Senin, 10 September 2012

Cross Facial Nerve Graft Procedure is Now an Outpatient Procedure for Individuals With Facial Paralysis

(PRWEB) October 18, 2011 Dr. Babak Azizzadeh, a facial paralysis expert in Beverly Hills, often performs cross- facial nerve graft procedures on patient

File:Cross facial nerve graft.jpg - Wikipedia, the free encyclopedia
File:Cross facial nerve graft.jpg - Wikipedia, the free encyclopedia

(PRWEB) October 18, 2011

Dr. Babak Azizzadeh, a facial paralysis expert in Beverly Hills, often performs cross- facial nerve graft procedures on patients under 55 years old who have long-term facial nerve paralysis to recreate dynamic and spontaneous smile mechanisms. Traditionally, this surgery was an inpatient procedure and required patients to spend several days of recovery time in the hospital. However, in conjunction with La Peer Surgery Centers cutting-edge technologies and super-specialized team, Dr. Azizzadeh performs most of his cross-facial nerve grafts in an outpatient procedure.

Offering cross-facial nerve grafting as an outpatient process greatly benefits facial paralysis patients by allowing a smooth recovery at home or after-care facility as well as limit the risks of hospital borne infections.

These nerve transplants give patients the ability to utilize the facial nerve in the normal side of the face to drive the facial movement in the paralyzed side, said Dr. Azizzadeh. Patients with long-term paralysis have non-functional muscles and therefore need new vascularized muscle to be attached to the cross-facial nerve grafts.

In the first stage of cross-facial nerve grafting Dr. Azizzadeh harvests a nerve (sural graft) from the patients lower leg and connects it to the normal facial nerve on the unaffected side. Over the next 6 to 12 months, the nerve is neurotized, or activated. In the second stage, free muscle graft is utilized. The gracilis muscle with its nerve, artery and vein is harvested and anchored to the paralyzed side of the face. The sural nerve is connected to the gracilis nerve and the artery and veins are hooked up to the facial artery and veins to allow blood supply to the muscle. Now, when the patient smiles on the normal side, the gracilis muscle on the paralyzed side will be activated and move, thereby restoring the patients smile. Generally, patients will undergo physical therapy for 18 months, and facial movements are gradually realized about 8 months followed the second stage of surgery and continue to improve for 2 years.

There are a variety of causes of facial paralysis, and when Dr. Azizzadeh evaluates a patients condition, there are several factors that he must take into consideration when determining a treatment plan. Cross-facial nerve graft surgery is just one of the many facial paralysis treatments Dr. Azizzadeh specializes in. Every surgery is different. We customize the operation depending on the patients desires, as well as age, cause, duration and severity of paralysis, said Dr. Azizzadeh.

Cross Facial Nerve Grafting
Cross Facial Nerve Grafting
Facial Nerve Decompression Surgery Illustration by Robert J. Galla
Facial Nerve Decompression Surgery Illustration by Robert J. Galla
Surgery, Facial Nerve Center, Massachusetts Eye and Ear, Boston
Surgery, Facial Nerve Center, Massachusetts Eye and Ear, Boston
ORAL & MAXILLO-FACIAL SURGERY: Facial Nerve Repair
ORAL & MAXILLO-FACIAL SURGERY: Facial Nerve Repair

Related video about Cross Facial Nerve Graft Procedure is Now an Outpatient Procedure for Individuals With Facial Paralysis

Clavicle Collar Bone Surgery at Sanders Clinic Before and After

Clavicle Collar Bone Surgery at Sanders Clinic Before and After sandersclinic-net Clavicle collar bone fractures are a common occurrence in Orthopaedics accounting for nearly 2 6 of all fractures They Cross Facial Nerve Graft Procedure is Now an Outpatient Procedure for Individuals With Facial Paralysis

Commonly question about Cross Facial Nerve Graft Procedure is Now an Outpatient Procedure for Individuals With Facial Paralysis

Question :

What should i do if people pick on me but they don t understand why i look like this?

i have mobius syndrome {Mbius syndrome (also spelled Moebius) is an extremely rare congenital neurological disorder which is characterized by facial paralysis and the inability to move the eyes from side to side. Most people with Mbius syndrome are born with complete facial paralysis, which means they cannot close their eyes or form facial expressions. Limb and chest wall abnormalities sometimes occur with the syndrome. Most people with Mbius syndrome have normal intelligence, and others should take care not to confuse their lack of facial expression with dullness or unfriendliness. It is named for Paul Julius Mbius, a neurologist who first described the syndrome in 1888.1Mbius syndrome results from the underdevelopment of the VI and VII cranial nerves.2 The VI cranial nerve controls lateral eye movement, and the VII cranial nerve controls facial expression. People with Mbius syndrome are born with facial paralysis and the inability to move their eyes laterally. Often, the upper lip is retracted due to muscle shrinkage.3 Occasionally, the cranial nerves V and VIII are affected.4 If cranial VIII is affected, the person experiences hearing loss.

It is estimated that there are, on average, 2 to 20 cases of Mbius syndrome per million births.56 Although its rarity often leads to late diagnosis, infants with this disorder can be identified at birth by a "mask-like" lack of expression that is detectable during crying or laughing and by an inability to suck while nursing because of paresis (palsy) of the sixth and seventh cranial nerves. Also, because a person with Mbius syndrome cannot follow objects by moving their eyes from side to side, they turn their head instead.

Other symptoms that sometimes occur with Mbius syndrome are:

Limb abnormalitiesclubbed feet, missing fingers or toes
Chest-wall abnormalities (Poland Syndrome)
Crossed eyes (strabismus)
Difficulty in breathing and/or in swallowing
Corneal erosion resulting from difficulty in blinking
Children with Mbius syndrome may have delayed speech because of paralysis of the lips. However, with speech therapy, most people with Mbius syndrome can develop understandable speech.7 Mbius syndrome has been linked to increased occurrence of the symptoms of autism.8 However, some children with Mbius syndrome are mistakenly labeled as mentally retarded or autistic because of their expressionless faces, strabismus, and frequent drooling.Treatment
There is no single course of medical treatment or cure for Mbius syndrome. Treatment is supportive and in accordance with symptoms. If they have difficulty nursing, infants may require feeding tubes or special bottles to maintain sufficient nutrition. Physical, occupational, and speech therapy can improve motor skills and coordination and can lead to better control of speaking and eating abilities. Often, frequent lubrication with eye drops is sufficient to combat dry eye that results from impaired blinking. Surgery can correct crossed eyes, protect the cornea via tarsorraphy, and improve limb and jaw deformities. Sometimes called "smile surgery" by the media, muscle transfers grafted from the thigh to the corners of the mouth can be performed to provide the ability to smile. Although "smile surgery" may provide the ability to smile, the procedure is complex and can take twelve hours for each side of the face. Also, the surgery cannot be considered a "cure" for Mbius syndrome, because it does not improve the ability to form other facial expressions.


edit Living with Mbius syndrome
Many people with Mbius syndrome lead full lives and experience personal and professional success.9 Facial expression is important in social interaction, and other people may have difficulty recognizing the emotions of people with Mbius. A person with Mbius syndrome who cannot smile may appear unfriendly or disinterested in a conversation. However, friends and family who are familiar with the person with Mbius syndrome learn to recognize other signals of emotion such as body language, and they sometimes report forgetting that the person has facial paralysis altogether.10 People with Mbius syndrome can use alternative methods to communicate emotionsuch as body language, posture, and vocal tone.11Pathological picture
The causes of Mbius syndrome are poorly understood. Mbius syndrome is thought to result from a vascular disruption (temporary loss of bloodflow) in the brain during prenatal development.12 There could be many reasons that a vascular disruption leading to Mbius syndrome might occur. Most cases do not appear to be genetic. However, genetic links have been found in a few families. Some maternal trauma may result in impaired or interrupted blood flow (Ischemia) or lack of oxygen (Hypoxia) to a developing fetus. Some cases are associated with reciprocal translocation between chromosomes or maternal illness. In the majority of cases of Mbius syndrome in which autosomal
Answer :
I m sorry you have a neurological disorder. People that pick on others already have a problem that has nothing to do with you and that s something that they need to figure out so forget them. If you feel the need to tell people you have a neurological disorder than you can or you can have someone else tell them and then if they still pick at you then something is really wrong with them and their actions won t go over well with people who have common sense and know how to act. Their behavior will be considered outrageous and incredibly stupid. Be happy and don t worry about those fools.

Tidak ada komentar:

Posting Komentar