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Rare Cancer Presentations
Published in Debjani Sahni, Adam Lerner, Bilal Fawaz, Advanced Skin Cancer, 2022
Bilal Fawaz, Heather A. Edwards, Monica Rosales Santillan, Debjani Sahni, Connor O’Boyle, Daniel L. Faden
MRI neck with and without contrast: A 2.2 cm mass extending from the skin to the left zygoma. There is involvement of the underlying muscles of facial expression including the left orbicularis oculi and the left zygomaticus muscles. No evidence of underlying bone marrow involvement or underlying cortical destruction of the zygoma.
Mental Recovery
Published in Stijn Geerinck, Reconstructing Identity After Brain Injury, 2022
My first instinct was to react by consciously refining my language – a lot. My vocabulary and syntax served to show that underneath this banged-up skull, there still was an intact neurological landscape and that this battered body was still inhabited by the same resident as the one prior to the accident. It was also a way of compensating for non-verbal cues. The paralysis of my face stopped me from using facial expressions. Even my children had a hard time reading my stern and rigid look. I had to hone my language skills tremendously in order to provide an explanation to go with my non-verbal expression.
General
Published in Mijna Hadders-Algra, Kirsten R. Heineman, The Infant Motor Profile, 2021
Mijna Hadders-Algra, Kirsten R. Heineman
Score 2 The infant shows a substantial repertoire of facial expressions. The facial expressions are brought about by muscle activity in various parts of the face, such as the muscles around the eyes and the mouth, and are characterized by various combinations of muscle activity in these regions (Figure 9.1).
Can sensory discrimination ability in children with low functioning autism be used as an index of cognitive ability—an exploratory study
Published in International Journal of Developmental Disabilities, 2023
The process of observation entailed noting the frequency of particular behaviour patterns and how these behaviours unfold over time in the context of the presence of the stimulus. On the basis of the research literature dealing with systemic observation of children with developmental disabilities, the following non verbal behaviours were coded in terms of their frequencygaze—looking at or avoiding eye contact with researcher and/or stimulusbody movement—touching, approaching/withdrawal, repetitive stereotypical movements like hand flapping, diminished activity level like posturing etc.facial expression—wincing, furrowed brow, widened eyes, tearfulness, crying, frowning, (inappropriate) smiling
Therapists’ perceptions and attitudes in facial palsy rehabilitation therapy: A mixed methods study
Published in Physiotherapy Theory and Practice, 2022
Martinus M. van Veen, Britt W.T ten Hoope, Tessa E. Bruins, Roy E. Stewart, Paul M.N. Werker, Pieter U. Dijkstra
Facial palsy is a peripheral nerve injury characterized by the inability to contract the facial muscles, resulting in (partial) loss of facial expression. Approximately half of all facial palsies are idiopathic, commonly referred to as Bell’s palsy (incidence of 20–30/100,000 individuals per year) (Myers et al., 1991); the other half are due to a wide variety of causes such as iatrogenic or traumatic injuries, head and neck neoplasms, otologic diseases, and congenital birth defects (Hohman and Hadlock, 2014). Facial palsy patients experience various functional and psychosocial difficulties related to their inability to voluntarily contract the facial muscles. Myriad treatment options are available, including surgical, pharmacological, and physical therapeutic measures, all aimed at improving facial function and psychological wellbeing (Kleiss, 2015; Luijmes et al., 2017). Ultimately, treating facial palsy is a multidisciplinary team effort, in which the facial palsy rehabilitation therapist plays an essential role (Butler and Grobbelaar, 2017; Hohman and Hadlock, 2014; Van Landingham, Diels, and Lucarelli, 2018).
Objective assessment of eyelid position and tear meniscus in facial nerve palsy
Published in Orbit, 2022
Alicia Galindo-Ferreiro, Victoria Marqués-Fernández, Hortensia Sanchez-Tocino, Silvana A. Schellini
The seventh cranial nerve, called the facial nerve, controls the muscles for facial expression. Bell’s palsy (BP) is an idiopathic, unilateral, acute weakness of the facial muscles in a pattern consistent with peripheral facial nerve dysfunction resulting in blink dysfunction, malposition of the eyelids such as lower lid ectropion, upper lid retraction, decreased tear production, and a defective tear pump lacrimal drainage mechanism.1Concurring with facial nerve palsy (FNP), the altered position of the lids associated with lower lid laxity can commonly lead to exposure keratopathy, dry eye, and tearing.2 However, there are few studies that objectively evaluate eyelid malposition, with quantitative measurements of margin reflex distance to the upper (MRD1) or to the lower (MRD2) lid in patients with FNP.2,3 Additionally, there are no studies that measure these changes over time.