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Related Concept Videos

Tracheostomy Decannulation01:21

Tracheostomy Decannulation

Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...

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Related Experiment Video

Updated: Jul 12, 2026

Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
19:53

Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer

Published on: March 1, 2015

Delayed facial palsy after stapedectomy.

J J Shea1, X Ge

  • 1Shea Ear Clinic, Memphis, Tennessee 38119, USA.

Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [And] European Academy of Otology and Neurotology
|July 13, 2001
PubMed
Summary

Delayed facial palsy after stapedectomy, a rare complication, may be linked to latent herpesvirus activation. Early intervention with acyclovir shows promise in preventing this condition.

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Last Updated: Jul 12, 2026

Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
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Published on: February 16, 2022

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Area of Science:

  • Otology and Neurotology
  • Facial Nerve Surgery
  • Viral Pathogenesis

Background:

  • Stapedectomy is a common procedure for hearing loss.
  • Delayed facial palsy (DFP) is a rare but serious complication following stapedectomy.
  • Understanding the incidence and etiology of DFP is crucial for patient safety.

Observation:

  • DFP occurred in 0.51% of 2152 stapedectomy procedures.
  • Onset of DFP ranged from 5 to 16 days post-surgery.
  • Risk factors included facial canal dehiscence, chorda tympani manipulation, Gelfoam reaction, and sinusitis.

Findings:

  • Elevated antibody titers for varicella zoster virus and herpes simplex virus were observed in patients with DFP.
  • These serologic findings suggest reactivation of latent herpesviruses.
  • Mechanical irritation during surgery may trigger viral reactivation.

Implications:

  • DFP following stapedectomy warrants investigation for viral reactivation.
  • The antiviral medication acyclovir may be beneficial in preventing DFP in susceptible patients.
  • Further research into prophylactic antiviral use in high-risk cases is recommended.