Catalogue Search | MBRL
Are you sure you want to remove the book from the shelf?
{{itemTitle}}
70,004
result(s) for
"Facial"
Sort by:
Correlations between the clinical, histological and neurophysiological examinations in patients before and after parotid gland tumor surgery: verification of facial nerve transmission
Parotid gland tumor surgery sometimes leads to facial nerve paralysis. Malignant more than benign tumors determine nerve function preoperatively, while postoperative observations based on clinical, histological and neurophysiological studies have not been reported in detail. The aims of this pilot study were evaluation and correlations of histological properties of tumor (its size and location) and clinical and neurophysiological assessment of facial nerve function pre- and post-operatively (1 and 6 months). Comparative studies included 17 patients with benign (
n
= 13) and malignant (
n
= 4) tumors. Clinical assessment was based on House–Brackmann scale (H–B), neurophysiological diagnostics included facial electroneurography [ENG, compound muscle action potential (CMAP)], mimetic muscle electromyography (EMG) and blink-reflex examinations (BR). Mainly grade I of H–B was recorded both pre- (
n
= 13) and post-operatively (
n
= 12) in patients with small (1.5–2.4 cm) benign tumors located in superficial lobes. Patients with medium size (2.5–3.4 cm) malignant tumors in both lobes were scored at grade I (
n
= 2) and III (
n
= 2) pre- and mainly VI (
n
= 4) post-operatively. CMAP amplitudes after stimulation of mandibular marginal branch were reduced at about 25 % in patients with benign tumors after surgery. In the cases of malignant tumors CMAPs were not recorded following stimulation of any branch. A similar trend was found for BR results. H–B and ENG results revealed positive correlations between the type of tumor and surgery with facial nerve function. Neurophysiological studies detected clinically silent facial nerve neuropathy of mandibular marginal branch in postoperative period. Needle EMG, ENG and BR examinations allow for the evaluation of face muscles reinnervation and facial nerve regeneration.
Journal Article
Make a face
Make a Face is a very fun interactive, concept driven-picture book that shows how different facial expressions connect with different emotions by pairing them with corresponding animals who \"come to life\" as children make different faces on cue.
Book
Management of the facial nerve in parotid cancer: preservation or resection and reconstruction
Purpose
Management of the facial nerve is instrumental in the surgical treatment of parotid cancer.
Methods
A literature search was conducted using PubMed and ScienceDirect database. A total of 195 articles were finally included into the analysis, based on relevance, scientific evidence and actuality.
Results
In the majority of cases the facial nerve is not involved by tumor. In these cases, identification and preservation of the nerve, in addition to complete tumor removal, are essential for successful surgery. When the nerve is infiltrated by tumor, the affected portion of the nerve must be resected as part of radical parotidectomy. Primary nerve reconstruction or other reanimation techniques give the best long-term functional and cosmetic results. A comprehensive diagnostic evaluation with current imaging and electrophysiological studies will provide the surgeon with the best knowledge of the relationship of the facial nerve to the tumor. Several standardized methods are helpful in finding, dissecting and preserving the nerve during parotid cancer surgery. When radical parotidectomy is indicated, the initial diagnostic work-up can assist in defining the need for adjuvant postoperative therapy and facial reanimation. The aim of rehabilitation is to restore tone, symmetry, and movement to the paralyzed face.
Conclusions
The surgical management of facial paralysis has undergone many improvements in recent years. This review gives an overview of recent advances in the diagnostic work-up, surgical techniques and any necessary rehabilitation of the facial nerve in parotid cancer surgery.
Journal Article
Read the face : face reading for success in your career, relationships, and health
\"Relearn the intuitive language of face reading From birth, face is our first language. We are born face readers-knowing to seek out human features and faces from the moment our eyes open. We all have the intuitive ability to read and interpret the feelings and expressions of those around us. In Read the Face, master face reader Eric Standop unlocks the power of this innate human ability, sharing his own journey to become a face reading master, along with stories that illustrate the power of this unique language. Using a combination of three different schools of face reading, along with a scientific accuracy to detect the most fleeting microexpressions, Standop is able to read personality, character, emotions, and even the state of a person's health-all from simply glancing at their face. The book is divided into sections focusing on specific ways that face reading can offer insight, such as Health, Love, Communication, Work and Success. The stories are accompanied by detailed black and white illustrations of faces, allowing readers to observe the same features that Standop interpreted. The final section of the book outlines the meanings of dozens of facial features and face shapes, so that readers can recognize their own innate intuitive powers and develop them. Read the Face is a guide to using the ancient art and science of face reading to go beyond the surface and create the boldest life possible\"-- Provided by publisher.
Book
Endoscopic vs microscopic facial nerve decompression for traumatic facial nerve palsy: a randomized controlled trial
Purpose
To explore a minimally invasive trans-canal endoscopic facial nerve decompression for traumatic facial nerve palsy and compare it with microscopic facial nerve decompression.
Methods
35 and 38 patients underwent endoscopic and microscopic facial nerve decompression, respectively, for traumatic facial nerve palsy. Onset of symptoms, type of temporal bone fracture, day of surgical intervention following trauma, ossicular chain status and nature of insult to facial nerve were observed. Time period for recovery (House Brackmann grade ≤ 3), long term recovery rates, pre- and post-operative hearing status, surgical time and post-operative pain were compared between groups.
Results
Maximum patients in endoscopic and microscopic groups (77.1% and 76.3%, respectively) had acute onset of symptoms. 57.1% (20/35) had longitudinal, 17.1% (6/35) had transverse and 25.7% (9/35) had mixed fractures in endoscopic group. In the microscopic group, 57.9% (22/38) had longitudinal, 18.4% (7/38) had transverse and 23.7% (9/38) had mixed fractures. The mean (± S.D.) post-operative air–bone gap in endoscopic and microscopic group were 16.47 ± 4.5 dB and 19.4 ± 5.2 dB, respectively, which was statistically significant. The mean (± S.D.) time period for recovery of endoscopic and microscopic groups were 14.4 ± 5 days and 22.5 ± 7 days, respectively (
p
value < 0.05). The difference in post-operative pain between the two groups was also statistically significant. The difference in long term recovery rates was not statistically significant (
p
> 0.05).
Conclusions
Endoscopic facial nerve decompression results in early recovery, less post-operative pain and better post-operative air–bone gap closure when compared to conventional microscopic technique.
Journal Article
A face like glass
When Neverfell, who has no memory, arrives in Caverna, her facial expressions make her very dangerous to the people who live with blank faces or pay dearly to learn to simulate emotions.
Book
Intraoperative facial nerve monitoring in parotidectomy: A systematic review of its predictive value
Objective
The purpose of this study was to investigate the relationship between intraoperative facial nerve monitoring parameters and postoperative facial nerve function during parotid surgeries.
Methods
Registered in PROSPERO, a comprehensive search was conducted in PubMed, Embase, Web of Science, and the Cochrane Library for literature published between 1990 and 2024. Studies reporting the relationship between intraoperative facial nerve monitoring parameters and facial nerve outcomes following parotidectomy were included. Owing to the limited number of studies and heterogeneity, the findings were summarized using a narrative synthesis.
Results
A total of 8 studies, involving 632 participants, were included, among whom 193 developed postoperative facial palsy. Five studies reported that a reduction in amplitude or an increase in threshold was associated with postoperative facial dysfunction.
Conclusion
Current evidence does not provide conclusive support for the predictive value of intraoperative facial nerve monitoring parameters in postoperative facial nerve function. However, given its established protective role and some reported findings (e.g. >50% amplitude drop associated with severe palsy), continued use of intraoperative facial nerve monitoring appears reasonable.
Journal Article
Acquired bilateral facial palsy: a systematic review on aetiologies and management
Objective
To systematically review the published cases of bilateral facial palsy (BFP) to gather evidence on the clinical assessment and management of this pathology.
Methods
Following PRISMA statement recommendations, 338 abstracts were screened independently by two authors. Inclusion criteria were research articles of human patients affected by BFP, either central or peripheral; English, Italian, French or Spanish language; availability of the abstract, while exclusion criteria were topics unrelated to FP, and mention of unilateral or congenital FP. Only full-text articles reporting the diagnostic work-up, the management, and the prognosis of the BFP considered for further specific data analysis.
Results
A total of 143 articles were included, resulting a total of 326 patients with a mean age of 36 years. The most common type of the paralysis was peripheral (91.7%), and the autoimmune disease was the most frequent aetiology (31.3%). The mean time of onset after first symptoms was 12 days and most patients presented with a grade higher than III. Associated symptoms in idiopathic BFP were mostly non-specific. The most frequently positive laboratory exams were cerebrospinal fluid analysis, autoimmune screening and peripheral blood smear, and the most performed imaging was MRI. Most patients (74%) underwent exclusive medical treatment, while a minority were selected for a surgical or combined approach. Finally, in more than half of cases a complete bilateral recovery (60.3%) was achieved.
Conclusions
BFP is a disabling condition. If a correct diagnosis is formulated, possibilities to recover are elevated and directly correlated to the administration of an adequate treatment.
Journal Article