Objective: To investigate the clinical symptoms, diagnosis and treatment of congenital petrous apex cholesteatoma.
Methods: A retrospective review of clinical symptoms, image findings and effect of operation in nine patients with congenital petrous apex cholesteatoma were performed.
Clinical Symptoms: two cases of congenital petrous apex cholesteatoma patients had peripheral facial paralysis, and progressively aggravated;four cases of peripheral facial paralysis were repeated, without hearing loss; three cases firstly appeared hearing loss, followed by paralysis. When hospitalized, nine cases of patients had peripheral facial paralysis and hearing loss. Seven patients were complicated with tinnitus, and four had vertigo. HRCT scans showed petrosal apex damage; MRI showed that petrosal apex was occupied;and the facial nerve electromyography and evoked potential examination showed moderate-severe neurogenic changes. All were treated by surgeries, among them, 8 cases were by middle fossa approach, 1 case was by middle cranial fossa-translabyrinth combined approach. Two cases whose labyrinthine segment of the facial nerve injured severely, were operated by end to end anastomosis; 3 cases with facial nerve compression thinning, were operated by facial nerve decompression; 4 cases were horizontal segment of facial nerve exposed and edema. None of them had recurrence in a follow-up of 6 to 32 months. 3 cases of peripheral facial paralysis were lessened in different degrees.
Conclusions: Patients with congenital petrous apex cholesteatoma have peripheral facial paralysis in the early stage. Computed tomography scanning, magnetic resonance imaging and facial nerve imaging has important significance to clinical diagnosis, choosing the approach of operation and dealing with the facial nerve during operation.
Download full-text PDF |
Source |
---|
Clin Adv Periodontics
January 2025
Department of Orofacial Sciences, School of Dentistry, University of California San Francisco, San Francisco, California, USA.
Background: Gingival recession has a multifactorial etiology, involving various predisposing and precipitating factors. Non-carious cervical lesions (NCCLs) are often associated with gingival recession and pose challenges due to their complex pathodynamics. There is limited evidence regarding tunnel-based procedures combined with connective tissue grafts (CTGs) for treating recession-associated NCCLs.
View Article and Find Full Text PDFCase Reports Plast Surg Hand Surg
January 2025
Department of Ophthalmology, Japan Community Healthcare Organization Chukyo Hospital, Nagoya-shi, Aichi, Japan.
Marin Amat syndrome is a phenomenon in which eyelids close upon opening of the mouth during the recovery phase after facial nerve paralysis. In this report, we present two surgically treated cases of Marin Amat syndrome with aponeurotic ptosis. Case 1: A 66-year-old man had developed left Bell's palsy a year prior to presentation and underwent rehabilitation at the Neurology Department of Japan Community Healthcare Organization Chukyo Hospital.
View Article and Find Full Text PDFJ Oral Biol Craniofac Res
December 2024
Surgery Attachment, College of Dentistry, Qassim University, Qassim, Saudi Arabia.
Introduction: This is a double clinical trial conducted to study the patient satisfaction and comfort during and after surgical removal of impacted mandibular 3rd molar using Piezo electric tips.
Material And Methods: Two groups of 25 each [14 (56 %) males and 11 (44 %) females] and [18 (72 % males and 07 (28 %) females] represented the Rotary and Piezo groups respectively with bilateral impactions. one side of the patient is operated by piezo and the other side by rotary instrument after a gap of 2-3 week between the procedures.
Aesthetic Plast Surg
January 2025
Department of Burn and Plastic Surgery, Hainan Hospital of Chinese PLA General Hospital, Sanya, China.
Background: Facial trauma repair requires precise reconstruction while preserving aesthetic units. Traditional local anesthesia can distort tissue planes and compromise surgical precision.
Methods: This prospective study evaluated landmark-based nerve blocks versus local infiltration for complex facial laceration repair in emergency settings from January 2022 through February 2023.
Sci Data
January 2025
Department of Radiology, China-Japan Friendship Hospital, Beijing, China.
The sharing of multimodal magnetic resonance imaging (MRI) data is of utmost importance in the field, as it enables a deeper understanding of facial nerve-related pathologies. However, there is a significant lack of multi-modal neuroimaging databases specifically focused on these conditions, which hampers our comprehensive knowledge of the neural foundations of facial paralysis. To address this critical gap and propel advancements in this area, we have released the Multimodal Neuroimaging Dataset of Meige Syndrome, Facial Paralysis, and Healthy Controls (MND-MFHC).
View Article and Find Full Text PDFEnter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!