RESUMO
In the absence of a known or generally admitted etiopathogeneicity, and as a result of failure of medical treatment for facial hemispasm, various surgical procedures have been proposed to alleviate this affection. Two types of operation can be distinguished: muscle resection and facial nerve surgery. The latter includes alcohol injection, combining of the 2nd part of the nerve, neurotomy, or neurectomy of the main or distal portions. However, recurrence is very frequent. Two cases were treated by evulsion of the suborbital nerve with marked success, all the above-mentioned procedures having been employed in one of these cases. Though it is too early to speak of recovery, there was no associated motor deficiency, particularly in the regions of the eye and labial commissure. These findings evoke possible relationships between facial and trigeminal nerves, a peripheral motor stimulus-response process providing an explanation for the hemispasm and its cure after evulsion of the suborbital nerve.
Assuntos
Transtornos de Tique/cirurgia , Adulto , Idoso , Músculos Faciais/cirurgia , Nervo Facial/cirurgia , Feminino , Humanos , Métodos , Reoperação , Nervo Trigêmeo/cirurgiaAssuntos
Amiloidose/complicações , Paralisia Facial/etiologia , Idoso , Amiloidose/diagnóstico , Feminino , HumanosRESUMO
A 8 year-old girl was referred with a mucoepidermoid tumor of the bronchus. Surgery was tried before a mediastin left likeness; diagnosis resided in histology of the surgical piece. Reading of medical literature, very slight for children, corroborate difficulties of histologic classification of these tumors, and especially their doubtful forecast.