Facial synkinesis after experimental compression of the facial nerve comparing intratemporal and extratemporal lesions

2010 ◽  
Vol 120 (5) ◽  
pp. 1022-1027 ◽  
Author(s):  
Hiroyuki Yamada ◽  
Naohito Hato ◽  
Shingo Murakami ◽  
Nobumitsu Honda ◽  
Hiroyuki Wakisaka ◽  
...  
Keyword(s):  
Facial Nerve ◽  
Facial Synkinesis

Total decompression of facial nerve for Melkersson-Rosenthal syndrome

2000 ◽  
Vol 114 (11) ◽  
pp. 870-873 ◽  
Author(s):  
Sunil N. Dutt ◽  
Showkat Mirza ◽  
Richard Irving ◽  
Ivor Donaldson
Keyword(s):  
Facial Nerve ◽  
Facial Paralysis ◽  
Soft Tissues ◽  
Rare Condition ◽  
Surgical Decompression ◽  
Oral Steroids ◽  
The Face ◽  
Granulomatous Disorder ◽  
Facial Synkinesis ◽  
Facial Nerve Decompression

Melkersson – Rosenthal syndrome (MRS) is a rare condition characterized by recurrent facial paralysis in addition to various orofacial manifestations. The condition appears to be a granulomatous disorder causing oedema and inflammation of the soft tissues of the face, lips, oral cavity and particularly, the facial nerve. There is general agreement that the symptoms and signs resolve spontaneously, aided perhaps by an empirical course of oral steroids. However, in some patients the condition may be progressive, leading to disfiguring facial synkinesis and increasing residual paralysis. There is anecdotal evidence in the literature to suggest that surgical decompression of the facial nerve in its entire intratemporal course may prevent further attacks of facial paralysis and its sequelae. We present here our experience with surgical decompression of the facial nerve in a 27 – year – old woman with MRS who had sufferent recurrent left – sided facial palsy since the age of four. A review of the literature pertaining to facial nerve decompression for Melkersson – Rosenthal syndrome is presented.

scholarly journals Motor Control Deficits in Facial Synkinesis Patients: Neuroimaging Evidences of Cerebral Cortex Involvement

2019 ◽  
Vol 2019 ◽  
pp. 1-9 ◽  
Author(s):  
Jia-jia Wu ◽  
Ye-chen Lu ◽  
Mou-xiong Zheng ◽  
Xu-yun Hua ◽  
Jian-guang Xu ◽  
...  
Keyword(s):  
Motor Control ◽  
Facial Nerve ◽  
Spatial Information ◽  
Cortical Plasticity ◽  
Low Frequency ◽  
Resting State Fmri ◽  
Sensory Function ◽  
Healthy Controls ◽  
Motor Control System ◽  
Facial Synkinesis

Objective. Facial synkinesis is a severe sequelae of facial nerve malfunction. Once the synkinesis is established, it is extremely difficult for patients to recover. Given that the restoration of motor or sensory function after peripheral nerve injury was closely related with cortical plasticity, we investigated cortical plasticity in facial synkinesis patients by the frequency-specific data which remains largely uncharacterized. Materials and Methods. Resting-state fMRI was conducted in 20 facial synkinesis patients and 19 healthy controls, and the amplitude of low-frequency fluctuation (ALFF) in five different frequency bands (slow-6: 0-0.01 Hz; slow-5: 0.01-0.027 Hz; slow-4: 0.027-0.073 Hz; slow-3: 0.073-0.167 Hz; and slow-2: 0.167-0.25 Hz) was calculated, respectively. And the relationship between ALFF and clinical outcomes was also analyzed. Results. Comparing with the healthy controls, facial synkinesis patients showed significantly different ALFF values, mainly in the sensorimotor areas. Furthermore, increased ALFF of the ipsilateral insula in the slow-6 band was significantly related with better facial nerve function. Conclusion. Increased ALFF values in the ipsilateral insula might reflect an abnormal state of hypercompensation in motor control of facial synkinesis patients. It provided valuable spatial information about the functionally aberrant regions, which implied the possible involvement of motor control system in facial synkinesis.

Comparison of facial synkinesis at 6 and 12 months after the onset of peripheral facial nerve palsy

2015 ◽  
Vol 42 (4) ◽  
pp. 271-274 ◽  
Author(s):  
Keishi Fujiwara ◽  
Yasushi Furuta ◽  
Yuji Nakamaru ◽  
Satoshi Fukuda
Keyword(s):  
Facial Nerve ◽  
Nerve Palsy ◽  
Facial Nerve Palsy ◽  
Peripheral Facial Nerve Palsy ◽  
Facial Synkinesis

scholarly journals Effect of an Intensified Combined Electromyography and Visual Feedback Training on Facial Grading in Patients With Post-paralytic Facial Synkinesis

2021 ◽  
Vol 2 ◽  
Author(s):  
Gerd F. Volk ◽  
Benjamin Roediger ◽  
Katharina Geißler ◽  
Anna-Maria Kuttenreich ◽  
Carsten M. Klingner ◽  
...  
Keyword(s):  
Facial Nerve ◽  
Median Time ◽  
Biofeedback Training ◽  
Nasolabial Fold ◽  
Grading System ◽  
Current Standard ◽  
Feedback Training ◽  
Visual Biofeedback ◽  
T1 And T2 ◽  
Facial Synkinesis

Background: There is no current standard for facial synkinesis rehabilitation programs. The benefit and stability of effect of an intensified 10-day facial training combining electromyography and visual biofeedback training was evaluated.Methods: Fifty-four patients (77.8% female; median age: 49.5 years) with post-paralytic facial synkinesis (median time to onset of paralysis: 31.1 months) were included in retrospective longitudinal study between January 2013 and June 2016. Facial function was assesses at baseline (T0), first days of training (T1), last day of training (T2), and follow-up visit (T3) at a median time of 6 months later using the House-Brackmann (HB) facial nerve grading system, Stennert index (SI), Facial Nerve Grading System 2.0 (FNGS 2.0), and Sunnybrook Facial Grading System (SFGS). Pairwise comparisons between the time points with post-hoc Bonferroni correction were performed.Results: No significant changes of the gradings and subscores were seen between T0 and T1 (all p > 0.01). The 10-day combined and intensified feedback training between T1 and T2 improved facial symmetry and decreased synkinetic activity. Facial grading with the FNGS 2.0 or the SFGS were most suited to depict the training effect. FNGS 2.0, regional score, FNGS 2.0, synkinesis score, and FNGS 2.0 total score improved significantly (all p ≤ 0.0001). Both, the FNGS 2.0 and the SFGS showed the strongest improvement in the nasolabial fold/zygomatic and the oral region. Neither the age of the patient (r = 0.168; p = 0.224), the gender (r = 0.126; p = 0.363) nor the length of the interval between onset of the palsy and training start (r = 0.011; p = 0.886) correlated with the changes of the SFGS between T1 and T2. The results remained stable between T2 and T3 without any further significant change.Conclusion: Intensified daily combined electromyography and visual biofeedback training over 10 days was effective in patients with facial synkinesis and benefits were stable 6 months after therapy.

Sound-induced facial synkinesis following facial nerve paralysis

2009 ◽  
Vol 62 (8) ◽  
pp. 1025-1029 ◽  
Author(s):  
Ming-San Ma ◽  
Johannes H. van der Hoeven ◽  
Jean-Philippe A. Nicolai ◽  
Marcel F. Meek
Keyword(s):  
Facial Nerve ◽  
Facial Nerve Paralysis ◽  
Nerve Paralysis ◽  
Facial Synkinesis

Facial Nerve Outcome In Acoustic Neuroma Surgery

1992 ◽  
Vol 25 (3) ◽  
pp. 623-647 ◽  
Author(s):  
Jack M. Kartush ◽  
Larry B. Lundy
Keyword(s):  
Facial Nerve ◽  
Acoustic Neuroma ◽  
Acoustic Neuroma Surgery

Intraoperative Facial Nerve Monitoring

1991 ◽  
Vol 24 (3) ◽  
pp. 709-725 ◽  
Author(s):  
Herbert Silverstein ◽  
Seth Rosenberg
Keyword(s):  
Facial Nerve ◽  
Nerve Monitoring ◽  
Facial Nerve Monitoring
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