scholarly journals ROLE OF ELECTRICAL STIMULATION ADDED TO CONVENTIONAL THERAPY IN PATIENTS WITH TRAUMATIC FACIAL PALSY

2021 ◽  
Vol Volume 9 (upjohns/volume9/Issue2) ◽  
pp. 37-43
Author(s):  
Sumit Sharma
Keyword(s):  
Electrical Stimulation ◽  
Facial Nerve ◽  
Nerve Injury ◽  
Systematic Reviews ◽  
Facial Palsy ◽  
Nerve Palsy ◽  
Facial Nerve Palsy ◽  
Psychological Impact ◽  
Facial Nerve Injury ◽  
Randomised Controlled

ABSTRACT Background: Facial nerve palsy can have ophthalmological, Otological, rhinological, taste, and swallowing consequences, in addition to the psychological impact of altered facial expression. Electrical Stimulation (ES) is one of the most debatable and non-evidence-based adjunctive therapies for facial palsy. MATERIAL/METHODS We retrieved the literature on ES in facial nerve injury using the Cochrane Database of Systematic Reviews, PubMed, and Google Scholar. Emphasis was placed on articles and randomised controlled trials (RCTs) published within the last 20 years. Results: The reviewed studies, clinical trials and systematic reviews did not support ES due to a lack of quality evidence to support significant b e n e fi t o r h a r m fr o m E S . T h e v a ri e d methodologies used and the small number of subjects included in the studies could not wholly prove the efficacy of electrotherapy for treating facial nerve injury. CONCLUSION T h o u g h m a n y s t u d i e s h a v e r e p o rt e d improvement of facial movement or function following ES for facial nerve injury, substantial evidence supporting the use of ES in facial palsy is lacking; well-designed rigorous research is required. KEYWORDS Electrical Stimulation, Facial Nerve Palsy, Facial Paralysis

Facial nerve injury in acoustic neuroma (vestibular schwannoma) surgery: etiology and prevention

1998 ◽  
Vol 5 (3) ◽  
pp. E8 ◽  
Author(s):  
Prakash Sampath ◽  
Michael J. Holliday ◽  
Henry Brem ◽  
John K. Niparko ◽  
Donlin M. Long
Keyword(s):  
Facial Nerve ◽  
Nerve Injury ◽  
Acoustic Neuroma ◽  
Postoperative Period ◽  
Nerve Palsy ◽  
Facial Nerve Palsy ◽  
Nerve Function ◽  
Facial Nerve Function ◽  
Facial Nerve Injury ◽  
Acoustic Neuroma Surgery

Facial nerve injury associated with acoustic neuroma surgery has declined in incidence but remains a clinical concern. A retrospective analysis of 611 patients surgically treated for acoustic neuroma between 1973 and 1994 was undertaken to understand patterns of facial nerve injury more clearly and to identify factors that influence facial nerve outcome. Anatomical preservation of the facial nerve was achieved in 596 patients (97.5%). In the immediate postoperative period, 62.1% of patients displayed normal or near-normal facial nerve function (House-Brackmann Grade 1 or 2). This number rose to 85.3% of patients at 6 months after surgery and by 1 year, 89.7% of patients who had undergone acoustic neuroma surgery demonstrated normal or near-normal facial nerve function. The surgical approach appeared to have no effect on the incidence of facial nerve injury. Poor facial nerve outcome (House-Brackmann Grade 5 or 6) was seen in 1.58% of patients treated via the suboccipital approach and in 2.6% of patients treated via the translabyrinthine approach. When facial nerve outcome was examined with respect to tumor size, there clearly was an increased incidence of facial nerve palsy seen in the immediate postoperative period in cases of larger tumors: 60.8% of patients with tumors smaller than 2.5 cm had normal facial nerve function, whereas only 37.5% of patients with tumors larger than 4 cm had normal function. This difference was less pronounced, however, 6 months after surgery, when 92.1% of patients with tumors smaller than 2.5 cm had normal or near normal facial function, versus 75% of patients with tumors larger than 4 cm. The etiology of facial nerve injury is discussed with emphasis on the pathophysiology of facial nerve palsy. In addition, on the basis of the authors' experience with these complex tumors, techniques of preventing facial nerve injury are discussed.

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

2021 ◽  
Vol 16 (2) ◽  
pp. 87-95
Author(s):  
Yunha Lee ◽  
Jiwon Chai ◽  
Dongjoo Choi ◽  
Seunghyeok Ku ◽  
SungHyun Kim ◽  
...  
Keyword(s):  
Facial Nerve ◽  
Facial Palsy ◽  
Nerve Palsy ◽  
Facial Nerve Palsy ◽  
Case Reports ◽  
Korean Medicine

Accelerating functional recovery after rat facial nerve injury: Effects of gonadal steroids and electrical stimulation

2008 ◽  
Vol 139 (1) ◽  
pp. 62-67 ◽  
Author(s):  
Laura E. T. Hetzler ◽  
Nijee Sharma ◽  
Lisa Tanzer ◽  
Robert D. Wurster ◽  
John Leonetti ◽  
...  
Keyword(s):  
Electrical Stimulation ◽  
Facial Nerve ◽  
Nerve Injury ◽  
Functional Recovery ◽  
Gonadal Steroids ◽  
Facial Nerve Injury

Facial muscle reanimation by transcutaneous electrical stimulation for peripheral facial nerve palsy

2019 ◽  
Vol 43 (3) ◽  
pp. 155-164 ◽  
Author(s):  
Eeva Mäkelä ◽  
Hanna Venesvirta ◽  
Mirja Ilves ◽  
Jani Lylykangas ◽  
Ville Rantanen ◽  
...  
Keyword(s):  
Electrical Stimulation ◽  
Facial Nerve ◽  
Nerve Palsy ◽  
Facial Nerve Palsy ◽  
Transcutaneous Electrical Stimulation ◽  
Facial Muscle ◽  
Peripheral Facial Nerve Palsy

A case report of facial nerve palsy associated with chickenpox

1994 ◽  
Vol 108 (8) ◽  
pp. 676-678 ◽  
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.

scholarly journals Ionophoresis and LASER applications in facial nerve palsy

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,

scholarly journals Bilateral facial palsy in an adult with chickenpox

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>

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

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.

Facial palsy: aetiology, diagnosis and management

Dental Update ◽  
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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