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Query: UMLS:C0030552 (paresis)
 5,831 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

During a period of 25 years, 115 patients with Zenker's diverticulum were submitted to diverticulectomy in the Ear-Nose and Throat Department of Arhus Municipal Hospital. The condition recurred in 18 of the patients treated operatively. In 24 patients (21%), local complications most of which were infective occurred. Ten patients developed paresis of the recurrent nerve and this was permanent in half of these. Thirteen patients (11%) developed other complications which were most frequently infective and one death occurred. It was found that postoperative prophylactic antibiotic treatment could reduce the number of local infective complications significantly and that there was a correlation between the occurrence of local infective complications and subsequent recurrences. No connection was found between the occurrence of local or other complications and the age of the patient. The endoscopic operative technique with CO2-laser has proved a rapid and safe method of treatment which appears to result in fewer complications and briefer periods of hospitalization.
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PMID:[Zenker's diverticulum]. 211 79

A case of extracapsular hemorrhage from spontaneous rupture of a parathyroid adenoma is reported. In the case presented here, adenoma was revealed by a sudden onset of a huge ecchymosis and hematoma of the entire anterior neck and right chest, causing recurrent nerve paresis. These cases of hemorrhage from rupture of silent parathyroid adenoma mimicking a dissecting thoracic aortic aneurysm are discussed.
Ear Nose Throat J 1993 Dec
PMID:Hemorrhage from spontaneous rupture of a parathyroid adenoma (a case report). 831 63

The most common complications of cochlear implantation are flap necrosis, compressed or improperly placed electrodes, and facial nerve injury, paresis, or stimulation. We report on three recent complications experienced at our institution: 1) a flap ischemia and partial-thickness necrosis without infection or device exposure, 2) facial nerve stimulation, which was managed with a new programming technique, and 3) a postimplant cholesteatoma in a patient with chronic eustachian tube dysfunction that required reoperation and explanation. We discuss the pathophysiology, likely etiology, and recommendations for management of these complications.
Ear Nose Throat J 1999 Dec
PMID:Surgical complications of cochlear implantation: a report of three cases and their clinical features. 1062 55

Patients with chronic inflammatory demyelinating polyneuropathy (CIDP) experience proximal- and distalextremity weakness, sensory loss, and often hyporeflexia or areflexia. CIDP is associated with a variety of concomitant medical illnesses, which often manifest weeks before the onset of muscle weakness and paresis. We describe what we believe is the first reported case of an association between CIDP and recurrent acute adenotonsillitis, which we observed in an 11-year-old girl. Following adenotonsillectomy, the patient's CIDP went into remission and her overall physical condition improved with physiotherapy.
Ear Nose Throat J 2003 Jul
PMID:Remission of chronic inflammatory demyelinating polyneuropathy following adenotonsillectomy. 1295 38

Submandibular sialoadenectomy is a common head and neck procedure. Indications include the presence of benign and malignant tumors and inflammatory disease with or without intraglandular sialolithiasis. The standard technique involves a variably sized incision. The facial artery and vein are usually ligated and transected during the procedure, and either suction or nonsuction wound drainage is generally instituted. We describe a modified sialoadenectomy technique that involves a minimal incision, preserves the facial artery and vein, and does not require wound drainage because the surgical site is closed in three layers. We performed this procedure on 19 patients and observed only 1 postoperative complication--mild paresis of the right marginal mandibular branch of the facial nerve following the excision of a Warthin's tumor: This patient recovered fully 3 months postoperatively.
Ear Nose Throat J 2004 Nov
PMID:Modified submandibular sialoadenectomy. 1562 34

Osteomas occur throughout the temporal bone and, depending on their location, may cause tinnitus, hearing loss, vertigo, and facial nerve paresis. We present a rare case of a 25-year-old woman with a mastoid osteoma enlarging over a 6-month period. Other than a cosmetic deformity of her upper neck, the patient was asymptomatic. After surgical removal of the bony neoplasm, the patient was noted to have a high-frequency sensorineural hearing loss. This case study presents clinical, radiologic, intraoperative, pathologic, and audiometric findings of a mastoid osteoma and a review of the literature.
Ear Nose Throat J 2008 Jan
PMID:Giant mastoid osteoma with postoperative high-frequency sensorineural hearing loss. 1835 40

A thyroid foramen is a congenital linear opening located in the lamina of the posterosuperior portion of the thyroid cartilage. Although its overall incidence is reported to be as high as 39%, few practitioners are aware of its existence. We report the case of a 19-year-old man who was involved in a motor vehicle accident. He experienced transient left true vocal fold paresis and what were initially thought to be "bilateral thyroid cartilage fractures" based on computed tomography of the neck performed as part of his trauma evaluation. On further scrutiny, however, the "fractures" were determined to be bilateral thyroid foramina. The presence of the paresis in the setting of these thyroid foramina prompted us to review the literature to examine the significance of thyroid foramina and the vessels and nerves that course through them. The average diameter of a thyroid foramen is approximately 2.5 mm. These openings appear in an oblique orientation, and they occur both unilaterally and bilaterally. In 70% of cases, an anastomotic branch connects the external and internal branches of the superior laryngeal nerve. Embryologically, thyroid foramina are believed to arise from a combined branchial and neurovascular origin. A detailed understanding of laryngeal anatomy, including its variations and their physiologic implications, is important to head and neck surgeons.
Ear Nose Throat J 2009 Mar
PMID:The thyroid foramen: a case report and literature review of a largely unrecognized laryngeal anomaly. 1929 23

Despite the presence of normal facial nerve function in the immediate postoperative period, patients may develop facial nerve dysfunction anywhere from several hours to several days after otologic surgery. This delayed facial paresis, following a broad range of otologic surgeries, has been well described in adults but not in pediatric patients. Viral reactivation is increasingly implicated as the underlying etiology of delayed facial paresis. We present a case of delayed facial paresis in a pediatric patient with a clinical course consistent with viral reactivation.
Ear Nose Throat J 2010 Aug
PMID:Delayed facial paresis following tympanomastoid surgery in a pediatric patient. 2073 73

Pharyngoesophageal diverticulum is a rare complication following anterior cervical discectomy and fusion (ACDF). Dysphagia is a well-documented complication associated with ACDF. It may result postoperatively from a variety of etiologies, including hardware displacement, pharyngeal edema, or vocal fold paresis. One rare cause of persistent dysphagia is the formation of a hypopharyngeal diverticulum, reported in the literature in 9 previous cases. Such diverticula after ACDF surgery may have pathogenesis that is distinct from that of typical Zenker diverticula. We report 3 new cases of hypopharyngeal diverticula in patients who underwent revision ACDFs. Variables assessed included age, sex, level of fusion, ACDF-related complications, and diverticulum management. Two patients underwent successful open surgical diverticulectomy and cricopharyngeal myotomy. In the third case, the patient had a small diverticulum close to the surgical hardware and minimal symptoms and was managed conservatively. Our cases, combined with the 9 previous cases, demonstrate commonalities, particularly with regard to the risk of revision spinal surgery and infection and subsequent hypopharyngeal diverticula development. Hypopharyngeal diverticulum can occur as a complication of ACDF and should be considered in patients with persistent dysphagia after surgery. In this patient population, open resection and cricopharyngeal myotomy are recommended.
Ear Nose Throat J 2010 Nov
PMID:Hypopharyngeal diverticulum formation following anterior discectomy and fusion: case series. 2108 70

We conducted a study to evaluate the success of facial nerve preservation in 27 adults with a parotid tumor who underwent total parotidectomy. Of this group, 11 patients had a malignant tumor, 10 had a recurrent benign tumor, and 6 had a primary benign tumor. Preoperatively, 7 patients had facial nerve paresis. Postoperatively, facial nerve preservation was achieved in all but 1 case; in the exception, the nerve was sacrificed and grafting was necessary. In conclusion, facial nerve preservation can be achieved in almost all cases of total parotidectomy.
Ear Nose Throat J 2013 Jun
PMID:Facial nerve preservation in total parotidectomy for parotid tumors: a review of 27 cases. 2378 May 95


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