsy, it was noticed that when the cheek was stretched there was subsequent spasm of the muscles of facial expression. This also occurred in patients whose facial nerve had been transected.Case reports:We present four patients in whom this response was demonstrated. We consider the mechanism of this response and its relevance in the management of patients with facial paralysis.Conclusion:Following severe or complete denervation, contraction of the facial muscles following mechanical stretch provides evidence of preservation of activity in the facial muscle's excitation–contraction apparatus. Further research will investigate the clinical significance of this sign and whether it can be used as an early predicator of the development of synkinesis, as well as its relevance to facial nerve grafting and repair.

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A case report of facial nerve palsy associated with chickenpox

The Journal of Laryngology & Otology ◽

10.1017/s002221510012780x ◽

1994 ◽

Vol 108 (8) ◽

pp. 676-678 ◽

Cited By ~ 7

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.

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Ionophoresis and LASER applications in facial nerve palsy

Balneo Research Journal ◽

10.12680/balneo.2019.299 ◽

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,

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Bilateral facial palsy in an adult with chickenpox

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20205073 ◽

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>

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

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20182456 ◽

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.

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Facial palsy: aetiology, diagnosis and management

Dental Update ◽

10.12968/denu.2019.46.6.565 ◽

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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Facial nerve palsy secondary to middle-ear lipoma

The Journal of Laryngology & Otology ◽

10.1017/s0022215108002247 ◽

2008 ◽

Vol 122 (6) ◽

Cited By ~ 7

Author(s):

A V Kasbekar ◽

N Donnelly ◽

P Axon

Keyword(s):

Facial Nerve ◽

Middle Ear ◽

Facial Palsy ◽

Nerve Palsy ◽

Facial Nerve Palsy ◽

Fatty Tissue ◽

Early Imaging ◽

Horizontal Portion ◽

Tomography Scan ◽

Middle Ear Cleft

AbstractObjective:We present the first reported case of a middle-ear lipoma presenting with facial nerve palsy. We review the available literature on middle-ear lipomas and alert the surgeon to the possibility of a lipoma occurring in this location.Case report:A 33-year-old man presented to our unit with a right-sided, House–Brackmann grade two, lower motor neurone facial palsy. A computed tomography scan revealed abnormal soft tissue in the epitympanic recess, extending to the region of the geniculate ganglion. At middle-ear exploration, a lump of fatty tissue was found filling the anterior middle-ear cleft, juxtaposed to the horizontal portion of the facial nerve. The patient's facial palsy resolved within a few weeks of surgery.Conclusion:Lipomas are a rare but real differential diagnosis of a mass in the middle ear. Early imaging is advised.

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Sequential contralateral facial nerve palsies following COVID-19 vaccination first and second doses

BMJ Case Reports ◽

10.1136/bcr-2021-243829 ◽

2021 ◽

Vol 14 (7) ◽

pp. e243829

Author(s):

Abigail Burrows ◽

Theo Bartholomew ◽

James Rudd ◽

David Walker

Keyword(s):

Emergency Department ◽

Facial Nerve ◽

Nerve Palsy ◽

Facial Nerve Palsy ◽

Case Reports ◽

Bell’S Palsy ◽

First Episode ◽

Bell's Palsy ◽

First Case ◽

History Of

A 61-year-old man presented to the ENT emergency clinic with a history of unilateral facial nerve palsy occurring shortly after each dose of the Pfizer-BioNTech COVID-19 vaccine. The first episode developed 5 hours after administration of the first dose and the second 2 days after administration of the second dose. Investigations at initial presentation to the emergency department were unremarkable, and the patient was diagnosed with Bell’s palsy on both occasions. We describe the first case of Bell’s palsy occurring after each dose of any UK-approved COVID-19 vaccine. Single episodes of unilateral facial nerve palsies have been reported in clinical trials and in subsequent case reports. There has been no evidence, however, of an episode after each dose. We also describe the earliest onset of symptoms from timing of administration of the vaccine, further suggesting the Bell’s palsy was associated with the vaccine.

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Intracranial hypoglossal schwannoma as an unusual cause of facial nerve palsy

Journal of Neurosurgery ◽

10.3171/jns.1982.56.3.0420 ◽

1982 ◽

Vol 56 (3) ◽

pp. 420-423 ◽

Cited By ~ 14

Author(s):

Eugen J. Dolan ◽

William S. Tucker ◽

Dov Rotenberg ◽

Mario Chui

Keyword(s):

Facial Nerve ◽

Temporal Bone ◽

Facial Palsy ◽

Nerve Palsy ◽

Facial Nerve Palsy ◽

Content Type ◽

Hypoglossal Schwannoma ◽

Fine Print

✓ A case is presented in which facial palsy resulted from a hypoglossal schwannoma encircling the nerve in its course through the temporal bone.

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Facial nerve palsy associated with leptospirosis

Revista da Sociedade Brasileira de Medicina Tropical ◽

10.1590/s0037-86822001000200011 ◽

2001 ◽

Vol 34 (2) ◽

pp. 219-220 ◽

Cited By ~ 5

Author(s):

Everaldo Costa ◽

Edilson Sacramento ◽

Antonio Alberto Lopes ◽

José Carlos Bina

Keyword(s):

Case Report ◽

Facial Nerve ◽

Facial Palsy ◽

Black Male ◽

Nerve Palsy ◽

Facial Nerve Palsy ◽

Neurological Sequel ◽

Convalescence Phase

This case report describes the findings of a 27-year-old black male from Bahia, Brazil, who developed facial palsy during the convalescence phase of leptospirosis. The patient recovered without neurological sequel. This work calls attention to a possible association between leptospirosis and facial palsy.

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