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Facial Nerve Palsy in a Young Patient With Acute Lymphoblastic Leukemia Possibly Induced by Herpes Virus Reactivation in the Facial Nerve.
Ear Nose Throat J
January 2025
Department of Otolaryngology - Head & Neck Surgery, Osaka Medical and Pharmaceutical University, Takatsuki, Japan.
Facial palsy in acute lymphoblastic leukemia (ALL) patients is diagnosed as tumor cell invasion of the central nervous system (CNS) following the ALL guidelines. Facial palsy in a 6-year-old ALL patient was diagnosed as leukemia cell invasion into the CNS by hemato-oncologists. Pretreatment magnetic resonance image (MRI) revealed gadolinium enhancement of the first genu and meatal portion of the facial nerve.
View Article and Find Full Text PDFFacial nerve outcomes after middle fossa decompression for Bell's palsy.
Otol Neurotol
March 2015
*Division of Otolaryngology-Head and Neck Surgery, University of Utah, Salt Lake City, Utah; and †Department of Otolaryngology Head and Neck Surgery, Oregon Health & Science University, Portland, Oregon, U.S.A.
Objective: Evaluate the long-term outcomes of facial nerve decompression via the middle fossa approach for Bell's palsy patients with poor prognosis based on clinical and electrodiagnostic testing.
Study Design: Retrospective case series.
Setting: Tertiary-care, academic medical center.
A perspective on recurrent vertigo.
ORL J Otorhinolaryngol Relat Spec
March 2014
Department of Otolaryngology, Head and Neck Surgery, University of Massachusetts Medical School, Worcester, MA 01655, USA.
The recurrent nature of the 3 most common vestibulopathies suggests a recurrent cause. Histopathology in temporal bones from patients with these syndromes - vestibular neuronitis (VN, n = 7), Ménière's disease (MD, n = 8) and benign paroxysmal positional vertigo (BPPV, n = 5) - shows focal degeneration of vestibular nerve axons and degenerated nearby facial nerve meatal ganglion cells. Transmission electron microscopic confirmation of intracytoplasmic viral particles in surgically excised vestibular nerves from patients with VN and MD support a viral etiology in these vestibulopathies.
View Article and Find Full Text PDFZygomatic root approach.
Acta Otolaryngol
July 2009
Department of Otorhinolaryngology and Head and Neck Surgery, Istanbul Medical Faculty, Istanbul University, Istanbul, Turkey.
Conclusions: The zygomatic root (ZR) approach provides improved intraoperative exposure of the key areas around the geniculate ganglion without a craniotomy, combining the advantages of middle cranial fossa (MCF) and transmastoid extralabyrinthine (TMEL) approaches. The ZR approach may be useful in cases of traumatic facial palsy, Bell's palsy, iatrogenic facial palsy, superior semicircular canal dehiscence and primary cholesteatoma.
Objectives: To describe and evaluate the new ZR approach technique in the treatment of traumatic intratemporal facial nerve injuries.
The meatal ganglion in neoplasia and inflammation of the facial nerve.
Ear Nose Throat J
August 2008
Department of Otolaryngology-Head and Neck Surgery, University of Massachusetts Medical School, Worcester, MA, USA.
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