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Facial Nerve Paralysis Causes

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21. Bilateral Facial Paralysis Caused by Temporal Bone Fracture: A Case Report (PubMed)

Bilateral Facial Paralysis Caused by Temporal Bone Fracture: A Case Report Although bilateral facial nerve palsy is a rare condition, its etiology is more detectable than the unilateral type. A temporal bone fracture is one cause of bilateral facial nerve palsy, contributing in 3% of the cases.Here, we report the case of a 35-year-old man complaining of bilateral incomplete eye closure, two weeks after a closed head injury caused by a motor vehicle accident.The high resolution computed (...) tomography findings revealed a bilateral temporal bone fracture line, which extended to the fallopian canal. With regard to treatment, near complete recovery was obvious after two weeks of treatment with oral corticosteroids. Overall, bilateral facial palsy is hard to diagnose; therefore, clinical suspicion and the early detection of facial nerve injuries is necessary for good nerve recovery in temporal bone fractures.

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2016 Archives of trauma research

22. Update on the Ophthalmic Management of Facial Paralysis. (PubMed)

Update on the Ophthalmic Management of Facial Paralysis. Bell's palsy is the most common neurologic condition affecting the cranial nerves. Lagophthalmos, exposure keratopathy, and corneal ulceration are potential complications. In this review, we evaluate various causes of facial paralysis as well as the level 1 evidence supporting the use of a short course of oral steroids for idiopathic Bell's palsy to improve functional outcomes. Various surgical and nonsurgical techniques are also (...) discussed for the management of residual facial dysfunction.Copyright © 2018 Elsevier Inc. All rights reserved.

2018 Survey of Ophthalmology

23. Effects of Mindfulness Meditation on Facial Paralysis Patients

Inclusion Criteria: Patients older than 18 years of age Must have any-cause facial paralysis Exclusion Criteria: Patients younger than 18 years old Non-English speakers Patients without smart-phone access Patients with autism Patients with schizophrenia Patients with an affective psychiatric condition Contacts and Locations Go to Information from the National Library of Medicine To learn more about this study, you or your doctor may contact the study research staff using the contact information provided (...) Effects of Mindfulness Meditation on Facial Paralysis Patients Effects of Mindfulness Meditation on Facial Paralysis Patients - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Effects of Mindfulness

2018 Clinical Trials

24. Effect of Laser Acupuncture Treatment on Chronic Facial Paralysis

on functional outcomes in patients with chronic facial paralysis. Moreover, changes in the S-B facial nerve grading system is also expected to have an improvement. Last, social subscale of FDI is expected to have an improvement. Study Design Go to Layout table for study information Study Type : Interventional (Clinical Trial) Estimated Enrollment : 32 participants Allocation: Randomized Intervention Model: Parallel Assignment Intervention Model Description: Randomized, sham control, double blind pilot study (...) facial nerve grading system will be compared after completing 6 weeks of laser acupuncture therapy. H-B facial nerve grading system includes 6 grades of facial paralysis; normal, mild, moderate, moderate severe, severe and complete paralysis. The study assessor asks the patient to move the facial muscles and then according to the result the assessor decides the grade of paralysis. The evaluations will be performed on the first visit, the 9th visit and 18th visit. The change in the Sunnybrook (S-B

2018 Clinical Trials

25. Lengthening Temporalis Myoplasty and Improvement of Primary Swallowing Disorders in Facial Paralysis

Recruitment Status : Recruiting First Posted : September 15, 2017 Last Update Posted : October 27, 2017 See Sponsor: University Hospital, Tours Information provided by (Responsible Party): University Hospital, Tours Study Details Study Description Go to Brief Summary: The facial paralysis is a frequent disease causing important functionals swallowing dysfunctions. The purpose of our study was to evaluate the improvement of the swallowing disorders after surgery by lengthening temporalis myoplasty (LTM (...) Paralysis Bell Palsy Disease Attributes Pathologic Processes Neurologic Manifestations Nervous System Diseases Signs and Symptoms Esophageal Diseases Gastrointestinal Diseases Digestive System Diseases Pharyngeal Diseases Otorhinolaryngologic Diseases Mouth Diseases Stomatognathic Diseases Herpesviridae Infections DNA Virus Infections Virus Diseases Facial Nerve Diseases Cranial Nerve Diseases

2017 Clinical Trials

26. Recovery of Facial Nerve Paralysis After Temporal Nerve Reconstruction: A Case Report (PubMed)

Recovery of Facial Nerve Paralysis After Temporal Nerve Reconstruction: A Case Report Facial paralysis is common following accidents, trauma, viral infection or tumors.A 24-year-old male patient was referred to us with a history of sharp penetrating trauma to the right temporal region causing unilateral paralysis of the muscles of the right forehead. He was unable to scowl or elevate his right eyebrow and there were no folds on his right forehead. Anastomosis of branches of the temporal nerve (...) was done one month after trauma following regular physical therapy sessions, outcome was good and paralysis of the muscles of the right forehead improved after several months.Immediate repair of the facial nerve injury will improve the process of recovery and rehabilitation of the face and forehead muscles and may play a very important role in the patient's mental satisfaction and improve their quality of life.

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2015 Trauma monthly

27. Idiopathic Non-traumatic Facial Nerve Palsy (Bell’s Palsy) in Neonates; An Atypical Age and Management Dilemma (PubMed)

Idiopathic Non-traumatic Facial Nerve Palsy (Bell’s Palsy) in Neonates; An Atypical Age and Management Dilemma Idiopathic (Bell's) palsy is the commonest cause of unilateral facial paralysis in children. Although being idiopathic by definition, possible infectious, inflammatory, and ischemic triggers have been suggested. Bell's palsy is thought to be responsible for up to three-fourths of cases of acute unilateral facial paralysis worldwide. The diagnosis has to be reached after other causes (...) of acute peripheral palsy have been excluded. However, it is rarely described in neonates and young infants. Steroids may have some role in treatment, but antiviral therapies have doubtful evidence of benefit. Prognosis is good, though residual dysfunction is occasionally encountered. We report the case of a two-week-old neonate with no prior illnesses who presented with acute left facial palsy. Clinical findings and normal brain imaging were consistent with the diagnosis of Bell's palsy. The patient

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2018 Oman medical journal

28. Facial nerve paralysis in children (PubMed)

Facial nerve paralysis in children Facial nerve palsy is a condition with several implications, particularly when occurring in childhood. It represents a serious clinical problem as it causes significant concerns in doctors because of its etiology, its treatment options and its outcome, as well as in little patients and their parents, because of functional and aesthetic outcomes. There are several described causes of facial nerve paralysis in children, as it can be congenital (due to delivery (...) traumas and genetic or malformative diseases) or acquired (due to infective, inflammatory, neoplastic, traumatic or iatrogenic causes). Nonetheless, in approximately 40%-75% of the cases, the cause of unilateral facial paralysis still remains idiopathic. A careful diagnostic workout and differential diagnosis are particularly recommended in case of pediatric facial nerve palsy, in order to establish the most appropriate treatment, as the therapeutic approach differs in relation to the etiology.

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2015 World journal of clinical cases

29. Transtympanic Facial Nerve Paralysis: A Review of the Literature (PubMed)

sustained this type of injury by suggesting an optimal management plan. In this case report, we present the case of a 46-year-old white woman who sustained a unilateral facial nerve paresis because of a garfish penetrating her tympanic membrane and causing direct damage to the tympanic portion of her facial nerve. On follow-up after 12 months, her facial nerve function has largely returned to normal. Transtympanic facial nerve paralysis is a rare injury but can have a favorable prognosis if managed (...) Transtympanic Facial Nerve Paralysis: A Review of the Literature Facial nerve paralysis because of penetrating trauma through the external auditory canal is extremely rare, with a paucity of published literature. The objective of this study is to review the literature on transtympanic facial nerve paralysis and increase physician awareness of this uncommon injury through discussion of its clinical presentation, management and prognosis. We also aim to improve patient outcomes in those that have

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2015 Plastic and Reconstructive Surgery Global Open

30. Clinical Efficacy of Electroneurography in Acute Facial Paralysis (PubMed)

Clinical Efficacy of Electroneurography in Acute Facial Paralysis The estimated incidence of acute facial paralysis is approximately 30 patients per 100000 populations annually. Facial paralysis is an extremely frightening situation and gives extreme stress to patients because obvious disfiguring face may cause significant functional, aesthetic, and psychological disturbances. For stressful patients with acute facial paralysis, it is very important for clinicians to answer the questions like (...) . In particular, electroneurography is the only objective measure that is useful in early stage of acute facial paralysis. In this review article, we first discuss the pathophysiology of injured peripheral nerve. And then, we describe about various electrophysiologic tests and discuss the electroneurography extensively.

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2016 Journal of Audiology & Otology

31. Corticosteroids for Bell's palsy (idiopathic facial paralysis). (PubMed)

Corticosteroids for Bell's palsy (idiopathic facial paralysis). Inflammation and oedema of the facial nerve are implicated in causing Bell's palsy. Corticosteroids have a potent anti-inflammatory action that should minimise nerve damage. This is an update of a review first published in 2002 and last updated in 2010.To determine the effectiveness and safety of corticosteroid therapy in people with Bell's palsy.On 4 March 2016, we searched the Cochrane Neuromuscular Specialised Register (...) no therapy considered effective for this condition, unless the same therapy was given in a similar way to the experimental group.We used standard Cochrane methodology. The main outcome of interest was incomplete recovery of facial motor function (i.e. residual facial weakness). Secondary outcomes were cosmetically disabling persistent sequelae, development of motor synkinesis or autonomic dysfunction (i.e. hemifacial spasm, crocodile tears) and adverse effects of corticosteroid therapy manifested during

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2016 The Cochrane database of systematic reviews

32. Transient facial nerve paralysis (Bell's palsy) following administration of hepatitis B recombinant vaccine: a case report. (PubMed)

Transient facial nerve paralysis (Bell's palsy) following administration of hepatitis B recombinant vaccine: a case report. Bell's palsy is the sudden onset of unilateral transient paralysis of facial muscles resulting from dysfunction of the seventh cranial nerve. Presented here is a 26-year-old female patient with right lower motor neurone facial palsy following hepatitis B vaccination. Readers' attention is drawn to an uncommon cause of Bell's palsy, as a possible rare complication

2014 British Dental Journal

33. Intratympanic Stereoidal Injections for Facial Nerve Palsy

loss is well rehearsed in many practices, similar management of facial nerve palsy due to Bell's phenomenon is rare and a few researches have been conducted regarding the subject. In this research we suggest intratympanic injections for these patients as a treatment for Bell's palsy. Condition or disease Intervention/treatment Phase Bell Palsy Drug: Dexamethasone Not Applicable Detailed Description: Bell's palsy is defined as a facial nerve paralysis without any other known diagnosis or cause .Its (...) Center Information provided by (Responsible Party): Hillel Yaffe Medical Center Study Details Study Description Go to Brief Summary: Bell's palsy is defined as a facial nerve palsy without any other known cause. The common practice for this disease consists of the use of oral steroids. Such treatment can cause harm to people who have disabilities or prior conditions such as pregnancies, diabetes, obesity and/or high blood pressure. While the use of intratympanic injection for sudden sensory hearing

2017 Clinical Trials

34. Microcystic adnexal carcinoma (MAC)-like squamous cell carcinoma as a differential diagnosis to Bell´s palsy: review of guidelines for refractory facial nerve palsy (PubMed)

Microcystic adnexal carcinoma (MAC)-like squamous cell carcinoma as a differential diagnosis to Bell´s palsy: review of guidelines for refractory facial nerve palsy Bell´s palsy is the most common cause of facial paralysis worldwide and the most common disorder of the cranial nerves. It is a diagnosis of exclusion, accounting for 60-75% of all acquired peripheral facial nerve palsies. Our case shows the first case of a microcystic adnexal carcinoma-like squamous cell carcinoma as a cause (...) of facial nerve palsy.The patient, a 70-year-old Caucasian male, experienced subsequent functional impairment of the trigeminal and the glossopharyngeal nerve about 1½ years after refractory facial nerve palsy. An extensive clinical work-up and tissue biopsy of the surrounding parotid gland tissue was not able to determine the cause of the paralysis. Primary infiltration of the facial nerve with subsequent spreading to the trigeminal and glossopharyngeal nerve via neuroanastomoses was suspected. After

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2017 Journal of Otolaryngology - Head & Neck Surgery

35. Facial Nerve Paralysis, Static Reconstruction

Facial Nerve Paralysis, Static Reconstruction Static Reconstruction for Facial Nerve Paralysis: Overview, Indications, Clinical Presentation Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTI4OTM0OC1vdmVydmlldw (...) == processing > Static Reconstruction for Facial Nerve Paralysis Updated: Nov 17, 2015 Author: Dean R Cerio, MD; Chief Editor: Jorge I de la Torre, MD, FACS Share Email Print Feedback Close Sections Sections Static Reconstruction for Facial Nerve Paralysis Overview Overview Facial paralysis is a debilitating condition that is often associated with dramatic functional, psychological, and cosmetic sequelae. Varied functional deficits pose significant physiologic challenges. The inability to express oneself

2014 eMedicine Surgery

36. Facial Nerve Paralysis, Dynamic Reconstruction

etiologies (17%). The study included almost 2000 patient records. [ ] Bell palsy , an idiopathic form of facial paralysis, is a diagnosis of exclusion. Eighty percent of patients with facial paralysis suffer from Bell palsy. (Trauma is the second most common cause of facial paralysis.) Eighty-five percent of these patients begin to recover nerve function spontaneously within 3 weeks of onset; the other 15% do not have any movement for 3-6 months. If the patient has Bell palsy, the potential for complete (...) Facial Nerve Paralysis, Dynamic Reconstruction Dynamic Reconstruction for Facial Nerve Paralysis: Overview, Anatomy of the Facial Nerve, Etiology in Prognosis and Treatment Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache

2014 eMedicine Surgery

37. Facial Nerve Paralysis

to facial nerve paralysis, most often correlated to acute otitis media or externa. Slow-onset facial nerve palsy is observed in patients with cholesteatoma. Noninfectious causes Noninfectious causes of facial nerve palsy include head trauma affecting the intracranial intratemporal course of the facial nerve or, less commonly, the infratemporal course, as seen in facial blunt or sharp injury. [ ] Iatrogenic injury to the facial nerve most often is seen after cervicofacial rhytidectomies, surgery (...) vicinity of the facial nerve often are concomitant with facial nerve palsy. In general, gradual onset of paralysis may lead to suspicion of a tumor as the cause. However, several authors have demonstrated a sudden onset of facial nerve palsy in patients with tumors (20-27%). [ , ] Summary of causes The causes of facial nerve palsy are summarized in Table 1, below. Table 1. Causes of Facial Nerve Palsy in a Review of Medical Literature (1900-1990)* Birth Molding Forceps delivery Dystrophia myotonica

2014 eMedicine Surgery

38. Facial Nerve Paralysis Causes

Facial Nerve Paralysis Causes Facial Nerve Paralysis Causes Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Facial Nerve Paralysis (...) Causes Facial Nerve Paralysis Causes Aka: Facial Nerve Paralysis Causes , Cranial Nerve 7 Paralysis Causes , Bell's Palsy Differential Diagnosis From Related Chapters II. Causes: General is idiopathic Below are listed other causes of III. Causes: Common Peripheral nerve causes (Facial muscle paralysis with forehead affected) Otits Media or Autoimmune (e.g. , typically bilateral) Head or Lesion (e.g. ) Central/Supranuclear causes (Facial muscle paralysis with forehead spared) Cerebral mass lesion (e.g

2015 FP Notebook

39. Peripheral facial paralysis

sclerosis). Assess whether the facial paralysis has a central or a peripheral cause. With a central cause, only the lower half of the facial musculature is affected. Assessment: ? asymmetry of the face; ? function of the facial musculature; ? function of the other cranial nerves; ? coordination and strength of arms and legs; ? meningeal irritation (e.g. neck stiffness). If peripheral facial paralysis is diagnosed, then examine: ? the ear, the auditory canal and the mucous membranes of mouth and tongue (...) to a neurologist: - if there is a suspicion of a central cause of the facial paralysis; - if there is a failure of multiple cranial nerves; - if there are neurological alarm symptoms. ? Refer to an ENT physician: - if a cause of the facial paralysis cannot be sufficiently ruled out; - if there are ENT alarm symptoms; - if recovery has not started within one month or in the event of insufficient recovery after three months. ? Refer to ophthalmologist as an emergency in the event of redness, pain in the eye

2010 Dutch College of General Practitioners (NHG)

40. Facial Nerve Laceration and its Repair (PubMed)

Facial Nerve Laceration and its Repair Facial paralysis is a devastating condition with profound functional, aesthetic and psychosocial consequences. Tumors within or outside the skull, Bell's palsy and trauma are the most common causes of facial paralysis in adults.Our patient was a 35-year-old man with deep laceration wounds. The patient was taken to the operating room and the nerves were repaired. We observed gradual improvement of muscle performance except branches of the frontal (...) nerve.Complete rupture of the facial nerve is challenging and the treatment is surgery, which requires careful planning.

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2016 Trauma monthly

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