Log In Problems Acute facial nerve paralysis can often mimick Bell palsy, resulting in delayed diagnosis and treatment. http://www.medscape.com/viewarticle/436108
Log In Problems Data from 30 children with acute peripheral facial paralysis showed that virus reactivation was especially significant in those between 6 and 15 years of http://www.medscape.com/viewarticle/500757
Extractions: Facial drooping Definition Facial paralysis is the total loss of voluntary muscle movement of one side of the face. Alternative Names Paralysis of the face Considerations Facial paralysis in adults is often due to . This disorder (probably derived from a virus) usually affects one side of the face causing a drooping mouth, drooling , and excessive tearing from one eye. While the facial distortion usually improves over time, there may be some permanent deformity. Sometimes there is loss of taste on the affected side of the face. Sound may also be louder on the affected side.
Icon Health Publications Facial Paralysis A Medical Dictionary Icon Health Publications facial paralysis A Medical Dictionary, Bibliography, and Annotated Research Guide to Internet References,Conservative,Book Club http://www.forbesbookclub.com/bookpage.asp?prod_cd=IR05P
News Of The Tampa Bay Area When Beavers explained her facial paralysis, Lail said, that s no excuse, according to the federal filing. Beavers said she was devastated, http://sptimes.com/2005/06/14/Tampabay/Suit_says_missing_smi.shtml
Extractions: [Times photos: Wilie J. Allen Jr.] Molly S. Beavers, 49, helps with the laundry Monday at the home of her friend Bonnie Self, 56, where Beavers is living in Pinellas Park. After working for Sam's Club and its predecessor, Pace, since 1984, Beavers says she was fired because she didn't smile enough. Her face was partly paralyzed from surgery related to her condition as an achondroplastic dwarf. Beavers has sued Wal-Mart in federal court under the Americans With Disabilities Act and has joined a class-action discrimination suit.
Extractions: The facial nerve controls the muscles of facial expression, tearing of the eye and taste. It does not control the muscles of mastication or chewing. Injury to the facial nerve can cause facial paralysis producing an inability to close the eyelids and drooling due to loss of function of the lip muscles (obicularis oris). Injury to the eye may occur due to loss of the protective function of the eyelids and drying of the eye due to the loss of tearing. The Facial Nerve and Facial Paralysis - Bell's Palsy: Facial paralysis can be caused by infections such as herpes zoster ( Ramsey Hunt Syndrome ), trauma, and tumors. Patients with Ramsey Hunt Syndrome may have hearing loss and dizziness and viral belbs on their ear canal and eardrum. Treatment with acyclovir and steriods has been shown to be beneficial with a recovery rate of 82.6% Most often no cause is found and Bell's Palsy is diagnosed. An MRI scan to visualize the facial nerve and an audiogram to test the hearing nerve (runs along with the facial nerve) may be ordered by your doctor. The facial paralysis from Bell's Palsy is rapidly progressive over 24 to 48 hours, that from a tumor is usually slowly progressive, over many weeks or months. Treatment may include use of steroid and anti-viral medications Surgical decompression of the nerve is debated in medicine. Many feel that in order for surgery to be of benefit, the facial nerve must be decompressed at the entrance of the internal auditory canal, deep within the
Facial Paralysis Bell s palsy properly known as idiopathic facial paralysis, is by far the most Some of the causes of facial paralysis such as trauma are obvious, http://www-surgery.ucsd.edu/ent/DAVIDSON/Pathway/Paralsys.htm
Extractions: Possible Lyme disease in endemic areas. Overview of Facial Paralysis One must begin with the statement that Ònot all that does not move is Bell's." Bell's palsy properly known as "idiopathic facial paralysis," is by far the most common cause of facial paralysis, but it is a diagnosis of exclusion. Some of the causes of facial paralysis such as trauma are obvious, but others such as neoplasms are as commonly missed as they are diagnosed. Certainly, a good ENT exam will include palpation of the parotid and an examination of the ear, looking for chronic otitis media or other abnormality. There are those that believe that most Bell's palsy is caused by a Herpes virus, and that the appropriate treatment is prednisone, usually 60 mgs a day for 5-7 days, followed by 3 days of 40 mgs and 3 days of 20 mgs. Those who believe it is herpetic, will treat with acyclovir or one of the other antiviral medications. A thorough head and neck exam, including cranial nerves is always required. Herpes zoster can present similarly, has a poor prognosis and must be treated aggressively with antiviral agents. Multiple cranial nerve involvement speaks for herpes infection and argues for antiviral therapy.
Facial Nerve Disorders Disorders of the facial nerve, including paralysis, develop from a variety of Other medical treatments for complications of facial paralysis including http://www.entcolumbia.org/fndis.htm
Extractions: Facial Nerve Disorders Disorders of the facial nerve, including paralysis, develop from a variety of causes. Most are idiopathic, which means that the cause remains unknown. Twitching, weakness, and paralysis of the face are symptoms of a disorder involving the facial nerve, and not a disease in itself. Abnormal movement or paralysis of the face can result from infection, injury, or tumors, and an evaluation by your physician is needed to determine the cause. The neurotologists at Columbia Presbyterian Medical Center have advanced training and long experience in managing the full range of facial nerve disorders. The facial nerve resembles a telephone cable and contains about ten thousand individual nerve fibers. Each fiber carries electrical impulses to a specific facial muscle. Information passing along the fibers of this nerve allows us to laugh, cry, smile, or frown, hence the name, "the nerve of facial expression." When there is nerve damage, facial weakness occurs. If these nerve fibers are irritated, then movements of the facial muscles appear as spasms or twitching. The facial nerve not only carries nerve impulses to the muscles of the face, but also to the tear glands, to the saliva glands, and to the muscle of the stirrup bone in the middle ear (the stapes). It also transmits taste from the front of the tongue. Since the function of the facial nerve is so complex, many symptoms may occur when the fibers of the facial nerve are disrupted. A disorder of the facial nerve may result in twitching, weakness, or paralysis of the face, in dryness of the eye or the mouth, or in disturbance of taste.
Bells Palsy - Neurologychannel The paralysis causes distortion of facial features and interferes with Bells palsy is the most common cause of facial paralysis worldwide and one of http://www.neurologychannel.com/bellspalsy/
Extractions: Overview Bell's palsy is a neurological disorder caused by damage to the seventh cranial nerve, also known as the facial nerve, which results in weakness or paralysis on one side of the face. The paralysis causes distortion of facial features and interferes with normal functions, such as closing the eye and eating. The onset of Bell's palsy is usually sudden. Many people wake up in the morning and find that one side of their face is paralyzed. Patients often fear that they have suffered a
Extractions: From The Cochrane Library, Issue 2, 2005 Aciclovir or valaciclovir for Bell's palsy (idiopathic facial paralysis) (Cochrane Review) Allen D, Dunn L ABSTRACT What's new in this issue Search abstracts Browse alphabetical list of titles Browse by Review Group A substantive amendment to this systematic review was last made on 05 January 2004. Cochrane reviews are regularly checked and updated if necessary. Background: The most common disorder of the facial nerve is acute idiopathic facial paralysis or Bell's palsy and there may be significant morbidity or incomplete recovery associated with severe cases. Objectives: To assess the efficacy of aciclovir or similar agents for treating Bell's palsy. Search strategy: We searched the Cochrane Neuromuscular Disease Group register (searched April 2003), MEDLINE (from January 1966 to April 2003), EMBASE (from January 1980 to April 2003) and LILACS (from January 1982 to April 2003). We also contacted authors of identified trials. Selection criteria: Randomised or quasi-randomised trials of aciclovir or valaciclovir therapy, alone or in combination with any other drug, in patients with Bell's palsy.
Extractions: From The Cochrane Library, Issue 2, 2005 Corticosteroids for Bell's palsy (idiopathic facial paralysis) (Cochrane Review) Salinas RA, Alvarez G, Ferreira J ABSTRACT What's new in this issue Search abstracts Browse alphabetical list of titles Browse by Review Group A substantive amendment to this systematic review was last made on 10 January 2004. Cochrane reviews are regularly checked and updated if necessary. Background: Inflammation and oedema of the facial nerve are implicated in causing Bell's palsy. Corticosteroids have a potent anti-inflammatory action which should minimise nerve damage and thereby improve the outcome of patients suffering from this condition. Objectives: The objective of this review was to assess the effect of steroid therapy in the recovery of patients with Bell's palsy. Search strategy: We searched the Cochrane Neuromuscular Disease Group register (searched December 2003) for randomised trials, as well as MEDLINE (January 1966 to April 2003), EMBASE (January 1980 to April 2003) and LILACS (January 1982 to April 2003). We contacted known experts in the field to identify additional published or unpublished trials. Selection criteria: Randomised trials comparing different routes of administration and dosage schemes of corticosteroid or adrenocorticotrophic hormone therapy versus a control group where no therapy considered effective for this condition was administered, unless it was also given in a similar way to the experimental group.
FIRSTConsult - Sdfdsf FIRSTConsult, facial paralysis (Differential Diagnoses File). Published for medical students and primary healthcare providers by Elsevier. http://www.firstconsult.com/?action=view_article&id=1220331&type=122&bref=1
Department Of Surgery facial paralysis is a devastating consequence for patients, For a review of the surgical treatment of facial paralysis, please click here. http://www.uhmc.sunysb.edu/surgery/paralysis2.html
Extractions: TREATMENT OF FACIAL PARALYSIS The face can become paralyzed from several different causesfacial and head trauma, removal of parotid tumors, removal of acoustic neuroma, ear surgery, viral infection, and stroke. Facial paralysis is a devastating consequence for patients, not only because of the resultant obvious facial disfigurement, but also the associated functional problems, such as chronic eye irritation, constant tearing, drooling, speaking difficulties, and nasal obstruction. Many new state-of-the-art treatment modalities are now used to correct these problems, which allow patients to function without embarrassment in society. These techniques range from simple re-suspension of the droopy face to highly complicated microvascular free-tissue transfer that restores facial movements. The microvascular operation involves transferring a muscle from the thigh (gracilis muscle), with its blood vessels and motor nerve, to the face where it is attached to restore movements of the midfacial musculature. The blood vessels to the gracilis muscle are sewn to the vessels in the neck or face to allow revascularization of the muscle. The motor nerve of the gracilis muscle is then meticulously anastomosed to a recipient nerve in the head and neck region to derive neural stimulation. The ideal recipient nerve is the remaining proximal stump of the paralyzed facial nerve, which will ultimately provide neural input to the gracilis from the brain center that controls facial expressions.
Department Of Surgery INNOVATIONS IN THE SURGICAL TREATMENT OF facial paralysis Reanimating the Paralyzed Face. facial paralysis is a potentially devastating disorder. http://www.uhmc.sunysb.edu/surgery/facial-paralysis.html
Extractions: INNOVATIONS IN THE SURGICAL TREATMENT OF FACIAL PARALYSIS: Reanimating the Paralyzed Face Facial paralysis is a potentially devastating disorder. Few impairments have a more negative effect on the quality of an individual's life. The paralysis, which results from injury to the facial nerve, can lead to a variety of troubling symptoms, including ocular problems, speech difficulties, drooling, and nasal obstruction. Thus, this disorder can be quite debilitating for patients who suffer the emotional impact from the facial disfigurement as well as difficulties with communication, eating, and drinking in a social setting. At Stony Brook, Maisie L. Shindo, MD , associate professor of surgery (otolaryngology-head and neck surgery) and director of head and neck oncology, is using the latest microsurgical techniques in the treatment of facial paralysis which have the ability to reanimate the face and restore spontaneous facial mimetic function. A highly respected figure in her subspecialty, Dr. Shindo has gained national recognition for her expertise in the treatment of facial paralysis, as well as the art of microvascular free-flap reconstruction in the head and neck region. In addition, her specialties include the treatment of thyroid and parathyroid disorders, head and neck cancers, voice disorders, and paralyzed vocal cords. The Facial Nerve The facial nerve has many functions, of which the most physically obvious are the conveyance of emotion, eye closure, and assistance with speech and chewing. Nerve injury causing facial paralysis may result from tumor growth; trauma; surgical procedures involving the parotid gland, ear, and skull base; infection; and several other causes. The facial nerve is further susceptible to spasm from compression by nearby intracranial vessels or tumors. It has a tortuous bony course longer than any other nerve through the densest bone in the body, making surgery on it quite difficult.
Ent_header_01.jpg The most common cause of facial paralysis is Bell s palsy, Herpes zoster oticus is another cause of viral facial paralysis and is associated with http://www.vcu.edu/ent/ent_otology_facial_paralysis.htm
Extractions: Questions? WEBMASTER Home Page Facial Paralysis Facial nerve paralysis (Bell's palsy) The facial nerve runs through a narrow bony canal as it travels from the brain to the face. It is the only nerve in the human body that is surrounded by bone and therefore conditions that produce nerve swelling result in facial analysis. The most common cause of facial paralysis is Bell's palsy, which is considered of viral etiology. Most patients with Bell's palsy undergo full recovery and only a small percentage of patients develops permanent facial weakness. Treatment with cortisone by mouth , and anti-viral medications seem to be helpful. Herpes zoster oticus is another cause of viral facial paralysis and is associated with shingles. Often times herpes zoster oticus is associated with dizziness and hearing loss. Other causes of facial paralysis include head injuries, ear infections and tumors. Most cases of facial paralysis are treatable and therefore an otolaryngologist should be involved early on in the management of these patients. All types of facial reanimation procedures for restoration of facial paralysis are available in our department.
Facial Palsy - Patient UK There is usually a rapid onset of unilateral facial paralysis. OUP 2003; Adour KK, Wingerd J. Idiopathic facial paralysis (Bell s palsy) factors http://www.patient.co.uk/showdoc/40000978/
Extractions: PatientPlus articles are written for doctors and so the language can be technical. However, some people find that they add depth to the articles found in the other sections of this website which are written for non-medical people. Damage to the facial nerve (either upper or lower motor neurone) produces weak muscles of facial expression. Neuroanatomy The VII th cranial (facial) nerve is largely motor in function (some sensory fibres from external acoustic meatus, fibres controlling salivation and taste fibres from the anterior tongue in the chorda tympani branch). It also supplies the stapedius (so a complete nerve lesion will alter auditory acuity on the affected side). From the facial nerve nucleus in the brainstem, fibres loop around the VI nucleus before leaving the pons medial to VIII and passing through the internal acoustic meatus. It passes through the petrous temporal in the facial canal, widens to form the geniculate ganglion (taste and salivation) on the medial side of the middle ear whence it turns sharply (and the chorda tympani leaves), to emerge through the
Early Detection Of Ear Tumors Can Prevent Facial Paralysis The end result is often facial paralysis. Understandably, facial paralysis has a devastating psychological affect when patients look at themselves in the http://www.pacpubserver.com/new/health/f-h/hm110797.html
Extractions: But any hearing loss needs to be checked, because it could the sign of something more serious. The loss of hearing in one ear could be a symptom of an acoustic neuroma, a benign tumor of the hearing nerve. Acoustic neuromas grow slowly, so the sooner a doctor is consulted, the better the chances that hearing can be restored. People with large tumors not only risk losing their hearing, but can develope facial paralysis as well because the hearing and facial nerves run side by side. Estimates show that more than 25 million Americans (about 10 percent of the population) have some type of hearing loss. Acoustic neuromas affect between one in every 3,500 people to five in every million. More women than men develop them, and most acoustic neuromas are diagnosed in people between the ages of 30 and 60. People often overlook the early symptoms. They may notice that they're not able to use the phone well on a particular side, or that they can't hear well in certain directions. Ringing in the ears is another common symptom. But if it is not painful, people tend not to be overly concerned. They will go for months without seeking medical attention. As an acoustic neuroma grows, a person may develop an unsteady gait, facial numbness and pain, eye tearing on one side and loss of coordination.
Extractions: AAACN Viewpoint ABNF Journal, The AIDS Treatment News AMAA Journal ... View all titles in this topic Hot New Articles by Topic Automotive Sports Top Articles Ever by Topic Automotive Sports Facial paralysis caused by malignant skull base neoplasms - Special Feature Dec, 2002 by Sam J. Marzo John P. Leonetti Guy Petruzzelli Save a personal copy of this article and quickly find it again with Furl.net. It's free! Save it. This article has been published previously in Neurosurgical Focus: Marzo SJ, Leonetti JP, Petruzzelli G. Facial paralysis caused by malignant skull base neoplasms. Neurosurgical Focus 2002, Article 2;12(5) (http://www.neurosurgery.org/focus/may02/12-5-nsf-toc.html). Object. Bell palsy remains the most common cause of facial paralysis. Unfortunately, this term is often erroneously applied to all cases of facial paralysis.
