scholarly journals Pediatric facial reanimation: An algorithmic approach and systematic review

2020 ◽  
Vol 47 (5) ◽  
pp. 382-391
Author(s):  
Paul J. Deramo ◽  
Matthew R. Greives ◽  
Phuong D. Nguyen
Keyword(s):  
Facial Palsy ◽  
Clinical Presentation ◽  
Growth Potential ◽  
Algorithmic Approach ◽  
Facial Reanimation ◽  
Surgical Options ◽  
Tailored Approach ◽  
And Function ◽  
Technical Considerations ◽  
Future Growth

Facial palsy has a broad clinical presentation and the effects on psychosocial interaction and facial functions can be devastating. Pediatric facial palsy, in particular, introduces unique familial and technical considerations as anatomy, future growth potential, and patient participation influence treatment planning. Though some etiologies of pediatric facial palsy are self-limiting, congenital and long-standing facial palsies pose difficult challenges that require a combination of surgical, adjunctive, and rehabilitative techniques to achieve facial reanimation. Given the spectrum of ages and symptom severity, as well as the various surgical options available for facial palsy, a tailored approach needs to be developed for each child to restore facial balance and function. Here, we review the etiologies, workup, and treatment of pediatric facial palsy and present our novel algorithmic approach to treatment.

China's Productivity Slowdown and Future Growth Potential

2020 ◽  
Author(s):  
Loren Brandt ◽  
John Litwack ◽  
Elitza Mileva ◽  
Luhang Wang ◽  
Yifan Zhang ◽  
...  
Keyword(s):  
Growth Potential ◽  
Productivity Slowdown ◽  
Future Growth

scholarly journals A Challenging Case of a Physeal Bar Endoscopic-Assisted Resection in a Short Stature Child: Case Report and Literature Review

2021 ◽  
pp. 115-120
Author(s):  
Melanie Ribau ◽  
Mário Baptista ◽  
Nuno Oliveira ◽  
Bruno Direito Santos ◽  
Pedro Varanda ◽  
...  
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Short Stature ◽  
Clinical Presentation ◽  
Normal Growth ◽  
Limb Length Discrepancy ◽  
Complete Excision ◽  
Physeal Bar ◽  
Surgical Options ◽  
The Ideal

Partial physeal bars may develop after injury to the growth plate in children, eventually leading to disturbance of normal growth. Clinical presentation, age of the patient, and the anticipated growth will dictate the best treatment strategy. The ideal treatment for a partial physeal bar is complete excision to allow growth resumption by the remaining healthy physis. There are countless surgical options, some technically challenging, that must be weighted according to each case’s particularities. We reviewed the current literature on physeal bars while reporting the challenging case of a short stature child submitted to a femoral physeal bar endoscopic-assisted resection with successful growth resumption. This case dares surgeons to consider all options when treating limb length discrepancy, such as the endoscopic-assisted resection which might offer successful results.

Farm Diversification: Drivers, Barriers and Future Growth Potential

EuroChoices ◽  
2020 ◽  
Author(s):  
Claire Jack ◽  
Austen Ashfield ◽  
Adewale Henry Adenuga ◽  
Conall Mullan
Keyword(s):  
Growth Potential ◽  
Farm Diversification ◽  
Future Growth

scholarly journals Unleashing The Growth Potential Of Indian MSME Sector

2017 ◽  
Vol 20 (2) ◽  
pp. 35-52 ◽  
Author(s):  
Sumanjeet Singh ◽  
Minakshi Paliwal
Keyword(s):  
Economic Growth ◽  
Economic Structure ◽  
Total Export ◽  
Growth Potential ◽  
High Tech ◽  
Policy Measures ◽  
The Government ◽  
Future Growth ◽  
Innovation And Entrepreneurship

The MSME sector occupies a position of strategic significance in the Indian economic structure. This sector contributes nearly eight per cent to country’s GDP, employing over 80 million people in nearly 36 million widely-dispersed enterprises across the country; accounting for 45 per cent of manufactured output, 40 per cent of the country’s total export, and producing more than 8000 valueadded products ranging from traditional to high-tech. Furthermore, these enterprises are the nurseries for innovation and entrepreneurship, which will be key to the future growth of India. It is also an acknowledged fact that this sector can help realise the target of the proposed National Manufacturing Policy to enhance the share of manufacturing in GDP to 25 per cent and to create 100 million jobs by the end of 2022, as well as to foster growth and take India from its present two trillion dollar economy to a 20 trillion dollar economy. Despite the sector’s high enthusiasm and inherent capabilities to grow, its growth story still faces a number of challenges. In this light, the present paper examines the role of Indian MSMEs in India’s economic growth and explores various problems faced by the sector. The paper also attempts to discuss various policy measures undertaken by the Government to strengthen Indian MSMEs. Finally, the paper proposes strategies aimed at strengthening the sector to enable it to unleash its growth potential and help make India a 20 trillion dollar economy.

scholarly journals Facial reanimation with masseter nerve–innervated free gracilis muscle transfer in established facial palsy patients

2019 ◽  
Vol 46 (2) ◽  
pp. 122-128 ◽  
Author(s):  
Tae Suk Oh ◽  
Hyung Bae Kim ◽  
Jong Woo Choi ◽  
Woo Shik Jeong
Keyword(s):  
Facial Palsy ◽  
Gracilis Muscle ◽  
Muscle Transfer ◽  
Facial Reanimation

scholarly journals Facial reanimation by hypoglossal-facial neurorrhaphy

2014 ◽  
Vol 33 (01) ◽  
pp. 17-21
Author(s):  
Yvens Barbosa Fernandes ◽  
Ricardo Ramina ◽  
Hélio Sérgio Fernandes Cyrino ◽  
Marcílio Silva Prôa Júnior
Keyword(s):  
Retrospective Study ◽  
Facial Nerve ◽  
Facial Palsy ◽  
Vestibular Schwannomas ◽  
Surgical Results ◽  
Good Outcome ◽  
Facial Reanimation ◽  
Radical Removal ◽  
One Year

Abstract Objective: Facial palsy may still occur after removal of large vestibular schwannomas. The aim of this paper is to describe the outcome of patients submitted to facial reanimation and make a concise revision about modern techniques available to reanimate a paralyzed face. Methods: A retrospective study of was performed about the surgical results of 12 patients submitted to hypoglossal-facial neurorrhaphy. These patients were submitted to radical removal of large vestibular schwannomas (> 3 cm) before and anatomic preservation of the facial nerve was not possible. Results: In 10 cases (83%) patients had a good outcome with House-Brackmann facial grading III. In two other cases the facial grading was IV and VI. All patients were follow-up for at least one year after the reanimation procedure. Conclusion: Hypoglossal-facial neurorrhaphy is a very useful technique to restore facial symmetry and minimize the sequela of a paralyzed face. Long last palsy seemed to be the main reason of poor outcome in two cases.

Total vs. partial aponeurectomy for Dupuytren’s contracture — A literature review

Open Medicine ◽  
2010 ◽  
Vol 5 (1) ◽  
pp. 1-5 ◽  
Author(s):  
Astrid Högemann ◽  
Daniel Kendoff ◽  
Ulrich Wolfhard ◽  
Patrick O’Loughlin ◽  
Lucien Olivier
Keyword(s):  
Recurrent Disease ◽  
Early Stage ◽  
Meta Analysis ◽  
Surgical Techniques ◽  
Review Article ◽  
Surgical Indications ◽  
Hand Dexterity ◽  
Surgical Options ◽  
Partial Fasciectomy ◽  
And Function

AbstractThe etiology of Dupuytren’s disease is controversial and thus the disease can only be treated when it presents with symptoms to warrant intervention. Surgical treatment is the method of choice to preserve hand dexterity and function. It is advisable to perform surgery at an early stage of disease progression, but various surgical techniques have been advocated. A partial fasciectomy is recommend by many authors, whereas a total aponeurectomy, where all palmar tissue is removed, might reduce the risk of recurrent disease due to the widespread removal of aponeurosis. The total aponeurectomy is performed less frequently due to the potential complications of this technique. In order to achieve an objective comparison of both surgical options we performed a literature meta-analysis, involving a comparison of surgical indications, results and complications following partial and total aponeurectomy, which are described in detail within this review article.

scholarly journals Pisotriquetral Pain Treated with Bilateral Pisiform Excision in a Collegiate Diver

2018 ◽  
Vol 07 (05) ◽  
pp. 415-418
Author(s):  
Nathan Rietberg ◽  
Matthew Brown ◽  
Steven Haase
Keyword(s):  
Corticosteroid Injection ◽  
Weight Bearing ◽  
Wrist Pain ◽  
Return To Play ◽  
Full Weight Bearing ◽  
Full Time ◽  
Surgical Options ◽  
Magnetic Resonance Imaging Mri ◽  
And Function ◽  
High Degree

Background Pisiform excision and pisotriquetral arthrodesis are two surgical options for the treatment of pisotriquetral joint pain when conservative methods fail. However, it is unclear which option is best for patients who experience substantial, repetitive loading on their wrists and wish to preserve wrist flexibility and function. Case Description We present a case of bilateral ulnar-sided wrist pain related to the pisotriquetral joint in a 19-year-old collegiate diver. The pain was exacerbated by activities specific to this sport that requires wrist hyperextension, namely full weight-bearing on the hands (handstands), and has an impact on the hands and wrists upon water entry during dives due to direct palmar pressure. There were no radiographic signs of arthritis; however, there were bone marrow changes on magnetic resonance imaging (MRI). Management with rest, splinting, and corticosteroid injection failed to relieve the pain and precluded his ability to return to full-time diving. Treatment consisted of bilateral pisiform excision. Postoperatively, the patient returned to full-time competitive diving with resolution of his painful symptoms. Literature Review Pisiform excision has been shown to have successful outcomes in terms of return to play for lower impact athletes (such as badminton) but has not been reported in athletes who experience a high degree of force repetitively (such as gymnasts or divers). There is one report of pisotriquetral arthrodesis in a young gymnast with suboptimal results. Clinical Relevance This case report demonstrates that pisiform excision is a successful treatment for elite athletes who experience repetitive, palmar force on hyperextended wrists and subsequently develop ulnar-sided wrist pain.

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