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Book Chapter
Series: Aesthetic Dermatology
Volume: 5
Published: 09 February 2021
10.1159/000491854
EISBN: 978-3-318-06690-6
..., during, and after cosmetic procedures. Like every other product in the aesthetics industry, cosmeceuticals have quickly evolved and are widely found in common facial masks. Here, we summarize the best evidence available in different scenarios of cosmetic procedures. We also explore the features of facial...
Book Chapter
Series: Progress in Neurological Surgery
Volume: 35
Published: 18 December 2020
10.1159/000509652
EISBN: 978-3-318-06795-8
... Abstract Successful management of facial pain starts with making correct diagnosis. Diagnostic errors, particularly early on in evaluation of facial pain patients are not uncommon, and some of this may be related to the lack of uniform classification that would satisfy needs of different...
Book Chapter
Series: Progress in Neurological Surgery
Volume: 35
Published: 18 December 2020
10.1159/000509620
EISBN: 978-3-318-06795-8
... Abstract Transcutaneous electrical nerve stimulation (TENS) has been used for its analgesic effects for chronic pain, including facial pain. Here, we summarize how the electrical stimulation of branches of the trigeminal nerve via TENS has been utilized to reduce pain resulting from trigeminal...
Book Chapter
Series: Progress in Neurological Surgery
Volume: 35
Published: 18 December 2020
10.1159/000509621
EISBN: 978-3-318-06795-8
... Abstract Percutaneous electrical nerve stimulation (PENS) is a novel, minimally invasive and useful treatment modality. Its use in complex facial pain has been on the rise, and its utility will further increase with the advances in the technology and renewed interest in the field of peripheral...
Book Chapter
Series: Progress in Neurological Surgery
Volume: 35
Published: 18 December 2020
10.1159/000509574
EISBN: 978-3-318-06795-8
... of treating medically refractory neuropathic pain. Introduction Neurostimulation for the treatment of medically refractory pain was first reported in 1967. Of the 3 reports that year, 2 described the electrical stimulation of the trigeminal nerve for facial pain [ 1 , 2 ]. Peripheral nerve...
Book Chapter
Series: Progress in Neurological Surgery
Volume: 35
Published: 18 December 2020
10.1159/000509622
EISBN: 978-3-318-06795-8
... Abstract The introduction of peripheral neuromodulation to treat headache and facial pain two decades ago opened up the field to non-neurosurgical practitioners, given the relatively low risk and technical ease of the procedure. These procedures, primarily occipital nerve stimulation (ONS...
Book Chapter
Series: Progress in Neurological Surgery
Volume: 35
Published: 18 December 2020
10.1159/000509653
EISBN: 978-3-318-06795-8
... in the craniofacial region. Advances in wireless transmission of electrical signals may make wireless neurostimulation even more attractive in the future. Since most of the evidence supporting PNS for facial pain comes from small subsets of the population, case series and case reports, there will need to be larger...
Book Chapter
Series: Progress in Neurological Surgery
Volume: 35
Published: 18 December 2020
10.1159/000509654
EISBN: 978-3-318-06795-8
... of all three trigeminal branches, GG allows one to achieve clinical effect on the entire half of the face with a relatively small surgical intervention while maintaining an ability to select exact facial regions based on known somatotopic organization of nerve fibers. Therefore, when it comes...
Book Chapter
Series: Progress in Neurological Surgery
Volume: 35
Published: 18 December 2020
10.1159/000509655
EISBN: 978-3-318-06795-8
... of central nervous system activity. The number of published basic research and clinical papers in this field is increasing exponentially, but the number of studies that include patients with facial pain is still limited, and there are no “gold standards” with regard to how to treat the various kinds of pain...
Book Chapter
Series: Progress in Neurological Surgery
Volume: 35
Published: 18 December 2020
10.1159/000509983
EISBN: 978-3-318-06795-8
... Abstract Neuropathic facial pain can be exceedingly difficult to manage with conventional therapies. Since this pain may be excruciating and often debilitating and some patients do not respond or do not tolerate conventional treatments, the interest in neuromodulation therapies is increasing...
Book Chapter
Series: Progress in Neurological Surgery
Volume: 35
Published: 18 December 2020
10.1159/000509734
EISBN: 978-3-318-06795-8
... the early 1950s, and became widely used in the 1970s, when targeting the somatosensory thalamus was shown to be efficacious for intractable pain syndromes including facial pain. The technique fell out of favour in the late 1990s after 2 multicentre trials failed to meet end-point criteria. Since...
Book Chapter
Series: Progress in Neurological Surgery
Volume: 35
Published: 18 December 2020
10.1159/000509909
EISBN: 978-3-318-06795-8
... Abstract Motor cortex stimulation (MCS) has been used in the treatment of intractable neuropathic facial pain for nearly 30 years. While efficacy rates have been noted as high as 88% in some studies, considerable variability in treatment response remains. Additionally, MCS is often cited...
Book Chapter
Series: Progress in Neurological Surgery
Volume: 35
Published: 18 December 2020
10.1159/000509656
EISBN: 978-3-318-06795-8
... Abstract Facial pain occurs in approximately 80% of patients with head and neck cancers. Pain in these settings may result directly from the tumor, or indirectly as a side effect of oncological treatment of the tumor. Optimizing treatment for cancer pain of the face, therefore, involves...
Book Chapter
Series: Progress in Neurological Surgery
Volume: 35
Published: 18 December 2020
10.1159/000509623
EISBN: 978-3-318-06795-8
... Abstract Despite the high incidence of facial pain, targeted drug delivery remains a rarely used technique for treatment of otherwise refractory pain. Two distinct paths have been described. The intraventricular route allows direct access to intracerebral opioid receptors. The more recently...
Book
Book Cover Image
Series: Progress in Neurological Surgery
Volume: 35
Published: 18 December 2020
10.1159/isbn.978-3-318-06795-8
EISBN: 978-3-318-06795-8
Book Chapter
Series: Progress in Neurological Surgery
Volume: 34
Published: 28 May 2019
10.1159/000493074
EISBN: 978-3-318-06422-3
... rhizotomy, glycerol rhizotomy, or balloon compression) and craniotomy-based microvascular decompression (MVD). It is important to properly diagnose facial pain prior to considering the various management options. Classic TN (type 1) is a sharp, episodic, lancinating pain, while type 2 TN is aching...
Book Chapter
Series: Aesthetic Dermatology
Volume: 4
Published: 05 December 2017
10.1159/000479133
EISBN: 978-3-318-06125-3
... Abstract The popularity of facial fillers for aesthetic rejuvenation is growing. The demands of the patient population for ‘minimally invasive' alternatives and improvement in the physical characteristics of the products has fueled this to a large degree. Practitioners administering...
Book Chapter
Series: Translational Research in Biomedicine
Volume: 5
Published: 04 July 2016
10.1159/000444961
EISBN: 978-3-318-05867-3
... Abstract I have performed thousands of microsurgical reconstructions for peripheral nerve injury in my 30-year career as a reconstructive microsurgeon. Most of the patients presented with brachial plexus injury and facial palsy. The brachial plexus conveys essential peripheral motor and sensory...
Book Chapter
Series: Translational Research in Biomedicine
Volume: 5
Published: 04 July 2016
10.1159/000444969
EISBN: 978-3-318-05867-3
... Abstract Facial transplantation (FT) has emerged as a viable option for certain patients in the treatment of devastating facial injuries. Though still considered experimental, over 30 FTs have been performed worldwide with promising short-term results. Indications for FT vary, but generally...
Book Chapter
Series: Advances in Oto-Rhino-Laryngology
Volume: 78
Published: 19 April 2016
10.1159/000442124
EISBN: 978-3-318-05802-4
... Abstract Facial nerve monitoring has been increasingly routinely used as an intraoperative adjunctive method to help the head and neck surgeon to identify and minimize facial nerve injury during parotid surgery. The goals, current applications, recent technical advances, and limitations...