Early Rehabilitation of Facial Nerve Deficit after Acoustic Neuroma Surgery

Barbara, Maurizio; Monini, Simonetta; Buffoni, Antonella; Cordier, A. H.; Ronchetti, Francesco; Harguindey, Alejandro; Stadio, Arianna Di; Cerruto, R.; Filipo, Roberto

doi:10.1080/00016480310000629

Cited by 38 publications

(31 citation statements)

References 7 publications

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“…However, there is lack of consensus regarding which manipulations and modes of sensory feedback are most effective. Current treatments include elecromyographic and visual feedback 27,29 , physiotherapy 30 , and the motor rehabilitation method of Kabat 28,31 ; however, the underlying neural and physiological mechanisms for improved functional outcomes are not known. This points to the importance of a quantitative animal model in which to study the mechanisms of improved recovery.…”

Section: Resultsmentioning

confidence: 99%

Daily Facial Stimulation to Improve Recovery After Facial Nerve Repair in Rats

Lindsay¹,

Heaton²,

Edwards³

et al. 2010

Arch Facial Plast Surg

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Objective To establish whether daily mechanical stimulation improves functional recovery of whisking after facial nerve transection injury/ repair in the rodent. Methods Forty rats underwent facial nerve transection injury/ repair, and subsequent quantitative facial movement testing. Animals were randomized into two experimental groups (n=20 each). Both groups received daily 5-minute manual stimulation of their whiskers, with one group undergoing whisker protraction and the other whisker retraction. Rats were tested on postoperative weeks 1, 4-8, and 15 using a validated, quantitative whisking kinematics apparatus. Whisks were counted and analyzed for whisking amplitude, velocity and acceleration. Results Animals receiving manual stimulation by passive protraction of their whiskers demonstrated significantly improved functional recovery at multiple time points during the 15 weeks compared with historical controls (p<.05, one-tailed t-test). Recovery was similar in the protraction and retraction groups, trending towards better whisking recovery in the protraction group. Conclusions The present report demonstrates that daily mechanical whisker stimulation significantly improves recovery of whisking after facial nerve transection/ repair in animals undergoing either protraction or retraction. This finding supports the role of early soft tissue manipulation after facial nerve repair, and may have clinical implications for the postoperative management of patients following facial nerve manipulations.

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Section: Resultsmentioning

confidence: 99%

Daily Facial Stimulation to Improve Recovery After Facial Nerve Repair in Rats

Lindsay¹,

Heaton²,

Edwards³

et al. 2010

Arch Facial Plast Surg

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“…Vestibular rehabilitation is the gold standard to achieve vestibular compensation. 40 Facial nerve palsy can be treated by physical rehabilitation, 41 or using surgical procedure in inveterate case. [42][43][44][45] Residual hearing loss is successfully treated using temporal bone anchorage device.…”

Section: Discussionmentioning

confidence: 99%

Arachnoid Cyst of Internal Auditory Canal How the Temporal Bone Findings Explain Ear Symptoms and Suggest the Best Treatment To Do

Stadio¹

2016

Otolaryngol Open J

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PubMed and Google Scholar searches using the following keywords: arachnoid cyst, internal auditory canal, temporal bones study, schwannoma of internal auditory canal, cystic schwannoma, MRI findings, surgery of internal auditory canal. Only the article where three keywords, included always arachnoid cyst, were considered. The study analyzed the etiopathogenesis of arachnoid cyst, hearing and vestibular symptoms and temporal bone findings. Review and conclusion: The author identified and reviewed a total of 46 articles. The results showed high incidence of hearing loss that was the more common symptom than vestibular one. Arachnoid cyst carried out more compression on the vestibular nerves than on the cochlear one. The review allowed us to identify which mechanism of damage arachnoid cyst acting on the nerves. It is necessary to consider the arachnoids cyst in differential diagnosis with tumors and pathologies involving the internal auditory canal.

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“…Furthermore, in all of the studies noted above, neuromodulatory stimulation was applied in patients with existing urinary incontinence. It is well known that early rehabilitation has an advantage for early and satisfactory functional recovery in nonurological fields, such as orthopedics [13], cardiac surgery [14], neurosurgery [15], and spinal cord trauma [16]. PPI occurs due to surgical damage of the urethral sphincter, pelvic floor muscle, and bladder.…”

Section: Discussionmentioning

confidence: 99%

Impact of Sacral Surface Therapeutic Electrical Stimulation on Early Recovery of Urinary Continence after Radical Retropubic Prostatectomy: A Pilot Study

Nakagawa

Kaiho

Namiki

et al. 2010

Advances in Urology

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Objectives. To investigate whether sacral surface therapeutic electrical stimulation (SSTES) initiated during the early postoperative period would be effective towards early recovery of postprostatectomy urinary continence. Methods. A total of 35 consecutive patients who underwent radical prostatectomy by a single surgeon were enrolled in this study. Twenty early patients began pelvic floor muscle exercise (PME). Fifteen subsequent patients received SSTES postoperatively with no instruction for PME provided. Immediate urinary function just after catheter removal was evaluated with frequency-volume chart and 24-hour pad test. Results. There were no differences between the SSTES and PME groups in maximum voided volume capacity (MVV) and urine loss ratio (ULR) on the first day after removal of urethral catheter. However, on day 3 MVV was significantly larger and ULR was also significantly lower in the SSTES group. Conclusions. SSTES treatment is feasible and appears to be effective for early recovery of urinary continence after radical prostatectomy.

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Early Rehabilitation of Facial Nerve Deficit after Acoustic Neuroma Surgery

Abstract: Early physical rehabilitation has proved to be effective as a helpful tool for recovery from FN deficit and it is therefore advisable to use it soon after surgery, especially for FN deficits worse than Grade IV.

Cited by 38 publications

References 7 publications

Daily Facial Stimulation to Improve Recovery After Facial Nerve Repair in Rats

Daily Facial Stimulation to Improve Recovery After Facial Nerve Repair in Rats

Arachnoid Cyst of Internal Auditory Canal How the Temporal Bone Findings Explain Ear Symptoms and Suggest the Best Treatment To Do

Impact of Sacral Surface Therapeutic Electrical Stimulation on Early Recovery of Urinary Continence after Radical Retropubic Prostatectomy: A Pilot Study

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