scholarly journals Local Swelling and Redness Associated with Supraclavicular Nerve Injury

2021 ◽  
pp. 1-2
Author(s):  
Markus Pääkkönen ◽  
Markus Pääkkönen
Keyword(s):  
At Risk ◽  
Nerve Injury ◽  
Operative Procedures ◽  
Coracoclavicular Ligament ◽  
Surgical Incisions

Supraclavicular nerves are at risk in operative procedures when surgical incisions are placed over the clavicle. This report describes a 50-year-old man who developed local swelling and redness of the supraclavicular region after undergoing Weaver-Dunn reconstruction of the coracoclavicular ligament. ENMG was consistent with supraclavicular nerve injury. Since the symptoms may mimic infection, the awareness of this complication will aid the clinician to avoid unnecessary use of antimicrobials.

Anatomy at Risk, Portals, and Relevant Attentions to Reduce the Risk of Nerve Injury of the Elbow

Arthroscopy ◽  
2016 ◽  
pp. 683-689 ◽  
Author(s):  
Paolo Arrigoni ◽  
Riccardo D’Ambrosi ◽  
Enrico Guerra ◽  
Pietro Randelli
Keyword(s):  
At Risk ◽  
Nerve Injury

scholarly journals Recurrent Laryngeal Nerve Injury With Versus Without Nerve Identification In Different Thyroidectomy Procedures

2018 ◽  
Vol 14 (1) ◽  
pp. 29-32
Author(s):  
Saad Ramadhan Jawad
Keyword(s):  
At Risk ◽  
Recurrent Laryngeal Nerve ◽  
Nerve Injury ◽  
Recurrent Laryngeal Nerve Injury ◽  
Cross Sectional Study ◽  
Laryngeal Nerve ◽  
World Health ◽  
P Value ◽  
Cross Sectional ◽  
Laryngeal Nerve Injury

Background: The world health organization estimates that worldwide 2 billion people still have iodine deficiency Objectives: Is to make comparison between the effect of identification of recurrent laryngeal nerve (RLN) and non-identification of the nerve on incidence of recurrent laryngeal nerve injury (RLNI) in different thyroidectomy procedures. Type of the study: cross –sectional study. Methods: 132 patients with goiters underwent thyroidectomy .Identification of RLN visually by exposure were done for agroup of them and non-identification of the nerves for the other group. The outcomes of RLNI in the two groupsanalyzed statistically for the effect of Identification of RLN on decreasing the incidence of the nerveinjury .The benefits of identification of RLN evaluated in each procedure ofthyroidectomy which were total thyroidectomy (TT), near totalthyroidectomy (NTT), and subtotal thyroidectomy (STT).Patients were followed up monthly for 6 months by indirect laryngoscopy for mobility of the vocal cords. Results: 132 patients underwent thyroidectomy,258 RLNswere at risk, 124 nerves were  identified and134 nerves were  not identified,1 RLN was injured in identified group, and  8 RLN were injured in non-identified group. The pvalue was (0.0393) which was significant. TT were performed for 56 patients (42.4%) and total hemi thyroidectomy(THT)  for 6patients(4.5%), there were 118 RLNs at risk, 64RLNs were identified and 54 RLNs were not identified.1RLN was injured in identified group, and 7RLNs were injured in non-identifiedgroup, the pvalue was(0.023)which was significant.NTT procedure were performed for 38 patients(28.8%) , 76 RLNs were at risk. 30 RLNswere identified and none of themwas injured, 46 RLNswere not identified, 1 RLN was injured the p value was(1)which was not significant.STT were performed for 32patients(24.4%),64 RLNs were at risk. 30 RLNs were  identified  and 34 RLNs not identified,there was no nerve injury in both groups . Conclusions: identification of RLN decrease incidence of RLNI in TT, while there was no significant increase of RLNI in NTT and STT when the nerve was not identified

Facial nerve palsy in mastoid surgery

1997 ◽  
Vol 111 (2) ◽  
pp. 113-116 ◽  
Author(s):  
E. L. K. Nilssen ◽  
P. J. Wormald
Keyword(s):  
At Risk ◽  
Facial Nerve ◽  
Nerve Injury ◽  
Facial Nerve Palsy ◽  
Topical Therapy ◽  
Facial Nerve Injury ◽  
Management Protocol ◽  
Lost To Follow Up ◽  
Mastoid Surgery

AbstractThe risk of facial nerve injury during mastoid surgery has decreased substantially since the advent of the microscope and the otological drill. However, the facial nerve remains at risk during mastoid surgery with the present day incidence suggested to be one per cent. Despite the severity of this complication there are no recent studies that accurately quantify the incidence or discuss its management. The aims of this study were to identify the risk of facial nerve injury for both the specialist as well as the trainee specialist and to review a management protocol for this complication. During the 10-year period from 1985 to 1994, 1024 consecutive mastoidectomies were reviewed. A total of 17 palsies was identified, seven were complete and 10 were incomplete. Of the seven complete palsies, four patients had decompression only and recovered to House Brackmann Grade 2 or better while three patients had decompression and grafting, of these, two were available for follow-up and recovered to House Brackmann Grade 4 only. All the partial palsies, barring one lost to follow-up, who were treated conservatively with pack removal, toilet and topical therapy recovered to House Brackmann Grade 2 or better. A management protocol followed for the above patients is presented and the results analysed. Specific operations and manoeuvres which may put the facial nerve at risk intra-operatively are also discussed.

Coronectomy of mandibular third molar teeth with caries or resorption ‘at‐risk' of inferior dentoalveolar nerve injury

Oral Surgery ◽  
2019 ◽  
Vol 13 (1) ◽  
pp. 4-11
Author(s):  
N. Patel ◽  
D. Patel ◽  
C. Sproat ◽  
K. Beneng ◽  
V. Patel
Keyword(s):  
At Risk ◽  
Nerve Injury ◽  
Third Molar ◽  
Mandibular Third Molar ◽  
Molar Teeth

Case Report: Facial Nerve Bifurcation Noted During Resection of Vestibular Schwannoma

2018 ◽  
Vol 15 (4) ◽  
pp. 36-39 ◽  
Author(s):  
Jennifer D Sokolowski ◽  
Douglas S Ruhl ◽  
Bradley W Kesser ◽  
Ashok R Asthagiri
Keyword(s):  
At Risk ◽  
Case Report ◽  
Facial Nerve ◽  
Nerve Injury ◽  
Vestibular Schwannoma ◽  
Cerebellopontine Angle ◽  
Clinical Presentation ◽  
Anatomic Variations ◽  
Facial Nerve Injury ◽  
Facial Nerve Anatomy

Abstract BACKGROUND AND IMPORTANCE Resection of cerebellopontine angle tumors is challenging because the proximity of the facial nerve puts it at risk of inadvertent injury and subsequent dysfunction. It is critical to consider variations in anatomy and be aware of the potential deviations in the course of the nerve in order to avoid damage. CLINICAL PRESENTATION We present a case of a facial nerve bifurcation identified during resection of a vestibular schwannoma. CONCLUSION This is the only reported case of proximal facial nerve bifurcation. We review what is known about variations in proximal facial nerve anatomy, the rates of facial nerve injury after schwannoma resection, and the importance of neuromonitoring in identifying the nerve and predicting function postoperatively. Ultimately, understanding possible anatomic variations in the nerve is critical to minimize iatrogenic injury during surgery.

Phonological Awareness Screening to Identify At-Risk Readers

1998 ◽  
Vol 29 (2) ◽  
pp. 109-116 ◽  
Author(s):  
Margie Gilbertson ◽  
Ronald K. Bramlett
Keyword(s):  
At Risk ◽  
Phonological Awareness ◽  
Reading Ability ◽  
At Risk Students ◽  
First Grade ◽  
Receptive Vocabulary ◽  
Standardized Assessments ◽  
Cutoff Score ◽  
Invented Spelling ◽  
Reading Measures

The purpose of this study was to investigate informal phonological awareness measures as predictors of first-grade broad reading ability. Subjects were 91 former Head Start students who were administered standardized assessments of cognitive ability and receptive vocabulary, and informal phonological awareness measures during kindergarten and early first grade. Regression analyses indicated that three phonological awareness tasks, Invented Spelling, Categorization, and Blending, were the most predictive of standardized reading measures obtained at the end of first grade. Discriminant analyses indicated that these three phonological awareness tasks correctly identified at-risk students with 92% accuracy. Clinical use of a cutoff score for these measures is suggested, along with general intervention guidelines for practicing clinicians.

Effects of a Supplemental Spanish Phonological Awareness Intervention on Latinx Preschoolers' Dual Language Emergent Literacy Skills

2020 ◽  
Vol 29 (3) ◽  
pp. 1283-1300
Author(s):  
Xigrid T. Soto ◽  
Andres Crucet-Choi ◽  
Howard Goldstein
Keyword(s):  
At Risk ◽  
Phonological Awareness ◽  
Emergent Literacy ◽  
Language Learners ◽  
Literacy Instruction ◽  
Dual Language ◽  
Literacy Skills ◽  
Dual Language Learners ◽  
Probe Design ◽  
Emergent Literacy Skills

Purpose Preschoolers' phonological awareness (PA) and alphabet knowledge (AK) skills are two of the strongest predictors of future reading. Despite evidence that providing at-risk preschoolers with timely emergent literacy interventions can prevent academic difficulties, there is a scarcity of research focusing on Latinx preschoolers who are dual language learners. Despite evidence of benefits of providing Latinxs with Spanish emergent literacy instruction, few studies include preschoolers. This study examined the effects of a supplemental Spanish PA and AK intervention on the dual emergent literacy skills of at-risk Latinx preschoolers. Method A multiple probe design across four units of instruction evaluated the effects of a Spanish supplemental emergent literacy intervention that explicitly facilitated generalizations to English. Four Latinx preschoolers with limited emergent literacy skills in Spanish and English participated in this study. Bilingual researchers delivered scripted lessons targeting PA and AK skills in individual or small groups for 12–17 weeks. Results Children made large gains as each PA skill was introduced into intervention and generalized the PA skills they learned from Spanish to English. They also improved their English initial sound identification skills, a phonemic awareness task, when instruction was delivered in Spanish but with English words. Children made small to moderate gains in their Spanish letter naming and letter–sound correspondence skills and in generalizing this knowledge to English. Conclusion These findings provide preliminary evidence Latinx preschoolers who are dual language learners benefit from emergent literacy instruction that promotes their bilingual and biliterate development.

Reading Risk in Children With Speech Sound Disorder: Prevalence, Persistence, and Predictors

2020 ◽  
Vol 63 (11) ◽  
pp. 3714-3726
Author(s):  
Sherine R. Tambyraja ◽  
Kelly Farquharson ◽  
Laura Justice
Keyword(s):  
At Risk ◽  
Sound Production ◽  
Speech Therapy ◽  
Speech Sound ◽  
Reading Difficulties ◽  
School Age Children ◽  
Speech Sound Disorder ◽  
Word Decoding ◽  
School Year ◽  
School Based

Purpose The purpose of this study was to determine the extent to which school-age children with speech sound disorder (SSD) exhibit concomitant reading difficulties and examine the extent to which phonological processing and speech production abilities are associated with increased likelihood of reading risks. Method Data were obtained from 120 kindergarten, first-grade, and second-grade children who were in receipt of school-based speech therapy services. Children were categorized as being “at risk” for reading difficulties if standardized scores on a word decoding measure were 1 SD or more from the mean. The selected predictors of reading risk included children's rapid automatized naming ability, phonological awareness (PA), and accuracy of speech sound production. Results Descriptive results indicated that just over 25% of children receiving school-based speech therapy for an SSD exhibited concomitant deficits in word decoding and that those exhibiting risk at the beginning of the school year were likely to continue to be at risk at the end of the school year. Results from a hierarchical logistic regression suggested that, after accounting for children's age, general language abilities, and socioeconomic status, both PA and speech sound production abilities were significantly associated with the likelihood of being classified as at risk. Conclusions School-age children with SSD are at increased risk for reading difficulties that are likely to persist throughout an academic year. The severity of phonological deficits, reflected by PA and speech output, may be important indicators of subsequent reading problems.

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