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Orbicularis Oris

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161. Birth Trauma (Treatment)

of the facial muscles, unilateral absence of the orbicularis oris muscle, and intracranial hemorrhage. Management and recovery Most infants begin to recover in the first week, but full resolution may take several months. Palsy that is due to trauma usually resolves or improves, whereas palsy that persists is often due to absence of the nerve. Management consists of protecting the open eye with patches and synthetic tears (methylcellulose drops) every 4 hours. Consultation with a neurologist and a surgeon

2014 eMedicine Pediatrics

162. Pierre Robin Malformation (Treatment)

obstruction. [ , ] Infants with PRS also have difficulties with feeding. A cleft palate prevents production of the negative pressure necessary for sucking during breastfeeding. In addition, because of an abnormal jaw position, a baby with a small mandible usually has difficulties contracting its orbicularis oris muscle and squeezing the mother's nipple. In cleft palate, a wide communication between the oral and nasal cavities creates a risk of choking and other feeding problems. In deformational PRS

2014 eMedicine Pediatrics

163. Human Bites (Follow-up)

may be reconstructed with mucosal advancement flaps. Wounds measuring up to a third of the length of the lip may be closed by using a wedge or chevron excision and approximating the 2 cut edges. [ ] Perform muscular reapproximation of the orbicularis oris with interrupted, buried, absorbable sutures to assure continuity of the sphincteric muscular ring. Small (< 1.5 cm 2 ) lip segments have been successfully replanted as composite grafts when a segment of lip has been amputated and is available

2014 eMedicine Pediatrics

164. Cleft Lip and Palate (Treatment)

in FOXF2 gene in an Asian population. Birth Defects Res A Clin Mol Teratol . 2015 Oct. 103 (10):857-62. . Marazita ML. Subclinical features in non-syndromic cleft lip with or without cleft palate (CL/P): review of the evidence that subepithelial orbicularis oris muscle defects are part of an expanded phenotype for CL/P. Orthod Craniofac Res . 2007 May. 10(2):82-7. . Rogers CR, Weinberg SM, Smith TD, Deleyiannis FW, Mooney MP, Marazita ML. Anatomical basis for apparent subepithelial cleft lip (...) : a histological and ultrasonographic survey of the orbicularis oris muscle. Cleft Palate Craniofac J . 2008 Sep. 45(5):518-24. . Suzuki S, Marazita ML, Cooper ME, et al. Mutations in BMP4 are associated with subepithelial, microform, and overt cleft lip. Am J Hum Genet . 2009 Mar. 84(3):406-11. . Croen LA, Shaw GM, Wasserman CR, Tolarová MM. Racial and ethnic variations in the prevalence of orofacial clefts in California, 1983-1992. Am J Med Genet . 1998 Aug 27. 79 (1):42-7. . Tolarova M. Significance

2014 eMedicine Pediatrics

165. Birth Trauma (Follow-up)

of the facial muscles, unilateral absence of the orbicularis oris muscle, and intracranial hemorrhage. Management and recovery Most infants begin to recover in the first week, but full resolution may take several months. Palsy that is due to trauma usually resolves or improves, whereas palsy that persists is often due to absence of the nerve. Management consists of protecting the open eye with patches and synthetic tears (methylcellulose drops) every 4 hours. Consultation with a neurologist and a surgeon

2014 eMedicine Pediatrics

166. Pierre Robin Malformation (Follow-up)

obstruction. [ , ] Infants with PRS also have difficulties with feeding. A cleft palate prevents production of the negative pressure necessary for sucking during breastfeeding. In addition, because of an abnormal jaw position, a baby with a small mandible usually has difficulties contracting its orbicularis oris muscle and squeezing the mother's nipple. In cleft palate, a wide communication between the oral and nasal cavities creates a risk of choking and other feeding problems. In deformational PRS

2014 eMedicine Pediatrics

167. Pierre Robin Malformation (Diagnosis)

breastfeeding. In addition, because of an abnormal jaw position, a baby with a small mandible usually has difficulties contracting its orbicularis oris muscle and squeezing the mother's nipple. In cleft palate, a wide communication between the oral and nasal cavities creates a risk of aspiration, nasal regurgitation, choking, and other feeding problems. Consultation with a feeding specialist is advised. In many cases, when carefully instructed, a mother is able to manage bottle feeding while her baby

2014 eMedicine Pediatrics

168. Birth Trauma (Diagnosis)

of the facial muscles, unilateral absence of the orbicularis oris muscle, and intracranial hemorrhage. Management and recovery Most infants begin to recover in the first week, but full resolution may take several months. Palsy that is due to trauma usually resolves or improves, whereas palsy that persists is often due to absence of the nerve. Management consists of protecting the open eye with patches and synthetic tears (methylcellulose drops) every 4 hours. Consultation with a neurologist and a surgeon

2014 eMedicine Pediatrics

169. Pierre Robin Malformation (Overview)

breastfeeding. In addition, because of an abnormal jaw position, a baby with a small mandible usually has difficulties contracting its orbicularis oris muscle and squeezing the mother's nipple. In cleft palate, a wide communication between the oral and nasal cavities creates a risk of aspiration, nasal regurgitation, choking, and other feeding problems. Consultation with a feeding specialist is advised. In many cases, when carefully instructed, a mother is able to manage bottle feeding while her baby

2014 eMedicine Pediatrics

170. Bell Palsy (Diagnosis)

of the eighth cranial nerve. The facial nerve passes through the stylomastoid foramen in the skull and terminates into the zygomatic, buccal, mandibular, and cervical branches. These nerves serve the muscles of facial expression, which include the frontalis, orbicularis oculi, orbicularis oris, buccinator, and platysma muscles. Other muscles innervated by the facial nerve include the stapedius, stylohyoid, posterior belly of the digastric, occipitalis, and anterior and posterior auricular muscles. All

2014 eMedicine Emergency Medicine

171. Cleft Lip and Palate (Follow-up)

in FOXF2 gene in an Asian population. Birth Defects Res A Clin Mol Teratol . 2015 Oct. 103 (10):857-62. . Marazita ML. Subclinical features in non-syndromic cleft lip with or without cleft palate (CL/P): review of the evidence that subepithelial orbicularis oris muscle defects are part of an expanded phenotype for CL/P. Orthod Craniofac Res . 2007 May. 10(2):82-7. . Rogers CR, Weinberg SM, Smith TD, Deleyiannis FW, Mooney MP, Marazita ML. Anatomical basis for apparent subepithelial cleft lip (...) : a histological and ultrasonographic survey of the orbicularis oris muscle. Cleft Palate Craniofac J . 2008 Sep. 45(5):518-24. . Suzuki S, Marazita ML, Cooper ME, et al. Mutations in BMP4 are associated with subepithelial, microform, and overt cleft lip. Am J Hum Genet . 2009 Mar. 84(3):406-11. . Croen LA, Shaw GM, Wasserman CR, Tolarová MM. Racial and ethnic variations in the prevalence of orofacial clefts in California, 1983-1992. Am J Med Genet . 1998 Aug 27. 79 (1):42-7. . Tolarova M. Significance

2014 eMedicine Pediatrics

172. Human Bites (Treatment)

may be reconstructed with mucosal advancement flaps. Wounds measuring up to a third of the length of the lip may be closed by using a wedge or chevron excision and approximating the 2 cut edges. [ ] Perform muscular reapproximation of the orbicularis oris with interrupted, buried, absorbable sutures to assure continuity of the sphincteric muscular ring. Small (< 1.5 cm 2 ) lip segments have been successfully replanted as composite grafts when a segment of lip has been amputated and is available

2014 eMedicine Pediatrics

173. Birth Trauma (Overview)

of the facial muscles, unilateral absence of the orbicularis oris muscle, and intracranial hemorrhage. Management and recovery Most infants begin to recover in the first week, but full resolution may take several months. Palsy that is due to trauma usually resolves or improves, whereas palsy that persists is often due to absence of the nerve. Management consists of protecting the open eye with patches and synthetic tears (methylcellulose drops) every 4 hours. Consultation with a neurologist and a surgeon

2014 eMedicine Pediatrics

174. Cleft Lip and Palate (Diagnosis)

. Novel evidence of association with nonsyndromic cleft lip with or without cleft palate was shown for single nucleotide polymorphisms in FOXF2 gene in an Asian population. Birth Defects Res A Clin Mol Teratol . 2015 Oct. 103 (10):857-62. . Marazita ML. Subclinical features in non-syndromic cleft lip with or without cleft palate (CL/P): review of the evidence that subepithelial orbicularis oris muscle defects are part of an expanded phenotype for CL/P. Orthod Craniofac Res . 2007 May. 10(2):82-7 (...) . . Rogers CR, Weinberg SM, Smith TD, Deleyiannis FW, Mooney MP, Marazita ML. Anatomical basis for apparent subepithelial cleft lip: a histological and ultrasonographic survey of the orbicularis oris muscle. Cleft Palate Craniofac J . 2008 Sep. 45(5):518-24. . Suzuki S, Marazita ML, Cooper ME, et al. Mutations in BMP4 are associated with subepithelial, microform, and overt cleft lip. Am J Hum Genet . 2009 Mar. 84(3):406-11. . Croen LA, Shaw GM, Wasserman CR, Tolarová MM. Racial and ethnic variations

2014 eMedicine Pediatrics

175. Bites, Human (Follow-up)

may be reconstructed with mucosal advancement flaps. Wounds measuring up to a third of the length of the lip may be closed by using a wedge or chevron excision and approximating the 2 cut edges. [ ] Perform muscular reapproximation of the orbicularis oris with interrupted, buried, absorbable sutures to assure continuity of the sphincteric muscular ring. Small (< 1.5 cm 2 ) lip segments have been successfully replanted as composite grafts when a segment of lip has been amputated and is available

2014 eMedicine Emergency Medicine

176. Bites, Human (Treatment)

may be reconstructed with mucosal advancement flaps. Wounds measuring up to a third of the length of the lip may be closed by using a wedge or chevron excision and approximating the 2 cut edges. [ ] Perform muscular reapproximation of the orbicularis oris with interrupted, buried, absorbable sutures to assure continuity of the sphincteric muscular ring. Small (< 1.5 cm 2 ) lip segments have been successfully replanted as composite grafts when a segment of lip has been amputated and is available

2014 eMedicine Emergency Medicine

177. Bell Palsy (Overview)

of the eighth cranial nerve. The facial nerve passes through the stylomastoid foramen in the skull and terminates into the zygomatic, buccal, mandibular, and cervical branches. These nerves serve the muscles of facial expression, which include the frontalis, orbicularis oculi, orbicularis oris, buccinator, and platysma muscles. Other muscles innervated by the facial nerve include the stapedius, stylohyoid, posterior belly of the digastric, occipitalis, and anterior and posterior auricular muscles. All

2014 eMedicine Emergency Medicine

178. Variety and complexity of fluorine-18-labelled fluoro-2-deoxy-d-glucose accumulations in the oral cavity of patients with oral cancers Full Text available with Trip Pro

value of over 2.5 in various areas of the oral cavity other than primary lesions were identified in 82 patients with oral cancers.(18)F-FDG/PET-positive areas, excluding primary tumours, included the front intrinsic muscles of the tongue (89.0%), upper and lower marginal parts of the orbicularis oris muscle (64.6%), sublingual glands, palatine tonsil, pharyngeal tonsil, and lingual tonsil. In addition, some areas in the jaws also showed accumulation.In patients with oral cancers, areas of (18)F-FDG

2013 Dentomaxillofacial Radiology

179. A new technique for one-stage total lower lip reconstruction: Achieving the perfect balance Full Text available with Trip Pro

following excision of squamous cell carcinoma. Bilateral inferiorly based nasolabial flaps were used for reconstruction of lower lip. For vermillion reconstruction, a bucket-handle mucomuscular flap from upper lip was designed primarily using the pars marginalis portion of orbicularis oris. Compared with previously described techniques, this procedure is unique with respect to the alignment of the nasolabial flaps in relation to one another. Furthermore, this technique of vermillion reconstruction (...) is a one-stage procedure with minimal morbidity, enables preservation of the vascular pedicle and innervation and maintains the orientation of orbicularis oris, thus providing a competent oral sphincter. To the authors' knowledge, this mucomuscular upper lip flap has not been described earlier and has definite advantages over the commonly used methods of vermillion reconstruction.The functional and aesthetic outcomes are satisfactory on follow-up, with normal lip movements and sensation, adequate mouth

2013 The Canadian Journal of Plastic Surgery

180. Dysphagia in Duchenne muscular dystrophy assessed objectively by surface electromyography. (Abstract)

the peak, duration, and relative timing of muscle activity during swallowing of four muscle groups: orbicularis oris, masseter, submental, and infrahyoid. The study included three groups of participants: Nine DMD patients with dysphagia (mean age = 21.7 ± 4.2 years), six DMD patients with preserved swallow function (21.0 ± 3.0 years), and 12 healthy controls (24.8 ± 3.1 years). Dysphagic DMD participants produced significantly higher normalised peak amplitude measurements than the healthy control group (...) for masseter (61.77 vs. 5.07; p ≤ 0.01) and orbicularis oris muscles (71.87 vs. 26.22; p ≤ 0.05). Intrasubject variability for masseter peak amplitude was significantly greater for dysphagic DMD participants than the other groups (16.01 vs. 5.86 vs. 2.18; p ≤ 0.05). There were no differences in timing measurements between groups. Different characteristic sEMG waveforms were observed for the three groups. sEMG provides useful physiological information for the evaluation of swallowing in DMD patients

2013 Dysphagia Controlled trial quality: uncertain

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