Facial Nerve Palsy After Head Injury: Case Incidence, Causes, Clinical Profile and Outcome

Odebode, TO; Ologe, Foluwasayo E.

doi:10.1097/01.ta.0000224140.26660.5c

Cited by 46 publications

(33 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Here, as well as in trauma cases, mainly caused by temporal bone fractures or facial injuries due to traffic accidents or capital crimes, immediate or early surgical reconstruction might be indicated [2]. Indication for surgery is depending on the severity of the nerve lesion, i.e.…”

Section: Introductionmentioning

confidence: 99%

Modern concepts in facial nerve reconstruction

2010

View full text Add to dashboard Cite

BackgroundReconstructive surgery of the facial nerve is not daily routine for most head and neck surgeons. The published experience on strategies to ensure optimal functional results for the patients are based on small case series with a large variety of surgical techniques. On this background it is worthwhile to develop a standardized approach for diagnosis and treatment of patients asking for facial rehabilitation.ConclusionA standardized approach is feasible: Patients with chronic facial palsy first need an exact classification of the palsy's aetiology. A step-by-step clinical examination, if necessary MRI imaging and electromyographic examination allow a classification of the palsy's aetiology as well as the determination of the severity of the palsy and the functional deficits. Considering the patient's desire, age and life expectancy, an individual surgical concept is applicable using three main approaches: a) early extratemporal reconstruction, b) early reconstruction of proximal lesions if extratemporal reconstruction is not possible, c) late reconstruction or in cases of congenital palsy. Twelve to 24 months after the last step of surgical reconstruction a standardized evaluation of the therapeutic results is recommended to evaluate the necessity for adjuvant surgical procedures or other adjuvant procedures, e.g. botulinum toxin application. Up to now controlled trials on the value of physiotherapy and other adjuvant measures are missing to give recommendation for optimal application of adjuvant therapies.

show abstract

Section: Introductionmentioning

confidence: 99%

Modern concepts in facial nerve reconstruction

2010

View full text Add to dashboard Cite

show abstract

“…Yapılan çalışmalarda yedinci sinirin yaşlılarda daha fazla etkilendiği ve çocukluk çağında daha az etkilendiği bildirilmesine karşın bizim çalışmamıza olguların üçte ikisinde altıncı sinir felci ile birlikte 7. sinir felci de mevcuttu. 11 Bir olguda spontan iyileşme olmasına karşın diğer olguda korneada skar kalmasına neden olan ülser gelişmiştir.…”

Section: Discussionunclassified

Çocukluk Çağında Televizyon Düşmesi Sonucu Görülen Göz Problemleri

Savku¹,

Atilla²,

Yalçındağ³

2013

tjo

View full text Add to dashboard Cite

Ge lifl Ta ri hi/Re cei ved: 06.12.2012 Ka bul Ta ri hi/Ac cep ted: 05.03.2013 ÖzetTelevizyon düşmesi çocuklarda ciddi morbidite ve mortaliteye yol açmaktadır. Sıklıkla kafa travması ve bunun sonucunda kranyal sinir felçleri (en sık 6. ve 7. sinirler etkilenir) görülmektedir. Konservatif tedaviye yanıt vermeyen olgularda şaşılık cerrahisi yapılabilir. Ancak eşlik eden travmalar veya sistemik problemler ile tedavi sırasında yaşanan gecikmeler ağır ambliyopi ile sonuçlanabilmektedir. Literatürde televizyon düşmesi sonucu vücut ve kafa travmasının yanısıra çocuklarda görülen göz bulguları ile ilgili çalışma bulunmamaktadır. Bu konudaki deneyimlerimizi paylaşmak amacıyla kliniğimize üzerine televizyon düşmesi sonrasında gelişen göz bulguları ve kranyal sinir felçleri ile başvuran üç olgunun dosyaları geriye dönük olarak tarandı. Hastaların görme keskinlikleri, ön segment ve fundus bulguları ile kazaya neden olan televizyonun özellikleri (tüplü veya LCD, ekran boyutu, sehpa yüksekliği) kaydedildi. (Turk J Ophthalmol 2013; 43: 451-4) Anahtar Kelimeler: Altıncı sinir felci, kafa travması, televizyon düşmesi, yedinci sinir felci Sum maryTelevision (TV) falls cause serious morbidity and mortality in children. Head trauma is frequently seen, and cranial nerve palsies ( 6th and 7th nerves are more frequently affected) are associated with head trauma. Strabismus surgery can be performed in cases not resolving with conservative treatment, however, the delay in treatment related to associated traumas and systemic problems may result in amblyopia. There is no previous report in the literature about ocular findings accompanied by body and head trauma in children after television falls. In order to share our experience, we retrospectively evaluated the records of three patients that were admitted to our clinic with the history of TV-related injuries. The visual acuities of patients, anterior segment and fundus findings as well as the characteristics of the television (tube or LCD, size of the screen, height of the easel) were recorded. (Turk J Ophthalmol 2013; 43: 451-4)

show abstract

“…Manuscript review eliminated an additional 110 articles, leaving 57 articles. From this group, 35 articles met inclusion criteria 2, 3, 6, 8–10, 12–15, 17, 20, 24, 27, 32–35, 38–40, 42–55…”

Section: Methodsmentioning

confidence: 99%

Management and outcomes of facial paralysis from intratemporal blunt trauma: A systematic review

et al. 2010

View full text Add to dashboard Cite

The role of surgery versus nonsurgical interventions for this clinical entity remains inconclusive. Level 4 evidence studies predominate and are further hindered by poor description of outcome measures and incomplete data reporting. Exploratory pooling of data without formal meta-analysis suggests the need to compare any intervention to the natural course of healing, which overall appears to be favorable.

show abstract

Facial Nerve Palsy After Head Injury: Case Incidence, Causes, Clinical Profile and Outcome

Abstract: The case incidence of facial nerve palsy in head injured patients in our center is 5.04%. The lower motor neurone type predominates. It is commoner in men and on the left side with spontaneous recovery occurring in 30% of cases.

Cited by 46 publications

References 9 publications

Modern concepts in facial nerve reconstruction

Modern concepts in facial nerve reconstruction

Çocukluk Çağında Televizyon Düşmesi Sonucu Görülen Göz Problemleri

Management and outcomes of facial paralysis from intratemporal blunt trauma: A systematic review

Contact Info

Product

Resources

About