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Facial nerve surgery inevitably leads to partial pareses, abnormally associated movements and pathologically altered reflexes. The reason for this "post-paralytic syndrome" is the misdirected reinnervation of targets, which consists of two major components. First, due to malfunctioning axonal guidance, a muscle gets reinnervated by a "foreign" axon, that has been misrouted along a "wrong" fascicle. Second, the supernumerary collateral branches emerging from all transected axons simultaneously innervate antagonistic muscles and cause severe impairment of their coordinated activity. Since it is hardly possible to influence the first major component and improve the guidance of several thousands axons, the authors concentrated on the second major component and tried to reduce the collateral axonal branching.
First multi-year cumulation covers six years: 1965-70.
Salivary glands are unique because of the manifold subtypes of benign and malignant diseases found there. Written by world-renowned experts, Salivary Gland Disorders and Diseases: Diagnosis and Management fills a major gap in the literature by presenting modern and up-to-date knowledge on all aspects of this important field. From new findings at the molecular level, to diagnostic advances in cytopathology, histopathology, biochemistry, and imaging studies, to technical innovations and surgical and medical management, the book covers every diagnostic and therapeutic development and innovation. Its clear, concise, and heavily illustrated approach makes it ideal for use by both beginners and mo...
This authoritative and up-to-date reference is a complete guide to the basic science, diagnosis, testing, and treatment of facial nerve disorders and diseases. An international team of renowned experts, put together and headed by the book's two specialist editors, provide in-depth discussion of facial nerve topography and physiology, as well as the broad spectrum of infectious, inflammatory, acute, chronic, benign, and malignant diseases related to facial nerve dysfunction. The book is filled with practical evidence-based information, guidelines, and algorithms presented in uniformly structured chapters, allowing readers to quickly pinpoint key details for treating a specific disease or diso...
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Peripheral nerve injuries (PNIs) by trauma are the most common neuronal injury in civilian and military populations and significantly burden health care systems. Mammals (including humans) with PNIs experience: (1) immediate loss of sensory and motor functions mediated by the denervated target tissues; (2) rapid (3-7d) Wallerian Degeneration (WD) of severed distal axonal segments; and, (3) slow (~1mm/day) regeneration by naturally occurring axonal outgrowths from surviving, severed proximal stumps that produce poor (if any) functional recovery because of slow axonal regeneration for long distances and lack of axonal guidance. Denervated muscle fibers and sensory organs often atrophy before any re-innervation can occur.