Probability assessment of facial nerve injury in children and adolescents during the elective maxillofacial surgery

2021 ◽  
Vol 21 (1) ◽  
pp. 32-34
Author(s):  
O. Z. Topolnitsky ◽  
E. D. Askerov
Keyword(s):  
Facial Nerve ◽  
Children And Adolescents ◽  
Nerve Injury ◽  
Maxillofacial Surgery ◽  
Childhood And Adolescence ◽  
Legal Problem ◽  
Facial Nerve Injury ◽  
Risk Of Injury ◽  
Complex Anatomy ◽  
Clinical Center

Relevance. Various factors can cause facial neuropathy. Iatrogenic facial nerve injury in childhood and adolescence is a complicated medical, psychological and legal problem. Risk assessment of the facial nerve injury during the elective maxillofacial surgeries is required depending on the localization of the procedure. The statistical assessment is very important for the evaluation of the possible iatrogenic facial neuropathy in children and adolescents during the elective maxillofacial surgeries.Materials and methods. 715 medical records for 2017 from the Department of Pediatric Maxillofacial Surgery of the MSUMD Clinical Center for Maxillofacial, Reconstructive and Plastic Surgery were analyzed.Results. There was a risk of injury to the trunk or branches of the facial nerve during surgery in 121 cases (16,9%) for the technical complexity of the surgical approach and the pathology location.Conclusions. There is a high risk of the facial nerve injury during the elective maxillofacial surgery in children and adolescents due to the complex anatomy of the area. Intraoperative neuromonitoring is recommended to prevent iatrogenic neuropathy of the facial nerve.

scholarly journals Condylar Neck and Sub-Condylar Fractures: Surgical Consideration and Evolution of the Technique with Short Follow-Up on Five Cases

2020 ◽  
Vol 8 (4) ◽  
pp. 125
Author(s):  
Antonio Cortese ◽  
Antonio Borri ◽  
Marco Bergaminelli ◽  
Fabrizio Bergaminelli ◽  
Pier Paolo Claudio
Keyword(s):  
Facial Nerve ◽  
Nerve Injury ◽  
Maxillofacial Surgery ◽  
Complete Healing ◽  
Oblique View ◽  
Facial Nerve Injury ◽  
Intraoral Approach ◽  
Soft Tissue Dissection ◽  
Condylar Fractures ◽  
Condylar Neck

Condylar neck and sub-condylar fractures of the mandible are a frequent occurrence in maxillofacial surgery. The indication for surgical treatment of these fractures has changed over time, and several techniques have been developed with different results in the attempt to avoid the most worrisome adverse event, i.e., facial nerve injury. In this study, we present a new technique that combines an intraoral and a cutaneous pre-auricular access, which allows for easy and safe access to the surgical site, preventing facial nerve injury and avoiding surgical scars in high-impact aesthetic areas of the neck. Five consecutive patients affected by condylar neck or sub-condylar fractures were treated at a single institution using a combined intraoral and pre-auricular access. Results were evaluated after three months from surgery in terms of mandibular mobility, occurrence of complications, and patient’s satisfaction. All five patients had good outcome, with complete healing of the fracture and no occurrence of complications, including no facial nerve palsy. A key point of the technique is the safe reduction of the two mandibular fragments realized by a combined intraoral and a cutaneous pre-auricular surgical access. The periosteal plan of the ramus can be widely and safely elevated with the intraoral approach and connected to the condylar bone plane by the pre-auricular cutaneous approach without any need for soft tissue dissection at the fracture rim, thereby avoiding facial nerve injuries. Wide ramus periosteum elevation creates an “optical space”, allowing fragment reduction and fixation under direct oblique view without any endoscopic need. Our results strongly suggest that with our technique it is possible to treat sub-condylar and condylar neck fractures safely, avoiding facial nerve injury, which is an unacceptable complication due to its heavy impact on a patient’s life.

Stimulation of Trigeminal Afferents Improves Motor Recovery After Facial Nerve Injury

2013 ◽  
Author(s):  
Emmanouil Skouras ◽  
Stoyan Pavlov ◽  
Habib Bendella ◽  
Doychin N. Angelov
Keyword(s):  
Facial Nerve ◽  
Nerve Injury ◽  
Motor Recovery ◽  
Facial Nerve Injury ◽  
Stimulation Of

scholarly journals Change in NT-4 Expression in Response to Facial Nerve Injury

2010 ◽  
Vol 143 (2_suppl) ◽  
pp. P225-P225
Author(s):  
Chen Qin ◽  
Haibo Wang
Keyword(s):  
Facial Nerve ◽  
Nerve Injury ◽  
Facial Nerve Injury

Schwannoma of the Zygomatic Branch of the Facial Nerve

2021 ◽  
pp. 014556132110412
Author(s):  
Adamantios Kilmpasanis ◽  
Nikolaos Tsetsos ◽  
Alexandros Poutoglidis ◽  
Aikaterini Tsentemeidou ◽  
Sotiria Sotiroudi ◽  
...  
Keyword(s):  
Facial Nerve ◽  
Nerve Injury ◽  
Rare Case ◽  
Facial Nerve Injury ◽  
Presenting Symptoms ◽  
Nerve Tumor ◽  
The Right ◽  
Facial Nerve Schwannoma

Significance Statement Facial nerve schwannoma is extremely uncommon. Despite its rarity, it is considered the most common facial nerve tumor and potentially affects any segment of the nerve. Presenting symptoms vary depending on the location of the neoplasm. Tumors pertaining to the extratemporal course of the nerve mainly appear as an asymptomatic parotid mass. We present a rare case of schwannoma of the zygomatic branch of the right facial nerve that was surgically resected, without facial nerve injury.

scholarly journals Potential Neuroprotective Agents for Facial Nerve Injury

2010 ◽  
Vol 143 (2_suppl) ◽  
pp. P152-P153
Author(s):  
Kalpesh Vakharia ◽  
Robin Lindsay ◽  
Christopher Knox ◽  
Douglas Henstrom ◽  
Tessa Hadlock
Keyword(s):  
Facial Nerve ◽  
Nerve Injury ◽  
Neuroprotective Agents ◽  
Facial Nerve Injury
Sign in / Sign up

Export Citation Format

Share Document