Restoration of blinking reflex and facial symmetry in a Bell′s palsy patient

Somani, Priyanka Piyush; Nayak, Ajay Kumar

doi:10.4103/0970-9290.94686

Cited by 5 publications

(5 citation statements)

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“…The consequences range from a mask-like facial expression to inflammation of the eye and conjunctiva and difficulty in speaking, swallowing, eating and drinking to a reduced quality of life and depression [133]. Treatment options depend on the cause of the disorder and include neurosurgical nerve reconstruction [134], plastic surgery [135], contralateral botulinum toxin injections [136][137][138] and even cheek, lip and labial commissure supporting dental appliances [139,140].…”

Section: Acquired Structural and Functional Asymmetries Of The Head And Facementioning

confidence: 99%

Symmetry and Aesthetics in Dentistry

Runte

Dirksen

2021

Symmetry

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Animal bodies in general and faces in particular show mirror symmetry with respect to the median-sagittal plane, with exceptions rarely occurring. Bilateral symmetry to the median sagittal plane of the body also evolved very early. From an evolutionary point of view, it should therefore have fundamental advantages, e.g., more effective locomotion and chewing abilities. On the other hand, the recognition of bilaterally symmetric patterns is an important module in our visual perception. In particular, the recognition of faces with different spatial orientations and their identification is strongly related to the recognition of bilateral symmetry. Maxillofacial surgery and Dentistry affect effective masticatory function and perceived symmetry of the lower third of the face. Both disciplines have the ability to eliminate or mitigate asymmetries with respect to form and function. In our review, we will demonstrate symmetric structures from single teeth to the whole face. We will further describe different approaches to quantify cranial, facial and dental asymmetries by using either landmarks or 3D surface models. Severe facial asymmetries are usually caused by malformations such as hemifacial hyperplasia, injury or other diseases such as Noma or head and neck cancer. This could be an important sociobiological reason for a correlation between asymmetry and perceived disfigurement. The aim of our review is to show how facial symmetry and attractiveness are related and in what way dental and facial structures and the symmetry of their shape and color influence aesthetic perception. We will further demonstrate how modern technology can be used to improve symmetry in facial prostheses and maxillofacial surgery.

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Section: Acquired Structural and Functional Asymmetries Of The Head And Facementioning

confidence: 99%

Symmetry and Aesthetics in Dentistry

Runte

Dirksen

2021

Symmetry

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“…There are very few studies to compare the outcome from this part of the world. [14151617] The present study was undertaken to address the lacunae.…”

Section: Discussionmentioning

confidence: 99%

Temporalis pull-through vs fascia lata augmentation in facial reanimation for facial paralysis

Balaji

2016

Ann Maxillofac Surg

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Objectives:Surgical rehabilitation of facial palsy is challenging as each case is unique and success rate is often unpredictable. In one technique, temporalis is elevated from origin preserving vessels, and this elevation increases the length which is tunneled into buccal tissues (pull-through technique, Group A). In the other technique, a harvested fascia lata is attached to temporalis after a coronoidectomy release and the fascia lata is attached to the modiolus (Group B). The aim of this study is to compare the two different surgical techniques.Materials and Methods:Case records of 22 cases, 15 females, and 7 males who were operated between 2008 and 2012 for facial palsy with at least 1-year follow-up, using either of the techniques were assessed for pull of muscle, postoperative pain, recovery time, motor control, and symmetry at rest. Descriptive statistics are presented.Results:The Group A (n = 7) and Group B (n = 15) formed the study group. In the Group A, residual asymmetry (n = 3), poor postoperative muscle pull (n = 2) were noticed while in the modified group it was 2 and 3, respectively. The technique used in Group B had better pull of muscle, symmetry, faster recovery time, and better motor control at 1-year follow-up than the conventional technique.Discussion and Conclusion:The difference between the two groups is due to preservation of original muscular architecture, vascular channel supply. As the muscle is not traumatized, no fibrosis occurs aiding regaining of normal function. In addition, the facial reanimation is more successful in the Group B. The mechanism and success behind the technique used in Group B is discussed elaborately in terms of localregional anatomy and physiology

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“…[18][19][20] TCP typically results in mucosal bleeding consequent to primary hemostasis defect, and it can be noticed with different clinical presentations including epistaxis, gingival bleeding, abnormal uterine bleeding, petechiae, and ecchymosis. [13,15] The obvious concern with TCP during pregnancy is the risk of significant bleeding at the time of delivery or after childbirth, and it needs regular follow-up. Such bleeding complications are more likely when the platelet count is < 50 × 10 3 /µL and at the time of cesarean delivery.…”

Section: Introductionmentioning

confidence: 99%

“…However, the possible mechanism is thought to be a combination of hemodilution, increased platelet aggregation driven by increased levels of thromboxane A2, and increased platelet turnover. [11][12][13] TCP can result from a variety of etiologies ranging from benign disorders to syndromes associated with significant morbidity and some of which are unique to pregnancy. [14] Some causes of TCP are serious medical disorders that have the potential for maternal and fetal morbidity.…”

Section: Introductionmentioning

confidence: 99%

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Thrombocytopenia and associated factors among pregnant women attending antenatal care at Hiwot Fana Comprehensive Specialized Hospital, Eastern Ethiopia: A cross-sectional study

Arkew,

Asmerom,

Sileshi

et al. 2024

Medicine

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Thrombocytopenia (TCP) is the second most common hematological change during pregnancy and is considered as a major source of maternal and neonatal morbidity and mortality. Despite its effects to morbidity and mortality, it is frequently ignored or disregarded, particularly in resource-limited nations. Thus, the purpose of this study was to determine the prevalence of thrombocytopenia and associated factors among pregnant women attending antenatal care at Hiwot Fana Comprehensive Specialized University Hospital, Eastern Ethiopia from June 20 to August 30, 2022. A hospital-based cross-sectional study was conducted among 199 pregnant women selected through a systematic sampling technique. Ethical approval was obtained from the Ethics Review Committee of Haramaya University. Data related to sociodemographic and reproductive variables were collected using structured questionnaires. Four milliliters of venous blood were collected from each study participant and a complete blood cell count was determined using UniCel DxH 800 hematology analyzer. Logistic regression analysis was done to assess the association between TCP and independent variables and P < .05 was considered statistically significant. In this study, the prevalence of TCP was 14.1% (95% CI: 9.6–19.7). Of them, 10 (35.7%), 12 (42.9%), and 4 (21.4%) had mild, moderate, and severe TCP, respectively. Having more than 3 children (adjusted odds ratio, AOR = 7.90, 95% CI: 2.60, 24.3), no antenatal care follow-up (AOR = 7.90, 95% CI: 2.40–26.2), being in the second and third trimester (AOR = 6.90, 95% CI: 1.70, 28.9 and AOR = 5.04, 95% CI: 1.12, 22.7, respectively), and history of heavy menstrual bleeding (AOR = 4.03, 95% CI: 1.25, 13.1) were significantly associated with TCP. TCP is a public health problem among pregnant women in the study area. Having more than 3 children, lack of antenatal care follow-up, being in the second and third trimesters, and having history of heavy menstrual bleeding was significantly associated with TCP. As a result, regular platelet count monitoring and appropriate intervention approaches based on identified predictors should be explored to mitigate adverse outcomes in pregnant women.

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Restoration of blinking reflex and facial symmetry in a Bell′s palsy patient

Cited by 5 publications

References 0 publications

Symmetry and Aesthetics in Dentistry

Symmetry and Aesthetics in Dentistry

Temporalis pull-through vs fascia lata augmentation in facial reanimation for facial paralysis

Thrombocytopenia and associated factors among pregnant women attending antenatal care at Hiwot Fana Comprehensive Specialized Hospital, Eastern Ethiopia: A cross-sectional study

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