6 facial nerve

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Sixth nerve palsyor abducens nerve palsyis a disorder associated with dysfunction of cranial nerve VI the abducens nervewhich is responsible for causing contraction of the lateral rectus muscle to abduct i. Thus the diplopia is horizontal and worse in the distance. Diplopia is also increased on looking to the affected side and is partly caused by overaction if the medial rectus on the unaffected side as it tries to provide the extra innervation to the affected lateral rectus.

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Comparison between early and delayed facial nerve decompression in traumatic facial nerve paralysis - A retrospective study. To study the intraoperative findings in case of early and delayed decompression of facial nerve paralysis and compare their results. Retrospective data analysis of 23 cases of longitudinal temporal bone fracture with House-Brackmann grade V and VI facial nerve paralysis.

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NCBI Bookshelf. Van Nguyen ; Matthew Varacallo. Authors Van Nguyen ; Matthew Varacallo 1.

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The facial nerve is one of the key cranial nerves with a complex and broad range of functions. Although at first glance it is the motor nerve of facial expression which begins as a trunk and emerges from the parotid gland as five branches see facial nerve branches mnemonicit has taste and parasympathetic fibers that relay in a complex manner. The facial nerve is the only cranial nerve that may show normal post-contrast enhancement, although this applies only to the labyrinthine segment up to the stylomastoid foramen.

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Long-term facial nerve clinical evaluation following vestibular schwannoma surgery. House-Brackmann Scale was used preoperatively, immediately after surgery and in a long-term follow-up. Student t test was applied for statistic analysis.

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The abducens nerve is a nerve that controls the movement of the lateral rectus muscle in humans, responsible for outward gaze. It is also known as the abducent nervethe sixth cranial nervesixth nerveor simply CNVI. It is a somatic efferent nerve.

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F acial palsy is a well-known pathological condition that leaves patients with heavy functional and aesthetic burdens. The main functional problem is the loss of corneal coverage and lubrication, which leads to corneal lesions and, in the worst cases, impaired vision. Aesthetically, ptosis of tissues at rest may result in facial asymmetry, which is worsened when patients activate mimetic musculature.

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Reconstructive surgery of the facial nerve is not daily routine for most head and neck surgeons. The published experience on strategies to ensure optimal functional results for the patients are based on small case series with a large variety of surgical techniques. On this background it is worthwhile to develop a standardized approach for diagnosis and treatment of patients asking for facial rehabilitation. A standardized approach is feasible: Patients with chronic facial palsy first need an exact classification of the palsy's aetiology.

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