Limited versus complete superficial parotidectomy for benign parotid tumors

Benign tumors of the parotid gland accounts for the majority of salivary gland rumors. Surgical treatment of benign parotid tumors requires complete removal of the mass with preservation of the facial nerve, but is a traditional conservative superficial parotidectomy with complete facial nerve exposure required for success? The aim of this study is to evaluate the results of benign parotid rumors treated by limited superficial parotidectomy versus the traditional conservative superficial parotidectomy with complete facial nerve exposure. All patients with benign tumors treated by the author were included. Fourteen cases were identified and treated with a median follow up period of 2 years [average 1-3 years]. Limited superficial parotidectomy was done on 6 patients. None developed facial weakness. Traditional superficial parotidectomy were performed on 8 patients. Temporary facial weakness developed in 2 patients and one developed permanent weakness in one branch of cervicofacial division of the facial nerve. Recurrence was not reported in any of both groups. Complete superficial parotidectomy is unnecessary in the treatment of localized parotid tumors. Limited parotidectomy is associated with low morbidity and revealed significant clinical advantage in term of decreasing operative time, blood loss, and significantly reducing the volume of normal parotid tissues excised .There was no reported recurrence among either group. Preoperative investigation [including fine needle aspiration cytology] should be used selectively

[Frequency of sensory and motor nerve injuries after maxillo-facial trauma]

One of the most common complications of trauma to maxillofacial region is nerve injuries of sensory and motor branches of the nerve V and VII in the face. The aim of this article was to study the relative prevalence of injuries of sensory part of nerve V and motor part of nerve VII. The research was descriptive analytic and information were collected by clinical observation. Samples consisted of 384 individuals refereing to Alzahra and Kashani hospitals, collected information were described by descriptive statistics methods and chi statistical test. Motor and sensory nerve involvement in maxillofacial trauma were evaluated in 384 trauma patients. The most frequent nerve damage was sensory part of the nerve V [51.3%] and the next frequent nerve damage was motor part of the nerve VII five patients [1.3%] had both of these two type of injuries. Maxillo-facial nerve injuries specially nerves V and VII were the frequent complications of maxillofacial region. Infra-orbital branch of the nerve V and buccal branch of the nerve VII were most affected. Vigilant clinical examination and early diagnosis of the nerve injuries will guide patients towards proper treatment and prevention of complications

Rehabilitación oculopalpebral post-parálisis facial periférica por sección completa del tronco: colocación de implante de oro y kinesioterapia / Treatment of complete facial paralysis with early gold weight lid implant

La tarsorrafia fue el método alternativo para el tratamiento de las complicaciones post-lesión completa del nervio facial. El implante de una lámina de oro en el párpado permite obtener una solución funcional y cosmética a la falta de oclusión palpebral. Cuando la lesión lleva mucho tiempo de evolución, se suele agregar ectropion de párpado inferior que puede ser resuelto con la técnica de Kuhnt-Szymanovsky en el mismo momento quirúrgico en que se coloca el implante. En nuestra experiencia de 10 pacientes tratados desde Marzo del '93 a Diciembre del '96, hemos colocado en 9 de ellos el injerto de oro, en un caso corregido el ectropion quirúrgicamente y en otro solo se realizó kinesioterapia de rehabilitación (por negativa de la paciente a colocarse el implante quirúrgicamente). En todos realizamos kinesioterapia de rehabilitación precoz. Igual que otros autores, este es un método sencillo y eficaz, alternativo a la tarsorrafia

Otogenic facial nerve palsy

To study the various otogenic conditions responsible for facial nerve palsy in all age groups. Design: It is a retrospective study completed in three years. Settings: Department of E. N. T., King Edward Medical College and Mayo Hospital, Lahore. Subjects: We studied twenty two patients with facial nerve paralysis and cause was somehow related with ear. Otological Trauma was found to be the commonest cause [41%]. Inflammatory pathologies were responsible for 36% cases and malignant tumours in 23% cases. Otological conditions must be thoroughly looked in every patient with lower motor neuron type of facial nerve palsy

Desórdenes del nervio facial: revisión bibliográfica y reporte de casos / Facial nerve disorders: review of the literature and case reports

Múltiples factores pueden lesionar el nervio facial en su trayecto produciendo una parálisis facial, siendo esencial averiguar el sitio de la lesión para comprender el cuadro clínico. El presente artículo considera el valor diagnóstico, terapéutico y pronóstico de pruebas clínicas específicas realizadas en nueve casos de parálisis de Bell, junto con revisión de la literatura

Importancia de la evaluación electrodiagnóstica del nervio facial en la cirugía parotídea / Importance of the electrodiagnostic evaluation of the facial nerve in parotid surgery

Se presenta una casuística de 20 pacientes sometidos a parotidectomía parcial o total por lesiones neoplásicas benignas y malignas, en quienes se realizó evaluación electrodiagnóstica del nervio facial, pre y post operatoria, correlacionando sus resultados con la evaluación clínica, tomando en consideración el tipo de cirugía y la histopatología

Paralisia facial / Facial paralysis

O autor apresenta um resumo da anatomia do nervo facial e da físiopatologia, etiologia, testes, tratamento clínico e cirúrgico da paralisia facial; enfocando e discutindo alguns aspectos atuais desta patologia

Paralisia facial pós-trauma crânio-encefálico: estudo clínico cirúrgico / Facial palsy after skull trauma: clinical and surgical study/

O presente estudo tem como objetivo analisar as lesöes do nervo facial e suas localizaçöes, de acordo com o tipo de fratura do osso temporal e da importância das vias de abordagem cirúrgica (transmastóidea, fossa média e descompressäo total do nervo). Foram estudados 40 casos de paralisia facial periférica (PFO) pós-traumatismos do crânio e do osso temporal com avaliaçäo clínica, audiológica, topográfica, radiológica e com testes prognósticos. Apresentamos os resultados desta pesquisa e fazemos comentários à luz dos conhecimentos já adquiridos e os comparamos com os da literatura

Floating petrous bone fracture and total facial nerve decompression

Total facial nerve decompression via a combined transmastoid transtemporal approach in a child whose compressible skull was partially crushed in a traffic accident causing a floating petrous bone fracture is contemplated. The peculiarity of the fracture line and the type of fracture [floating petrous bone], as well as the operative findings and post-operative results encouraged us to present this case to be added to the previous three cases reported in the literature

Consideracoes sobre a paralisia facial periferica / Considerations on peripheric facial paralysis treatment

A paralisia facial e uma doenca grave e estigmatizante. Os autores fazem uma analise desta doenca como um todo, avaliam a sua fisiopatologia, seu diagnostico e seu tratamento. No que diz respeito ao tratamento, e discutido, o imediato, o intermediario e o tardio, dando-se enfase ao aspecto terapeutico microcirurgico

Diplegia facial periférica traumática: estudo clínico e eletrofisiológico de um caso / Traumatic peripherical facial diplegia: clinical and electrophysiological study of a case

É relatado um caso de diplegia facial traumática, acompanhado de surdez bilateral, em consequência de grave traumatismo crâneo-encefálico, que provocou otorragia-bilateral, fraturas do ocipital e temporal direitos, e fratura bilateral da mandíbula. Foram realizados dois exames de EMG, com estudo das latências dos nervos faciais e dos reflexos palpebrais, aos 62 e 466 dias de evoluçäo. É discutida a fisiopatologia desta incomum síndrome de paralisia facial

Nervo facial: alternativas de reconstruçäo / Facial nerve reconstruction

Revê-se as alternativas de reconstruçäo do nervo facial através do tratamento cirúrgico descompressivo. A abordagem deve se adequar a cada caso, podendo ser intracranial, intratemporal, extratemporal ou combinada