Traumatic injuries to the facial nerve. This may result in FACIAL PARALYSIS, decreased lacrimation and salivation, and loss of taste sensation in the anterior tongue. The nerve may regenerate and reform its original pattern of innervation, or regenerate aberrantly, resulting in inappropriate lacrimation in response to gustatory stimuli (e.g., "crocodile tears") and other syndromes.
The 7th cranial nerve. The facial nerve has two parts, the larger motor root which may be called the facial nerve proper, and the smaller intermediate or sensory root. Together they provide efferent innervation to the muscles of facial expression and to the lacrimal and SALIVARY GLANDS, and convey afferent information for TASTE from the anterior two-thirds of the TONGUE and for TOUCH from the EXTERNAL EAR.
Severe or complete loss of facial muscle motor function. This condition may result from central or peripheral lesions. Damage to CNS motor pathways from the cerebral cortex to the facial nuclei in the pons leads to facial weakness that generally spares the forehead muscles. FACIAL NERVE DISEASES generally results in generalized hemifacial weakness. NEUROMUSCULAR JUNCTION DISEASES and MUSCULAR DISEASES may also cause facial paralysis or paresis.
Diseases of the facial nerve or nuclei. Pontine disorders may affect the facial nuclei or nerve fascicle. The nerve may be involved intracranially, along its course through the petrous portion of the temporal bone, or along its extracranial course. Clinical manifestations include facial muscle weakness, loss of taste from the anterior tongue, hyperacusis, and decreased lacrimation.
Injuries to the PERIPHERAL NERVES.
Muscles of facial expression or mimetic muscles that include the numerous muscles supplied by the facial nerve that are attached to and move the skin of the face. (From Stedman, 25th ed)
A nerve which originates in the lumbar and sacral spinal cord (L4 to S3) and supplies motor and sensory innervation to the lower extremity. The sciatic nerve, which is the main continuation of the sacral plexus, is the largest nerve in the body. It has two major branches, the TIBIAL NERVE and the PERONEAL NERVE.
Benign and malignant neoplasms that arise from one or more of the twelve cranial nerves.
Dysfunction of one or more cranial nerves causally related to a traumatic injury. Penetrating and nonpenetrating CRANIOCEREBRAL TRAUMA; NECK INJURIES; and trauma to the facial region are conditions associated with cranial nerve injuries.
Traumatic injuries to the HYPOGLOSSAL NERVE.
Renewal or physiological repair of damaged nerve tissue.
Injuries to the optic nerve induced by a trauma to the face or head. These may occur with closed or penetrating injuries. Relatively minor compression of the superior aspect of orbit may also result in trauma to the optic nerve. Clinical manifestations may include visual loss, PAPILLEDEMA, and an afferent pupillary defect.
A benign SCHWANNOMA of the eighth cranial nerve (VESTIBULOCOCHLEAR NERVE), mostly arising from the vestibular branch (VESTIBULAR NERVE) during the fifth or sixth decade of life. Clinical manifestations include HEARING LOSS; HEADACHE; VERTIGO; TINNITUS; and FACIAL PAIN. Bilateral acoustic neuromas are associated with NEUROFIBROMATOSIS 2. (From Adams et al., Principles of Neurology, 6th ed, p673)
Damage inflicted on the body as the direct or indirect result of an external force, with or without disruption of structural continuity.
The nerves outside of the brain and spinal cord, including the autonomic, cranial, and spinal nerves. Peripheral nerves contain non-neuronal cells and connective tissue as well as axons. The connective tissue layers include, from the outside to the inside, the epineurium, the perineurium, and the endoneurium.
Observable changes of expression in the face in response to emotional stimuli.

Parotid neoplasms: a report of 250 cases and review of the literature. (1/71)

A 25-year experience with parotid tumors was reviewed. From a total of 250 neoplasms, 173 were histologically benign and 77 were malignant. Benign mixed tumors accounted for 59% of all lesions. Clinical parameters used to diagnose parotid neoplasms were found to be unreliable in determining whether a given tumor was benign or malignant. The mean age for malignant lesions was 10 years greater than for benign lesions. The phenomenon of malignant transformation of a benign tumor was considered in four patients. Complete surgical excision is the safest and preferred method for diagnosis. Preoperative needle or incisional biopsy are associated with a high degree of local recurrence. The appropriate management of any parotid tumor is predicated on special histological type. Local excision or enucleation no longer have a place in the surgical management of benign parotid tumors. Postoperative tumor recurrence and morbidity are directly related to awareness of surgical anatomy and pursuit of correct surgical techniques for adequate resection. The five-year recurrence rate for 102 benign mixed tumors was 6%. Recurrence in malignant tumors varied with specific histological types but was generally high. Five-year survival for all malignant parotid tumors was 48%.  (+info)

Exacerbation of facial motoneuron loss after facial nerve transection in severe combined immunodeficient (scid) mice. (2/71)

The immune system functions to protect an organism against microbial infections and may be involved in the reparative response to nerve injury. The goal of this study was to determine whether the immune system plays a role in regulating motoneuron survival after a peripheral nerve injury. After a right facial nerve axotomy, facial motoneuron (FMN) survival in C.B-17 (+/+) wild-type mice was found to be 87 +/- 3.0% of the unaxotomized left side control. In contrast, facial nerve axotomy in C.B-17 (-/-) severe combined immunodeficient (scid) mice, lacking functional T and B lymphocytes, resulted in an average FMN survival of 55 +/- 3.5% relative to the unaxotomized left side control. This represented an approximately 40% decrease in FMN survival compared with wild-type controls. The reconstitution of scid mice with wild-type splenocytes containing T and B lymphocytes restored FMN survival in these mice to the level of the wild-type controls. These results suggest that immune cells associated with acquired immunity play a role in regulating motoneuron survival after a peripheral nerve injury.  (+info)

Impaired axonal regeneration in alpha7 integrin-deficient mice. (3/71)

The interplay between growing axons and the extracellular substrate is pivotal for directing axonal outgrowth during development and regeneration. Here we show an important role for the neuronal cell adhesion molecule alpha7beta1 integrin during peripheral nerve regeneration. Axotomy led to a strong increase of this integrin on regenerating motor and sensory neurons, but not on the normally nonregenerating CNS neurons. alpha7 and beta1 subunits were present on the axons and their growth cones in the regenerating facial nerve. Transgenic deletion of the alpha7 subunit caused a significant reduction of axonal elongation. The associated delay in the reinnervation of the whiskerpad, a peripheral target of the facial motor neurons, points to an important role for this integrin in the successful execution of axonal regeneration.  (+info)

Spatial relationship between vestibular schwannoma and facial nerve on three-dimensional T2-weighted fast spin-echo MR images. (4/71)

BACKGROUND AND PURPOSE: During surgical removal of a vestibular schwannoma, correct identification of the facial nerve is necessary for its preservation and continuing function. We prospectively analyzed the spatial relationship between vestibular schwannomas and the facial nerve using 3D T2-weighted and postcontrast T1-weighted spin-echo (SE) MR imaging. METHODS: Twenty-two patients with a unilateral vestibular schwannoma were examined with MR imaging. The position and spatial relationship of the facial nerve to adjacent tumor within the internal auditory canal (IAC) and cerebellopontine angle cistern (CPA) were assessed on multiplanar reformatted 3D T2-weighted fast spin-echo (FSE) images and on postcontrast transverse and coronal T1-weighted SE images. The entrance of the nerve into the bony canal at the meatal foramen and the nerve root exit zone along the brain stem were used as landmarks to follow the nerve course proximally and distally on all images. RESULTS: The spatial relationship between vestibular schwannoma and facial nerve could not be detected on postcontrast T1-weighted SE images. In 86% of the patients, the position of the nerve in relation to the tumor was discernible on multiplanar reformatted 3D T2-weighted FSE images. In tumors with a maximal diameter up to 10 mm, the entire nerve course was visible; in tumors with a diameter of 11 to 24 mm, only segments of the facial nerve were visible; and in tumors larger than 25 mm, the facial nerve could not be seen, owing to focal nerve thinning and obliteration of landmarks within the IAC and CPA. CONCLUSION: Identification of the facial nerve and its position relative to an adjacent vestibular schwannoma is possible on multiplanar reformatted 3D T2-weighted FSE images but not on postcontrast T1-weighted SE images. Detection of this spatial relationship depends on the tumor's size and location.  (+info)

Complete and long-term rescue of lesioned adult motoneurons by lentiviral-mediated expression of glial cell line-derived neurotrophic factor in the facial nucleus. (5/71)

To date, delivery of neurotrophic factors has only allowed to transiently protect axotomized facial motoneurons against cell death. In the present report, long-term protection of these neurons was evaluated by continuously expressing the neurotrophic factor glial cell line-derived neurotrophic factor (GDNF) within the facial nucleus using a lentiviral vector system. The viral vector was injected unilaterally into the facial nucleus of 4-month-old Balb/C mice. In contrast to axotomy in other adult rodents, facial nerve lesion in these animals leads to a progressive and sustained loss and/or atrophy of >50% of the motoneurons. This model thus represents an attractive model to evaluate potential protective effects of neurotrophic factors for adult-onset motoneuron diseases, such as amyotrophic lateral sclerosis. One month after unilateral lentiviral vector injection, the facial nerve was sectioned, and the animals were killed 3 months later. Viral delivery of the GDNF gene led to long-term expression and extensive diffusion of GDNF within the brainstem. In addition, axotomized motoneurons were completely protected against cell death, because 95% of the motoneurons were present as demonstrated by both Nissl staining and choline acetyltransferase immunoreactivity. Furthermore, GDNF prevented lesion-induced neuronal atrophy and maintained proximal motoneuron axons, despite the absence of target cell reinnervation. This is the first evidence that viral-mediated delivery of GDNF close to the motoneuron cell bodies of the facial nucleus of adult mice can lead to complete and long-term protection against lesion-induced cell death.  (+info)

Conditional gene ablation of Stat3 reveals differential signaling requirements for survival of motoneurons during development and after nerve injury in the adult. (6/71)

Members of the ciliary neurotrophic factor (CNTF)/leukemia inhibitory factor (LIF)/cardiotrophin gene family are potent survival factors for embryonic and lesioned motoneurons. These factors act via receptor complexes involving gp130 and LIFR-beta and ligand binding leads to activation of various signaling pathways, including phosphorylation of Stat3. The role of Stat3 in neuronal survival was investigated in mice by Cre-mediated gene ablation in motoneurons. Cre is expressed under the neurofilament light chain (NF-L) promoter, starting around E12 when these neurons become dependent on neurotrophic support. Loss of motoneurons during the embryonic period of naturally occurring cell death is not enhanced in NF-L-Cre; Stat3(flox/KO) mice although motoneurons isolated from these mice need higher concentrations of CNTF for maximal survival in culture. In contrast, motoneuron survival is significantly reduced after facial nerve lesion in the adult. These neurons, however, can be rescued by the addition of neurotrophic factors, including CNTF. Stat3 is essential for upregulation of Reg-2 and Bcl-xl expression in lesioned motoneurons. Our data show that Stat3 activation plays an essential role for motoneuron survival after nerve lesion in postnatal life but not during embryonic development, indicating that signaling requirements for motoneuron survival change during maturation.  (+info)

Local injection of botulinum toxin type A for hemifacial spasm. (7/71)

The preliminary experience of botulinum toxin treatment for hemifacial spasm is reported in this study. Five patients were treated with 10 injections of botulinum toxin in total. Botulinum toxin had a good to excellent effect in all cases. Improvement was observed 2 weeks to 1 month after the injection. The duration of improvement was 0-9 months (mean 4.2 months). The peak rank tended to decrease and the duration of improvement increased after several treatments. Hemifacial spasm caused by the anterior inferior cerebellar artery tended to subside easily. In contrast, compression by the vertebral artery was more refractory. Continuous facial spasm caused by operative trauma subsided after the injection, but paroxysmal spasm still occurred when eating or laughing. Spasm caused by trauma disappeared 4.5 months after the injection. The complications, which were facial nerve paresis in two cases (3 injections, 30%) and diplopia in one case (1 injection, 10%), were transient and subsided in 2 weeks.  (+info)

Transplantation of olfactory mucosa minimizes axonal branching and promotes the recovery of vibrissae motor performance after facial nerve repair in rats. (8/71)

The occurrence of abnormally associated movements is inevitable after facial nerve transection. The reason for this post-paralytic syndrome is poor guidance of regrowing axons, whereby a given muscle group is reinnervated by misrouted axonal branches. Olfactory ensheathing glia have been shown to reduce axonal sprouting and stimulate axonal regeneration after transplantation into the spinal cord. In the present study, we asked whether transplantation of olfactory mucosa (OM) would also reduce sprouting of a damaged peripheral pure motor nerve. The adult facial nerve was transected, and the effect of the OM placed at the lesion site was analyzed with regard to the accuracy of target reinnervation, axonal sprouting of motoneurons, and vibrissal motor performance. Accuracy of target reinnervation and axonal sprouting were studied using preoperative/postoperative labeling and triple retrograde labeling of facial motoneurons, respectively. The vibrissal motor performance was monitored using a video-based motion analysis. We show here that implantation of OM, compared with simple facial-facial anastomosis, (1) improved the protraction, amplitude, angular velocity, and acceleration of vibrissal movements up to 80% of the control values, (2) reduced the percentage of branching motoneurons from 76 to 39%, and (3) improved the accuracy of reinnervation from 22 to 49%. Moreover, we present evidence, that transplanted OM but not buccal mucous membrane induced a sustained upregulation of trophic factors at the lesion site. It is concluded that transplantation of OM to the transected facial nerve significantly improves nerve regeneration.  (+info)

Facial nerve injuries refer to damages or trauma inflicted on the facial nerve, also known as the seventh cranial nerve (CN VII). This nerve is responsible for controlling the muscles involved in facial expressions, eyelid movement, and taste sensation in the front two-thirds of the tongue.

There are two main types of facial nerve injuries:

1. Peripheral facial nerve injury: This type of injury occurs when damage affects the facial nerve outside the skull base, usually due to trauma from cuts, blunt force, or surgical procedures in the parotid gland or neck region. The injury may result in weakness or paralysis on one side of the face, known as Bell's palsy, and may also impact taste sensation and salivary function.

2. Central facial nerve injury: This type of injury occurs when damage affects the facial nerve within the skull base, often due to stroke, brain tumors, or traumatic brain injuries. Central facial nerve injuries typically result in weakness or paralysis only on the lower half of the face, as the upper motor neurons responsible for controlling the upper face receive innervation from both sides of the brain.

Treatment for facial nerve injuries depends on the severity and location of the damage. For mild to moderate injuries, physical therapy, protective eyewear, and medications like corticosteroids and antivirals may be prescribed. Severe cases might require surgical intervention, such as nerve grafts or muscle transfers, to restore function. In some instances, facial nerve injuries may heal on their own over time, particularly when the injury is mild and there is no ongoing compression or tension on the nerve.

The facial nerve, also known as the seventh cranial nerve (CN VII), is a mixed nerve that carries both sensory and motor fibers. Its functions include controlling the muscles involved in facial expressions, taste sensation from the anterior two-thirds of the tongue, and secretomotor function to the lacrimal and salivary glands.

The facial nerve originates from the brainstem and exits the skull through the internal acoustic meatus. It then passes through the facial canal in the temporal bone before branching out to innervate various structures of the face. The main branches of the facial nerve include:

1. Temporal branch: Innervates the frontalis, corrugator supercilii, and orbicularis oculi muscles responsible for eyebrow movements and eyelid closure.
2. Zygomatic branch: Supplies the muscles that elevate the upper lip and wrinkle the nose.
3. Buccal branch: Innervates the muscles of the cheek and lips, allowing for facial expressions such as smiling and puckering.
4. Mandibular branch: Controls the muscles responsible for lower lip movement and depressing the angle of the mouth.
5. Cervical branch: Innervates the platysma muscle in the neck, which helps to depress the lower jaw and wrinkle the skin of the neck.

Damage to the facial nerve can result in various symptoms, such as facial weakness or paralysis, loss of taste sensation, and dry eyes or mouth due to impaired secretion.

Facial paralysis is a loss of facial movement due to damage or dysfunction of the facial nerve (cranial nerve VII). This nerve controls the muscles involved in facial expressions, such as smiling, frowning, and closing the eyes. Damage to one side of the facial nerve can cause weakness or paralysis on that side of the face.

Facial paralysis can result from various conditions, including:

1. Bell's palsy - an idiopathic (unknown cause) inflammation of the facial nerve
2. Trauma - skull fractures, facial injuries, or surgical trauma to the facial nerve
3. Infections - Lyme disease, herpes zoster (shingles), HIV/AIDS, or bacterial infections like meningitis
4. Tumors - benign or malignant growths that compress or invade the facial nerve
5. Stroke - damage to the brainstem where the facial nerve originates
6. Congenital conditions - some people are born with facial paralysis due to genetic factors or birth trauma

Symptoms of facial paralysis may include:

* Inability to move one or more parts of the face, such as the eyebrows, eyelids, mouth, or cheeks
* Drooping of the affected side of the face
* Difficulty closing the eye on the affected side
* Changes in saliva and tear production
* Altered sense of taste
* Pain around the ear or jaw
* Speech difficulties due to weakened facial muscles

Treatment for facial paralysis depends on the underlying cause. In some cases, such as Bell's palsy, spontaneous recovery may occur within a few weeks to months. However, physical therapy, medications, and surgical interventions might be necessary in other situations to improve function and minimize complications.

Facial nerve diseases refer to a group of medical conditions that affect the function of the facial nerve, also known as the seventh cranial nerve. This nerve is responsible for controlling the muscles of facial expression, and it also carries sensory information from the taste buds in the front two-thirds of the tongue, and regulates saliva flow and tear production.

Facial nerve diseases can cause a variety of symptoms, depending on the specific location and extent of the nerve damage. Common symptoms include:

* Facial weakness or paralysis on one or both sides of the face
* Drooping of the eyelid and corner of the mouth
* Difficulty closing the eye or keeping it closed
* Changes in taste sensation or dryness of the mouth and eyes
* Abnormal sensitivity to sound (hyperacusis)
* Twitching or spasms of the facial muscles

Facial nerve diseases can be caused by a variety of factors, including:

* Infections such as Bell's palsy, Ramsay Hunt syndrome, and Lyme disease
* Trauma or injury to the face or skull
* Tumors that compress or invade the facial nerve
* Neurological conditions such as multiple sclerosis or Guillain-Barre syndrome
* Genetic disorders such as Moebius syndrome or hemifacial microsomia

Treatment for facial nerve diseases depends on the underlying cause and severity of the symptoms. In some cases, medication, physical therapy, or surgery may be necessary to restore function and relieve symptoms.

Peripheral nerve injuries refer to damage or trauma to the peripheral nerves, which are the nerves outside the brain and spinal cord. These nerves transmit information between the central nervous system (CNS) and the rest of the body, including sensory, motor, and autonomic functions. Peripheral nerve injuries can result in various symptoms, depending on the type and severity of the injury, such as numbness, tingling, weakness, or paralysis in the affected area.

Peripheral nerve injuries are classified into three main categories based on the degree of damage:

1. Neuropraxia: This is the mildest form of nerve injury, where the nerve remains intact but its function is disrupted due to a local conduction block. The nerve fiber is damaged, but the supporting structures remain intact. Recovery usually occurs within 6-12 weeks without any residual deficits.
2. Axonotmesis: In this type of injury, there is damage to both the axons and the supporting structures (endoneurium, perineurium). The nerve fibers are disrupted, but the connective tissue sheaths remain intact. Recovery can take several months or even up to a year, and it may be incomplete, with some residual deficits possible.
3. Neurotmesis: This is the most severe form of nerve injury, where there is complete disruption of the nerve fibers and supporting structures (endoneurium, perineurium, epineurium). Recovery is unlikely without surgical intervention, which may involve nerve grafting or repair.

Peripheral nerve injuries can be caused by various factors, including trauma, compression, stretching, lacerations, or chemical exposure. Treatment options depend on the type and severity of the injury and may include conservative management, such as physical therapy and pain management, or surgical intervention for more severe cases.

Facial muscles, also known as facial nerves or cranial nerve VII, are a group of muscles responsible for various expressions and movements of the face. These muscles include:

1. Orbicularis oculi: muscle that closes the eyelid and raises the upper eyelid
2. Corrugator supercilii: muscle that pulls the eyebrows down and inward, forming wrinkles on the forehead
3. Frontalis: muscle that raises the eyebrows and forms horizontal wrinkles on the forehead
4. Procerus: muscle that pulls the medial ends of the eyebrows downward, forming vertical wrinkles between the eyebrows
5. Nasalis: muscle that compresses or dilates the nostrils
6. Depressor septi: muscle that pulls down the tip of the nose
7. Levator labii superioris alaeque nasi: muscle that raises the upper lip and flares the nostrils
8. Levator labii superioris: muscle that raises the upper lip
9. Zygomaticus major: muscle that raises the corner of the mouth, producing a smile
10. Zygomaticus minor: muscle that raises the nasolabial fold and corner of the mouth
11. Risorius: muscle that pulls the angle of the mouth laterally, producing a smile
12. Depressor anguli oris: muscle that pulls down the angle of the mouth
13. Mentalis: muscle that raises the lower lip and forms wrinkles on the chin
14. Buccinator: muscle that retracts the cheek and helps with chewing
15. Platysma: muscle that depresses the corner of the mouth and wrinkles the skin of the neck.

These muscles are innervated by the facial nerve, which arises from the brainstem and exits the skull through the stylomastoid foramen. Damage to the facial nerve can result in facial paralysis or weakness on one or both sides of the face.

The sciatic nerve is the largest and longest nerve in the human body, running from the lower back through the buttocks and down the legs to the feet. It is formed by the union of the ventral rami (branches) of the L4 to S3 spinal nerves. The sciatic nerve provides motor and sensory innervation to various muscles and skin areas in the lower limbs, including the hamstrings, calf muscles, and the sole of the foot. Sciatic nerve disorders or injuries can result in symptoms such as pain, numbness, tingling, or weakness in the lower back, hips, legs, and feet, known as sciatica.

Cranial nerve neoplasms refer to abnormal growths or tumors that develop within or near the cranial nerves. These nerves are responsible for transmitting sensory and motor information between the brain and various parts of the head, neck, and trunk. There are 12 pairs of cranial nerves, each with a specific function and location in the skull.

Cranial nerve neoplasms can be benign or malignant and may arise from the nerve itself (schwannoma, neurofibroma) or from surrounding tissues that invade the nerve (meningioma, epidermoid cyst). The growth of these tumors can cause various symptoms depending on their size, location, and rate of growth. Common symptoms include:

* Facial weakness or numbness
* Double vision or other visual disturbances
* Hearing loss or tinnitus (ringing in the ears)
* Difficulty swallowing or speaking
* Loss of smell or taste
* Uncontrollable eye movements or drooping eyelids

Treatment for cranial nerve neoplasms depends on several factors, including the type, size, location, and extent of the tumor, as well as the patient's overall health. Treatment options may include surgery, radiation therapy, chemotherapy, or a combination of these approaches. Regular follow-up care is essential to monitor for recurrence or complications.

Cranial nerve injuries refer to damages or trauma to one or more of the twelve cranial nerves (CN I through CN XII). These nerves originate from the brainstem and are responsible for transmitting sensory information (such as vision, hearing, smell, taste, and balance) and controlling various motor functions (like eye movement, facial expressions, swallowing, and speaking).

Cranial nerve injuries can result from various causes, including head trauma, tumors, infections, or neurological conditions. The severity of the injury may range from mild dysfunction to complete loss of function, depending on the extent of damage to the nerve. Treatment options vary based on the type and location of the injury but often involve a combination of medical management, physical therapy, surgical intervention, or rehabilitation.

Hypoglossal nerve injuries refer to damages or impairments to the twelfth cranial nerve, also known as the hypoglossal nerve. This nerve is primarily responsible for controlling the movements of the tongue.

An injury to this nerve can result in various symptoms, depending on the severity and location of the damage. These may include:

1. Deviation of the tongue to one side when protruded (usually away from the side of the lesion)
2. Weakness or paralysis of the tongue muscles
3. Difficulty with speaking, swallowing, and articulation
4. Changes in taste and sensation on the back of the tongue (in some cases)

Hypoglossal nerve injuries can occur due to various reasons, such as trauma, surgical complications, tumors, or neurological disorders like stroke or multiple sclerosis. Treatment for hypoglossal nerve injuries typically focuses on managing symptoms and may involve speech and language therapy, exercises to strengthen the tongue muscles, and, in some cases, surgical intervention.

Nerve regeneration is the process of regrowth and restoration of functional nerve connections following damage or injury to the nervous system. This complex process involves various cellular and molecular events, such as the activation of support cells called glia, the sprouting of surviving nerve fibers (axons), and the reformation of neural circuits. The goal of nerve regeneration is to enable the restoration of normal sensory, motor, and autonomic functions impaired due to nerve damage or injury.

Optic nerve injuries refer to damages or trauma inflicted on the optic nerve, which is a crucial component of the visual system. The optic nerve transmits visual information from the retina to the brain, enabling us to see. Injuries to the optic nerve can result in various visual impairments, including partial or complete vision loss, decreased visual acuity, changes in color perception, and reduced field of view.

These injuries may occur due to several reasons, such as:

1. Direct trauma to the eye or head
2. Increased pressure inside the eye (glaucoma)
3. Optic neuritis, an inflammation of the optic nerve
4. Ischemia, or insufficient blood supply to the optic nerve
5. Compression from tumors or other space-occupying lesions
6. Intrinsic degenerative conditions affecting the optic nerve
7. Toxic exposure to certain chemicals or medications

Optic nerve injuries are diagnosed through a comprehensive eye examination, including visual acuity testing, slit-lamp examination, dilated fundus exam, and additional diagnostic tests like optical coherence tomography (OCT) and visual field testing. Treatment options vary depending on the cause and severity of the injury but may include medications, surgery, or vision rehabilitation.

An acoustic neuroma, also known as vestibular schwannoma, is not actually a neuroma but rather a benign (noncancerous) tumor that develops on the vestibular nerve. This nerve is one of the two nerves that transmit sound and balance information from the inner ear to the brain. The tumor arises from an overproduction of Schwann cells, which normally provide a protective covering for the nerve fibers. As the tumor grows, it can press against the hearing and balance nerves, causing symptoms such as hearing loss, ringing in the ear (tinnitus), unsteadiness, and disequilibrium. In some cases, acoustic neuromas can become quite large and cause additional symptoms by pressing on nearby cranial nerves. Treatment options include observation, radiation therapy, or surgical removal of the tumor.

A wound is a type of injury that occurs when the skin or other tissues are cut, pierced, torn, or otherwise broken. Wounds can be caused by a variety of factors, including accidents, violence, surgery, or certain medical conditions. There are several different types of wounds, including:

* Incisions: These are cuts that are made deliberately, often during surgery. They are usually straight and clean.
* Lacerations: These are tears in the skin or other tissues. They can be irregular and jagged.
* Abrasions: These occur when the top layer of skin is scraped off. They may look like a bruise or a scab.
* Punctures: These are wounds that are caused by sharp objects, such as needles or knives. They are usually small and deep.
* Avulsions: These occur when tissue is forcibly torn away from the body. They can be very serious and require immediate medical attention.

Injuries refer to any harm or damage to the body, including wounds. Injuries can range from minor scrapes and bruises to more severe injuries such as fractures, dislocations, and head trauma. It is important to seek medical attention for any injury that is causing significant pain, swelling, or bleeding, or if there is a suspected bone fracture or head injury.

In general, wounds and injuries should be cleaned and covered with a sterile bandage to prevent infection. Depending on the severity of the wound or injury, additional medical treatment may be necessary. This may include stitches for deep cuts, immobilization for broken bones, or surgery for more serious injuries. It is important to follow your healthcare provider's instructions carefully to ensure proper healing and to prevent complications.

Peripheral nerves are nerve fibers that transmit signals between the central nervous system (CNS, consisting of the brain and spinal cord) and the rest of the body. These nerves convey motor, sensory, and autonomic information, enabling us to move, feel, and respond to changes in our environment. They form a complex network that extends from the CNS to muscles, glands, skin, and internal organs, allowing for coordinated responses and functions throughout the body. Damage or injury to peripheral nerves can result in various neurological symptoms, such as numbness, weakness, or pain, depending on the type and severity of the damage.

A facial expression is a result of the contraction or relaxation of muscles in the face that change the physical appearance of an individual's face to convey various emotions, intentions, or physical sensations. Facial expressions can be voluntary or involuntary and are a form of non-verbal communication that plays a crucial role in social interaction and conveying a person's state of mind.

The seven basic facial expressions of emotion, as proposed by Paul Ekman, include happiness, sadness, fear, disgust, surprise, anger, and contempt. These facial expressions are universally recognized across cultures and can be detected through the interpretation of specific muscle movements in the face, known as action units, which are measured and analyzed in fields such as psychology, neurology, and computer vision.

Baker, DC; Conley, J (December 1979). "Avoiding facial nerve injuries in rhytidectomy. Anatomical variations and pitfalls". ... SMAS Facial musculature Facial nerve A dissection in the deep plane can mostly be performed safely, because the facial nerve ... Greater auricular nerve Injury to the greater auricular nerve is the most seen nerve injury after rhytidectomy. Care should be ... Nerve injury can be sustained during rhytidectomy. This kind of injury can be temporary or permanent and harm can be done to ...
Immediate Facial Nerve Reconstruction Following Iatrogenic Injuries". Maxillofacial Surgery. Vol. 1 (3rd ed.). Churchill ... The posterior auricular nerve is a nerve of the head. It is a branch of the facial nerve (CN VII). It communicates with ... The posterior auricular nerve arises from the facial nerve (CN VII). It is the first branch outside of the skull. This origin ... branches from the vagus nerve, the great auricular nerve, and the lesser occipital nerve. Its auricular branch supplies the ...
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Injury to the buccal branch of the facial nerve is a risk; the buccal branch nerves that might be affected control facial ... Hwang K, Cho HJ, Battuvshin D, Chung IH, Hwang SH (July 2005). "Interrelated buccal fat pad with facial buccal branches and ... functions, therefore, such damage might result in partial facial paralysis, regional facial numbness, loss of taste, et cetera ...
The group suffered injuries and was treated in the United States; Karzai received injuries to his facial nerves, as can ...
Following facial injury it is also critical to restore nerve function to avoid facial paralysis. Often, patients who received ... "Early Nerve Grafting for Facial Paralysis After Cerebellopontine Angle Tumor Resection With Preserved Facial Nerve Continuity ... of injuries). Mechanical ventilation (65% of injuries), blood transfusion (28% of injuries) and tracheostomy (22% of injuries) ... This works through providing nerve signaling distal to the site of injury, helping the regenerating nerve to find the correct ...
Complications include lacerations, skin markings, external eye trauma, intracranial injury, facial nerve injury, skull fracture ... "Effect of mode of delivery in nulliparous women on neonatal intracranial injury". The New England Journal of Medicine. 341 (23 ...
These procedures are primarily focused on refractory head and facial pain, peripheral nerve injury, and other persistent pain ... spinal cord injury, traumatic brain injury, and stroke. A total of 113 injections were performed on the 31 patients, with one ... gabapentin and pregabalin were demonstrated to have supraspinal-mediated analgesic effects after peripheral nerve injury. This ... "Pain relief by gabapentin and pregabalin via supraspinal mechanisms after peripheral nerve injury". Journal of Neuroscience ...
Horizontal fractures were thought to be associated with injuries to the facial nerve, and longitudinal with injuries to the ... based on disruption of the otic capsule has been found as more reliable in predicting complications such as facial nerve injury ... This area contains nerve fibers, called glomus bodies. Normally, these nerves respond to changes in body temperature or blood ... This tumor can affect the ear, upper neck, base of the skull, and the surrounding blood vessels and nerves. A glomus jugulare ...
... damage to the inferior alveolar nerve occurs in 3.5% of mandibular distraction, tooth bud injury in 2%, and facial nerve injury ... JAMA Facial Plastic Surgery. 15 (3): 167-73. doi:10.1001/jamafacial.2013.44. PMID 23681250. Gomi A, Sunaga A, Kamochi H, Oguma ...
... facial nerve injury, injury to the other cranial nerve, disordered vestibular compensation. Gopen Q (15 December 2013). ... Facial nerve decompression is a type of nerve decompression surgery where abnormal compression on the facial nerve is relieved ... Facial nerve compression is often due to edema (swelling) of the nerve and marked vascular congestion. Reason for the facial ... Tumour of facial nerve like schwannomas and perineuromas. Other tumours that can compress facial nerve along its course like ...
"The facial motor nucleus transcriptional program in response to peripheral nerve injury identifies Hn1 as a regeneration- ...
Anatomy of the Trigeminal Nerve". Nerves and Nerve Injuries. Vol. 1: History, Embryology, Anatomy, Imaging, and Diagnostics. ... The zygomatic branches of the facial nerve are branches of the facial nerve (CN VII). They run across the zygomatic bone to the ... The zygomatic branches of the facial nerve (malar branches) are nerves of the face. They run across the zygomatic bone to the ... The zygomatic branches of the facial nerve have many nerve connections. Along their course, there may be connections with the ...
Damage to the peripheral nerves, along with injury to the chorda tympani branch of the facial nerve, also cause dysgeusia. A ... For example, the blink reflex may be used to evaluate the integrity of the trigeminal nerve-pontine brainstem-facial nerve ... Injury to the glossopharyngeal nerve can result in dysgeusia. In addition, damage done to the pons, thalamus, and midbrain, all ... and nerve-growth factors. Animal research has also uncovered the ability of ALA to improve nerve conduction velocity. Because ...
Seddon classified facial nerve injuries into three broad categories: neuropraxia, neurotmesis, and axonotmesis. Neuropraxia is ... ENoG is used to describe study of the facial nerve, while the term nerve conduction study is employed for other nerves. It ... This represents total degradation of the facial nerve. Lastly, axonotmesis consists of damage to the inner nerve fibers while ... These control muscle contractions and facial expressions.[citation needed] Facial nerve paralysis can impact several aspects of ...
The risk of postoperative facial nerve injury has also decreased over the last several decades to less than 1%, most of which ... However, some individuals will experience dizziness, and on rare occasions, tinnitus or facial nerve bruising. From the early ... The rate of transient facial nerve palsy is estimated to be approximately 1%. Device failure requiring reimplantation is ... damage to the facial nerve, damage to the chorda tympani, and wound infections. Cochlear implantation surgery is considered a ...
... but the actress had suffered such severe facial nerve injuries in an automobile accident that she was unable to endure wearing ...
... of the otic capsule has been found to be predictive for complications of temporal bone trauma such as facial nerve injury, ...
It may be caused by a facial nerve injury, compression by a blood vessel, a tumor, or it may have no apparent cause. ... facial). The facial muscles are controlled by the facial nerve (seventh cranial nerve), which originates at the brainstem and ... stretching the facial nerve (seventh cranial nerve), and high-pressure irrigation of the nerve with lactate ringer's solution. ... involves increased excitability of the facial nerve nucleus due to feedback from a damaged facial nerve. It is generally ...
Facial nerve avulsion is used to treat the involuntary twitching involved in benign essential blepharospasm. However, it often ... Comparison of facial nerve avulsion and eyebrow-eyelid muscle stripping procedure. Archives Of Ophthalmology, 102(2), 266-268. ... To fix this injury and to be able to continue climbing, many climbers will apply sports tape to the flapped finger to cover up ... Detachment of the nerves can cause pain and loss of function in the arms, shoulders, and hands. Neuropathic pain can be treated ...
Recovery rate also depends on the cause of the facial nerve palsy (e.g. infections, perinatal injury, congenital dysplastic). ... The facial nerve is the seventh of 12 cranial nerves. This cranial nerve controls the muscles in the face. Facial nerve palsy ... Trochlear nerve (IV) Sixth nerve palsy - Abducens nerve (VI) Other Trigeminal neuralgia - Trigeminal nerve (V) Facial nerve ... Facial nerve (VII) Accessory nerve disorder - Accessory nerve (XI) Pavlou, E., Gkampeta, A., & Arampatzi, M. (2011). Facial ...
"Insulin-like growth factor-I promotes nerve regeneration through a nerve graft in an experimental model of facial paralysis". ... In 1941, Seddon introduced a classification of nerve injuries based on three main types of nerve fiber injury and whether there ... Usually, however, peripheral nerve injuries are classified in five stages, based on the extent of damage to both the nerve and ... Nerve injury is an injury to nervous tissue. There is no single classification system that can describe all the many variations ...
The ear is also highly sensitive to blast injury. The bones of the ear are connected to facial nerves, and ear injuries can ... Injuries to the nervous system include brain injury, spinal cord injury, and nerve injury. Trauma to the brain causes traumatic ... Nerve injuries may also be caused by laceration or compression. Injuries to the pelvic area include injuries to the bladder, ... Nasal trauma is a common injury and the most common type of facial injury. Oral injuries are typically caused by traffic ...
... cranial nerve injuries MeSH C21.866.260.237.162 - abducens nerve injury MeSH C21.866.260.237.325 - facial nerve injuries MeSH ... abducens nerve injury MeSH C21.866.915.300.400.300 - facial nerve injuries MeSH C21.866.915.300.400.650 - optic nerve injuries ... optic nerve injuries MeSH C21.866.260.275 - facial injuries MeSH C21.866.260.275.250 - eye injuries MeSH C21.866.260.275. ... post-head injury MeSH C21.866.915.300.400 - cranial nerve injuries MeSH C21.866.915.300.400.100 - ...
As the stapedius muscle is innervated by the facial nerve, a measurement of the reflex can be used to locate the injury on the ... the auditory nerve, brain stem, facial nerve, superior olivary complex, and cochlear nucleus. Consequently, the absence of an ... nerve. If the injury is distal to the stapedius muscle, the reflex is still functional. A measurement of the reflex can also be ... Pang, XD; Guinan, JJ (1997). "Effects of stapedius-muscle contractions on the masking of auditory-nerve responses". J Acoust ...
An injury during birth resulted in the severing of nerves on the right side of his face, causing facial paralysis. Champ grew ... telling how he had worked throughout life to counter the facial palsy that afflicted him at birth. He said he wants to see a ...
In most cases, there is loss of sensation in the cheek and upper lip due to infraorbital nerve injury. Facial bruising, ... In some cases there may be persistent post-surgical facial asymmetry, which can require further treatment. Fraioli, RE; ... Winegar, BA; Murillo, H; Tantiwongkosi, B (2013). "Spectrum of critical imaging findings in complex facial skeletal trauma". ... on the same side as the injury. Concomitant NOE fractures predict a higher incidence of post operative deformity. Non-displaced ...
An injury to this nerve during a surgical procedure can distort the expression of the smile as well as other facial expressions ... The marginal mandibular branch of the facial nerve arises from the facial nerve (CN VII) in the parotid gland at the parotid ... The marginal mandibular branch of the facial nerve is found superficial to the facial artery and (anterior) facial vein. Thus ... ISBN 978-0-443-06952-9. Batra APS, Mahajan A, Gupta K. Marginal mandibular branch of the facial nerve: An anatomical study. ...
... abducens nerve injury MeSH C10.292.262.500 - facial nerve injuries MeSH C10.292.262.750 - optic nerve injuries MeSH C10.292. ... cranial nerve injuries MeSH C10.900.300.218.150 - abducens nerve injury MeSH C10.900.300.218.300 - facial nerve injuries MeSH ... facial nerve injuries MeSH C10.292.300.625 - facial neuralgia MeSH C10.292.300.750 - herpes zoster oticus MeSH C10.292.300.800 ... optic nerve injuries MeSH C10.292.700.500 - optic nerve neoplasms MeSH C10.292.700.500.500 - optic nerve glioma MeSH C10.292. ...
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Cranial Nerve Diseases - Facial Nerve Injuries PubMed MeSh Term *Overview. Overview. subject area of * Constriction of the ... buccal branch of the facial nerve produces unilateral craniofacial allodynia Journal Article ...
... contact our Chicago nerve injury attorneys for a free and confidential consultation. ... If your newborn suffers from a birth injury, ... Facial Nerve Palsy and Facial Nerve Injuries in Chicago. Facial ... Contact a Chicago Facial Nerve Injury or Paralysis Attorney. If your baby suffered a facial nerve injury or paralysis, you ... Some of the potential causal factors for a facial nerve injury and facial nerve palsy include the following:. *Use of forceps ...
Dynamic and static reconstruction procedures are employed for facial reanimation in patients suffering from facial nerve ... the main trunk of the facial nerve. Facial nerve injury during rhytidectomy is rare, usually temporary, and most often involves ... Donor nerves for facial nerve grafting. The great auricular nerve and sural nerve are the most commonly selected nerves for ... Intratemporal facial nerve. The first branch of the facial nerve is the greater petrosal nerve, which departs from the ...
The key to the management of these facial nerve injuries depends on (i) the timing of facial paralysis after onset (immediate ... the status of the motor end plates of the facial muscles. The management of traumatic facial nerve injuries can be a variable ... describe the subsequent management of facial nerve injury in this cohort of patients, and importantly, present a paradigm shift ... of a meaningful recovery for these patients.This Special Issue will discuss the assessment of these facial nerve injuries, ...
Facial Nerve Injury. The most dreaded complication of tympanomastoidectomy is injury to the facial nerve. The incidence of ... If injury to the facial nerve is not recognized during the operation and the patient awakens with facial paralysis, the surgeon ... The first step in managing a possible or recognized facial nerve injury is to decompress the nerve around the area thought to ... exists as to whether or not facial nerve monitoring is helpful in reducing the risk of postoperative facial nerve injury. ...
Changes In Various Hormone Levels In The Rabbit Traumatic Facial Nerve Injury Model ... Objectives: We aimed to look into potential associations between specific biomarkers and trauma to Cranial Nerve VII (CNVII) in ...
While nerve injury can sometimes result from procedures, symptoms are usually temporary. There are times, however, when ... Nerve injury can sometimes result from routine or complex procedures, such as root canals, wisdom tooth removal, or the ... Oral and Facial Surgery Centers of Massachusetts. Burlington Oral and Facial Surgery Center , 77 South Bedford St., Suite 100 ... Cambridge Oral and Facial Surgery Center , 625 Mt. Auburn St., Suite 209 Cambridge, MA 02138 ...
... was Interviewed Live about Nerve Injury & Repair Options on 640WGST Talk Radio Atlantas Health Tech Talk Live Hosted by Ben ... Survey Results for Trigeminal Nerve Injuries Course. *Dr. Bagheri and Dr. Meyer Lead Educational Program for Oral and ... was Interviewed Live about Nerve Injury & Repair Options on 640WGST Talk Radio Atlantas Health Tech Talk Live Hosted by Ben ... Maxillofacial Surgeons on the Treatment of Trigeminal Nerve Injuries. *Clinical Review of Oral and Maxillofacial Surgery, 2nd ...
Baker, DC; Conley, J (December 1979). "Avoiding facial nerve injuries in rhytidectomy. Anatomical variations and pitfalls". ... SMAS Facial musculature Facial nerve A dissection in the deep plane can mostly be performed safely, because the facial nerve ... Greater auricular nerve Injury to the greater auricular nerve is the most seen nerve injury after rhytidectomy. Care should be ... Nerve injury can be sustained during rhytidectomy. This kind of injury can be temporary or permanent and harm can be done to ...
A new review looking at regenerative medicine techniques in facial plastic and reconstructive surgery is giving us a glimpse ... facial aging; facial nerve injuries; breast cancer; and other reconstructive needs," the Mayo Clinic reported. ... The next frontier in facial plastic, reconstructive surgery. JAMA Facial Plast Surg. 2016. ... But, what will the future of facial plastic and reconstructive surgery be like? Turns out regenerative medicine could be the ...
Removal of semicircular canal reduced risk of facial nerve injury ... Indications Brain injury following trauma is one of commonest indications for craniotomy. • Craniotomy usually done for ... Head injury types, clinical manifestations, diagnosis and management. Vibha Amblihalli•90.5K. views ... Decompressive craniectomy in Traumatic Brain Injuryjoemdas22.6K. views•62. slides ...
Facial nerve paralysis from slag injury to the ear.﻽. Panosian MS, Wayman JW, Dutcher PO ... Facial Nerve Disorders. • Hearing and Hearing Loss. • Laser Surgery. • Neurotologic Skull Base Surgery. • Pediatric Otology. • ... Facial Nerve Disorders. • Hearing and Hearing Loss. • Laser Surgery. • Neurotologic Skull Base Surgery. • Pediatric Otology. • ...
Injury to the facial or trigeminal nerve (rare). *Numbness of the lip ...
Common birth injuries associated with diabetes are brachial plexus injury, facial nerve injury, and cephalohematoma. With ... Birth injury. Injuries of birth, including shoulder dystocia and brachial plexus trauma, are more common among infants of ... the risk of injury to the fetus after delivery of the head (eg, Erb palsy) is significantly increased. Thus, birth injury, ... of these will have recognizable brachial plexus injury, and 5% of these injuries will result in permanent deficit, ...
Facial nerve injury. *Prolonged swelling. Request an Appointment or Call 715-870-2162 ... Deep facial wrinkles and sagging skin. What to Expect at the Face Lift Consultation. Be prepared with the following information ... A face lift can improve the appearance of facial wrinkles and sagging skin. The procedure lifts and tightens the skin on the ...
862 million for children with birth injuries caused by malpractice. Learn your legal options now for free. ... Facial nerve injury or paralysis. *Fetal distress or lack of oxygen in the brain ... Birth Injury Legal Help FAQs. What is a birth injury?. A birth injury can be any type of injury that occurred during pregnancy ... What Are Birth Injuries?. A birth injury is any form of harm that happens to an infant as they are born. Birth injuries are ...
A method of incising parotid abscess without injury to the facial nerve distribution. Am J Surg. 1917. 31(4):101-2. ... Arlen D Meyers, MD, MBA is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive ...
Facial Reanimation Surgery Following Facial Nerve Injury (September 2015). - Bradley Mons, DO, Otolaryngologist, Head and Neck ...
... contact our Kaneohe birth injury lawyer at Davis Levin Livingston today for a free case review. ... If your newborn child has suffered an injury during the delivery process, ... Facial Nerve Injury: This type of injury can occur when excessive pressure is applied to the babys face during delivery, ... What is a Birth Injury?. A birth injury is a physical injury or medical condition that occurs to a newborn or mother during the ...
... contact a Houston birth injury attorney at McDonald Worley. ... If your child suffered an injury due to the negligence of ... Facial Nerve Injury. When a babys face is under pressure for a long time during delivery, it results in facial paralysis. The ... pressure causes facial nerve damage. When a facial injury occurs, the infant may be unable to open their eyes. There may also ... Brachial Plexus Injury. This injury damages the brachial plexus nerves. The symptoms are muscle weakness in the hand or arm. ...
TMD results from pressure on the facial nerves due to muscle tension, injury, or bone abnormalities. Some 70% of adults exhibit ... TMD results from pressure on the facial nerves due to muscle tension, injury, or bone abnormalities. Some 70% of adults exhibit ... Transcutaneous electrical nerve stimulation- A method for relieving the muscle pain of TMJ by stimulating nerve endings that do ... whiplash injuries describe general injuries to the spine and spinal cord at the junction of the fourth and fifth vertebrae (VER ...
Optic Nerve Injury Associated with Facial Trauma Kim KH, Sohn YR, Yoo SK, Yoo YC ... Effects of Acetyl-L Carnitine on Recovery from Sciatic Nerve Injury in Rats Cho JW, Lee JJ, Sohn YR, Yoo YC, Yoo SK ... A possible therapeutic effect of acetyl-L carnitine (ALCAR) on peripheral nerve injuries and the expression of Jun, the protein ...
personal injury. *Consultant(s)*. *Towns*. Ophthalmic plastic and reconstructive surgery, management of facial nerve palsy, ...
Treatment of traumatic injuries of the peripheral facial nerve. Ugeskr Laeger. 2022 Sep 26;184(39):V01220018. Danish. PMID: ... Microsurgical reconstruction after traumatic lesion of the peripheral facial nerve. Ugeskr Laeger. 2022 Sep 26;184(39): ... Bjærke HB, Bjark TH, Berg T. Facial paralysis reconstruction. Tidsskr Nor Laegeforen. 2018. pmid:30421736 PubMed ... Leckenby J, Grobbelaar A. Smile restoration for permanent facial paralysis. Arch Plast Surg. 2013 Sep; 40(5): 633-638 . doi: ...
... cranial nerve VII). This movement disorder triggers involuntary short or longer contractions of the facial muscles. Although ... Hemifacial spasm is a movement disorder of the muscles innervated by the facial nerve ( ... It has been reported that symptoms can also be triggered by Bell s palsy owing to injury to the facial nerve (4). ... Synkinesias after facial nerve paralysis also lead to activation of several muscles innervated by the facial nerve. Typically ...
Injury to the facial nerve that runs through the ear, which can cause facial paralysis. This is extremely uncommon. Surgeons ... should use a device called a facial nerve monitor during ear surgery to minimize this risk. ... and chorda tympani nerve (•) highlighted. Early and Periodic Auditory Monitoring for Patients with Fanconi Anemia. Any child ... that sensorineural hearing loss from inner ear or auditory nerve damage cannot be restored by ear surgery.. Below are a few ...
Surgical technique and facial nerve dissection during parotidectomy. Indications and complications of parotidectomy (removal of ... Complications of surgery include, facial nerve injury with resultant facial paralysis. If severe, paralysis will cause the face ... Electromonitoring of the Facial Nerve helps to identify it at surgery and prevent injury. This technique was first described in ... Note that the facial nerve enters and divides in the center of the gland. The course of the nerve and number of branches are ...

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