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Improving current understanding of cognitive impairment in patients with a spinal cord injury: A UK-based clinician survey.
J Spinal Cord Med
November 2024
Department of Clinical Neurology, Royal Hallamshire Hospital, Sheffield, UK.
Context: Emerging data suggests that patients with a spinal cord injury (SCI) have a higher risk of developing cognitive impairment. The true incidence of cognitive impairment in this group is unclear due to the difficulty in administering commonly used assessment tools, which are dependent on functional abilities e.g.
View Article and Find Full Text PDFHearing outcomes in subtotal facial nerve decompression with preserving ossicular chain intact.
Acta Otolaryngol
October 2024
Department of Otorhinolaryngology-Head and Neck Surgery, the University of Hong Kong-Shenzhen Hospital, Shenzhen, China.
Article Synopsis
- Patients with Bell's palsy who underwent facial nerve decompression surgery while preserving the ossicular chain showed significant improvement in facial nerve function post-surgery, with 100% recovery to House-Brackmann grades I and II.
- Hearing evaluations indicated minimal changes in overall hearing, particularly at low and speech frequencies, but there was a significant increase in high-frequency hearing loss post-surgery.
- The study suggests that this surgical approach can successfully preserve most hearing function while addressing facial paralysis without causing substantial verbal frequency hearing loss.
A Natural Approach to Bell's Palsy: An Osteopathic Treatment Option.
Cureus
August 2024
Osteopathic Medicine, Dr. Kiran C. Patel College of Osteopathic Medicine, Nova Southeastern University, Fort Lauderdale, USA.
Article Synopsis
- * A 52-year-old woman with four months of left-sided facial paralysis underwent OMT focused on specific cranial and muscular techniques, leading to significant improvements in her facial function.
- * The combination of OMT, physical therapy, and at-home exercises appeared to contribute positively to her recovery, though the possibility of spontaneous resolution of Bell's palsy remains a consideration.
Intact Transmastoid Ossicle Swaying Technique to Preserve Hearing in Pediatric Facial Nerve Decompression Surgery: A Case Report.
Cureus
April 2024
Otolaryngology - Head and Neck Surgery, Jichi Medical University, Shimotsuke, JPN.
When pharmacological treatments are inadequate, facial nerve paralysis from various etiologies, including Bell's palsy, Hunt syndrome, and trauma, often requires surgical intervention. Facial nerve decompression surgery aims to relieve nerve compression and restore function, with preserving hearing function, especially in pediatric cases, being crucial. Conventional methods, like the transmastoid approach, risk affecting auditory function due to ossicle manipulation.
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