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Ear Microsurgery
Published in Waldemar L. Olszewski, CRC Handbook of Microsurgery, 2019
Henri Martin, Christian Martin
Ear microsurgery soon widened its scope to find applications in surgical treatment for vertigoes as well as for traumatic or tumorous lesions of the auditory center. Cure of facial paralysis also became of interest to it.
Facial nerve—a clinical and anatomical review
Published in J. Belinha, R.M. Natal Jorge, J.C. Reis Campos, Mário A.P. Vaz, João Manuel, R.S. Tavares, Biodental Engineering V, 2019
Fernand Gentil, J.C. Reis Campos, Marco Parente, C.F. Santos, Bruno Areias, R.M. Natal Jorge
The study of facial paralysis continues to grow. Artificial nerve graft channels will be manufactured from biological and synthetic materials, such as silicone, polyamide, collagen, and polylactide, with biodegradable polymers to restore the injured nerve.
Facial Reanimation Surgery
Published in John C Watkinson, Raymond W Clarke, Terry M Jones, Vinidh Paleri, Nicholas White, Tim Woolford, Head & Neck Surgery Plastic Surgery, 2018
Demetrius Evriviades, Nicholas White
A detailed clinical assessment is important in the diagnosis of facial paralysis. Attention should be paid to the duration and progression of symptoms, associated history ear problems, trauma, recent vaccinations, travel history, family history of facial weakness and medical history.
The reliability and validity of the Turkish version of the Facial Disability Index
Published in Disability and Rehabilitation, 2022
Fatih Özden, Özgür Nadiye Karaman, Nazan Tuğay, Özden Savaş, Tevfik Sözen, Harun Üçüncü
Turkish FDI is the first assessment tool adapted for patients with facial disability. Clinicians will be able to specifically evaluate the physical and social functions of patients with facial paralysis. HBGS provides clinical ratings only based on the clinician’s observation. In addition to this assessment, measurement with subjective tools will be more clinically meaningful. Turkish FDI has a short, effortless, practical structure. In this way, the patient’s condition can be quickly reported and archived. Thereby, the progress of the clinical condition can be monitored. PROMs are required to be used after being validated for a particular patient population. Turkish FDI will provide more precise and concise results than assessment tools that evaluate the overall quality of life. In addition, it will be valuable to validate the Turkish FDI for different types of facial paralysis patient populations in future studies.
Minimally invasive endoscopic treatment of chronic otitis media with facial nerve palsy- A case report and literature review
Published in Acta Oto-Laryngologica Case Reports, 2021
Facial nerve paralysis is one of the uncommon but important complications of chronic otitis media (COM). Its prevalence was reported to be 1%–2.3% in the pre-antibiotic era which has gradually decreased with the introduction of antibiotics; nevertheless, it is still seen in developing nations [1]. If left untreated or not managed on time, the paralysis can cause permanent physical deformity. Facial paralysis impairs facial movement, which results in unappealing deformation of expressions such as smiling. Thus, facial paralysis markedly affects a person’s quality of life, social life and can lead to serious psychological damage [2]. Early surgical eradication is the most viable way to overcome paralysis [3]. Surgical interventions include microscopic mastoidectomy via postaural approach, canal wall down or up technique, along with facial nerve decompression [1]. Recently endoscope has been introduced in the field of otology that has changed the management of the surgery. Most otologists are accepting endoscopic ear surgery mainly because of the minimally invasive approach [4]. Most articles on endoscopic facial nerve decompression were published for traumatic facial nerve palsy. We did not find any articles on endoscopic facial nerve decompression for chronic otitis media. Here we present the first case report on the total transcanal endoscopic management of a non-cholesteatomatous COM with facial nerve palsy.
Taste and acoustic reflex after recovery from facial muscle paralysis in patients with facial nerve palsy
Published in Acta Oto-Laryngologica, 2021
Teruyuki Sato, Nobuo Ohta, Youji Tareishi, Takechiyo Yamada
The causes of facial paralysis vary widely. However, Bell’s palsy and Ramsay Hunt syndrome are the most common causes of idiopathic facial paralysis [1]. The facial nerves have a wide variety of functions, but the main ones are involved with facial muscle movement, taste, lacrimal and salivary gland secretion, and the reflex that stiffens the ossicular chain to protect the inner ear [2]. Therefore, peripheral facial nerve palsy (FNP) can also cause decreased acoustic reflex (AR) and dysgeusia on the affected side. The main target of treatment for patients with FNP has been the treatment of facial muscle paralysis (FMP) [2]. However, there are some cases in clinical practice in which ear symptoms or dysgeusia remain even after the paralysis is resolved. Nevertheless, there are few studies on taste or AR in patients after recovery from FMP. The aim of this study is to evaluate the recovery of taste and AR in patients who have recovered from peripheral FNP.