synkinesis/vėžys

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[Homolateral imitative synkinesis in a patient with parietal tumor].

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Systematic approach to intradural tumors ventral to the brain stem.

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Intradural tumors that are situated anterior to the midbrain, pons, and medulla have historically been among the most inaccessible of all intracranial lesions. The classic approaches to the posterior fossa (e.g., suboccipital, retrosigmoid) provide only limited access to the anterior midline,

Selective orbicularis neuromyectomy for postparetic periocular synkinesis.

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BACKGROUND Facial synkinesis is a distressing consequence of incomplete recovery from facial paralysis. The author presents selective orbicularis neuromyectomy as an alternative surgical treatment for periocular synkinesis. METHODS Eleven patients (eight women and three men; mean age: 67 years;

The role of botulinum toxin in the management of head and neck cancer patients.

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OBJECTIVE In this review article different relevant applications of botulinum toxin type A are demonstrated in patients with head and neck cancer. RESULTS Patients with head and neck cancers of different etiologies often suffer from disorders concerning their musculature (for example, synkinesis in

Early Nerve Grafting for Facial Paralysis After Cerebellopontine Angle Tumor Resection With Preserved Facial Nerve Continuity.

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OBJECTIVE Preserving facial nerve function is a primary goal and a key decision factor in the comprehensive management of vestibular schwannoma and other cerebellopontine angle (CPA) tumors. OBJECTIVE To evaluate the use of the pattern of facial paralysis recovery in the early postoperative months

Hypoglossal-facial nerve 'side'-to-side neurorrhaphy using a predegenerated nerve autograft for facial palsy after removal of acoustic tumours at the cerebellopontine angle.

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METHODS Hypoglossal-facial nerve (HN-FN) neurorrhaphy is a method commonly used to treat facial palsy when the proximal stump of the injured FN is unavailable. Since the classic HN-FN neurorrhaphy method that needs to section the injured FN is not suitable for incomplete facial palsy, we

Botulinum toxin in the treatment of facial synkinesis and hyperkinesis.

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OBJECTIVE Facial synkinesis and hyperkinesis commonly impair the outcome of facial nerve palsy. Botulinum toxin type A has shown positive results in the treatment of these symptoms. Our experience is reported in this article. METHODS Prospective study. METHODS Forty-one patients affected by facial

Epidemiologic Overview of Synkinesis in 353 Patients with Longstanding Facial Paralysis under Treatment with Botulinum Toxin for 11 Years.

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BACKGROUND Patients with longstanding facial paralysis often exhibit synkinesis. Few reports describe the prevalence and factors related to the development of synkinesis after facial paralysis. Botulinum toxin type A injection is an important adjunct treatment for facial paralysis-induced asymmetry

Facial paralysis: is there a role for a therapist?

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Rehabilitation for peripheral facial paralysis is often neglected and patients are left untreated. This article explains how nonsurgical rehabilitation, specifically facial neuromuscular retraining, restores function in these patients. Patients with facial paralysis resulting from viral causes,

Facial nerve neuroma.

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Facial nerve neuromas are uncommon, slow-growing neoplasms that may occur anywhere along the course of the facial nerve from the brainstem to the facial muscles. The signs and symptoms are characteristic and vary with the anatomic site of origin. Surgery should not be attempted until a complete and

Lipoma of the cerebellopontine angle.

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Lipomas of the cerebellopontine angle (CPA) are unusual tumors that typically present with hearing loss, tinnitus, dizziness, and occasionally facial neuropathies. We describe the case of a healthy 42-year-old woman who presented with left-sided hearing loss and facial synkinesis. T1-weighted

Defining functional limitation, disability, and societal limitations in patients with facial paresis: initial pilot questionnaire.

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Experiences with patients with facial paralysis over the last 25 years and recent efforts to develop objective measures of paresis and synkinesis led us to three hypotheses: (a) dysfunction in certain regions of the face is more disturbing than that in others, (b) there are major psychosocial

Outcomes and complications of direct end-to-side facial-hypoglossal nerve anastomosis according to the modified May technique.

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OBJECTIVE The aim of this study was to address the efficiency and safety of direct end-to-side facial-hypoglossal nerve anastomosis for facial palsy rehabilitation. METHODS The authors conducted a retrospective study of 12 consecutive procedures performed between December 2000 and February 2006.

Infranuclear ocular motor disorders.

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This chapter covers the very large number of possible disorders that can affect the three ocular motor nerves, the neuromuscular junction, or the extraocular muscles. Conditions affecting the nerves are discussed under two major headings: those in which the site of damage can be anatomically

Immediate Hypoglossal-Facial Anastomosis in Patients With Facial Interruption.

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Hypoglossal-facial anastomosis provides excellent motor supply to the mimetic muscles of the face when there is no chance of recovery of the damaged facial nerve. However, to achieve optimal results, the timing of facial nerve surgery based on electrophysiological testing and clinical evaluation

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