Traumatic facial paralysis can be improved with surgical techniques but alone will not restore full function. EMG sensory (bio) feedback can, however, facilitate rehabilitation. Four cases are described using a combined treatment technique of EMG, behavioural modification and specific action exercises. Retraining of eyelid control was also accomplished. Standardized evaluation methods are described. All four patients showed improvement, despite the failure of traditional retraining methods.
Long-term stenting (3 to 12 months) with silicone rubber stents was found successful in 12 of 14 cases (86%) with severe subglottic stenosis. A new silicone rubber stent is described that is suitable for long-term stenting in infants or adults.
Malignant external otitis has been the subject of several reports since it was described by Chandler in 1968. Cranial nerve involvement has been recognized as an ominous prognostic sign. Mortality has been about 50 percent (10/19) with facial nerve paralysis, and over 80 percent (9/11) with multiple cranial nerves involved.
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