Pediatric facial reanimation: An algorithmic approach and systematic review.

Pediatric facial reanimation: An algorithmic approach and systematic review. Arch Plast Surg. 2020 Sep;47(5):382-391 Authors: Deramo PJ, Greives MR, Nguyen PD Abstract 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. PMID: 32971589 [PubMed]
Source: Archives of Plastic Surgery - Category: Cosmetic Surgery Tags: Arch Plast Surg Source Type: research

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To determine the optimal current intensity for supramaximal stimulation during electroneurography (ENoG) for facial palsy.
Source: Auris, Nasus, Larynx - Category: ENT & OMF Authors: Tags: Original Article Source Type: research
AbstractObjectivesThere is a lack of data on patients ’ and diagnostic factors for prognostication of complete recovery in patients with non-idiopathic peripheral facial palsy (FP).MethodsCohort register-based study of 264 patients with non-idiopathic peripheral FP and uniform diagnostics and standardized treatment in a university hospital from 2007 to 2017 (47% female, median age: 57  years). Clinical data, facial grading, electrodiagnostics, motor function tests, non-motor function tests, and onset of prednisolone therapy were assessed for their impact on the probability of complete recovery using univariable ...
Source: European Archives of Oto-Rhino-Laryngology - Category: ENT & OMF Source Type: research
We describe the clinical, laboratory, and radiological features of eight patients with COVID-19 who developed peripheral facial palsy during infection. In three patients, facial palsy was the first symptom. Nerve damage resulted in mild dysfunction in five patients and moderate in three. SARS-Cov-2 was not detected in CSF by PCR in any of the samples. Seven out of eight patients were treated with steroids and all patients have complete or partial recovery of the symptoms. Peripheral facial palsy should be added to the spectrum of neurological manifestations associated with COVID-19.
Source: Journal of NeuroVirology - Category: Neurology Source Type: research
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Source: Pediatric Emergency Care - Category: Emergency Medicine Tags: Letters to the Editors Source Type: research
In this article, we propose a parallel hierarchy convolutional neural network (PHCNN) combining a Long Short-Term Memory (LSTM) network structure to quantitatively assess the grading of facial nerve paralysis (FNP) by considering the region-based asymmetric facial features and temporal variation of the image sequences. FNP, such as Bell’s palsy, is the most common facial symptom of neuromotor dysfunctions. It causes the weakness of facial muscles for the normal emotional expression and movements. The subjective judgement by clinicians completely depends on individual experience, which may not lead to a uniform evalua...
Source: IEE Transactions on Neural Systems and Rehabilitation Engineering - Category: Neuroscience Source Type: research
Authors: Sommerauer L, Engelmann S, Ruewe M, Anker A, Prantl L, Kehrer A Abstract Facial palsy (FP) is a functional disorder of the facial nerve involving paralysis of the mimic muscles. According to the principle "time is muscle," early surgical treatment is tremendously important for preserving the mimic musculature if there are no signs of nerve function recovery. In a 49-year-old female patient, even 19 months after onset of FP, successful neurotization was still possible by a V-to-VII nerve transfer and cross-face nerve grafting. Our patient suffered from complete FP after vestibular schwannoma surge...
Source: Archives of Plastic Surgery - Category: Cosmetic Surgery Tags: Arch Plast Surg Source Type: research
Abstract BACKGROUND: Bell's palsy (BP) is the most common form of acute facial nerve disorder and is characterized by rapid onset peripheral facial palsy of unknown etiology. PURPOSE: To explore the diagnostic value of dynamic contrast-enhanced (DCE) magnetic resonance imagine (MRI) in patients with BP particularly in involved segments. MATERIAL AND METHODS: A retrospective analysis was performed on the patients with BP who underwent routine MRI examinations and volumetric interpolated breath-hold examination (VIBE) sequence-based DCE-MRI before surgery in our department from January 2015 to July 2020. D...
Source: Acta Radiologica - Category: Radiology Authors: Tags: Acta Radiol Source Type: research
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Source: Annals of the Royal College of Surgeons of England - Category: Surgery Authors: Tags: Ann R Coll Surg Engl Source Type: research
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Source: The Journal of Emergency Medicine - Category: Emergency Medicine Authors: Tags: Original Contributions Source Type: research
Authors: Pozo Lorenzo FJ, Romero Caballero MD PMID: 32933801 [PubMed - as supplied by publisher]
Source: Archivos de la Sociedad Espanola de Oftalmologia - Category: Opthalmology Tags: Arch Soc Esp Oftalmol Source Type: research
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