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Smile Surgery
Smile surgery or smile reconstruction is a surgical procedure that restores the smile for people with facial nerve paralysis. Facial nerve paralysis is a relatively common condition with a yearly incidence of 0.25% leading to function loss of the mimic muscles. The facial nerve gives off several branches in the face. If one or more facial nerve branches are paralysed, the corresponding mimetic muscles lose their ability to contract. This may lead to several symptoms such as incomplete eye closure with or without exposure keratitis, oral incompetence, poor articulation, dental caries, drooling, and a low self-esteem. This is because the different branches innervate the frontalis muscle, orbicularis oculi and oris muscles, lip elevators and depressors, and the platysma. The elevators of the upper lip and corner of the mouth are innervated by the zygomatic and buccal branches. When these branches are paralysed, there is an inability to create a symmetric smile. Smile surgery is perform ...
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Surgical Procedure
Surgery ''cheirourgikē'' (composed of χείρ, "hand", and ἔργον, "work"), via la, chirurgiae, meaning "hand work". is a medical specialty that uses operative manual and instrumental techniques on a person to investigate or treat a pathological condition such as a disease or injury, to help improve bodily function, appearance, or to repair unwanted ruptured areas. The act of performing surgery may be called a surgical procedure, operation, or simply "surgery". In this context, the verb "operate" means to perform surgery. The adjective surgical means pertaining to surgery; e.g. surgical instruments or surgical nurse. The person or subject on which the surgery is performed can be a person or an animal. A surgeon is a person who practices surgery and a surgeon's assistant is a person who practices surgical assistance. A surgical team is made up of the surgeon, the surgeon's assistant, an Anesthesiology, anaesthetist, a circulating nurse and a surgical technologist. Surgery ...
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Algorithm For Dynamic Smile Reconstruction In Acquired Facial Paralysis
In mathematics and computer science, an algorithm () is a finite sequence of rigorous instructions, typically used to solve a class of specific problems or to perform a computation. Algorithms are used as specifications for performing calculations and data processing. More advanced algorithms can perform automated deductions (referred to as automated reasoning) and use mathematical and logical tests to divert the code execution through various routes (referred to as automated decision-making). Using human characteristics as descriptors of machines in metaphorical ways was already practiced by Alan Turing with terms such as "memory", "search" and "stimulus". In contrast, a heuristic is an approach to problem solving that may not be fully specified or may not guarantee correct or optimal results, especially in problem domains where there is no well-defined correct or optimal result. As an effective method, an algorithm can be expressed within a finite amount of space and ...
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Gracilis Muscle
The gracilis muscle (; Latin for "slender") is the most superficial muscle on the medial side of the thigh. It is thin and flattened, broad above, narrow and tapering below. Structure It arises by a thin aponeurosis from the anterior margins of the lower half of the symphysis pubis and the upper half of the pubic arch. The muscle's fibers run vertically downward, ending in a rounded tendon. This tendon passes behind the medial condyle of the femur, curves around the medial condyle of the tibia where it becomes flattened, and inserts into the upper part of the medial surface of the body of the tibia, below the condyle. For this reason, the muscle is a lower limb adductor. At its insertion the tendon is situated immediately above that of the semitendinosus muscle, and its upper edge is overlapped by the tendon of the sartorius muscle, which it joins to form the pes anserinus. The pes anserinus is separated from the medial collateral ligament of the knee-joint by a bursa. A ...
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Cervical Nerve
A spinal nerve is a mixed nerve, which carries motor, sensory, and autonomic signals between the spinal cord and the body. In the human body there are 31 pairs of spinal nerves, one on each side of the vertebral column. These are grouped into the corresponding cervical, thoracic, lumbar, sacral and coccygeal regions of the spine. There are eight pairs of cervical nerves, twelve pairs of thoracic nerves, five pairs of lumbar nerves, five pairs of sacral nerves, and one pair of coccygeal nerves. The spinal nerves are part of the peripheral nervous system. Structure Each spinal nerve is a mixed nerve, formed from the combination of nerve fibers from its dorsal and ventral roots. The dorsal root is the afferent sensory root and carries sensory information to the brain. The ventral root is the efferent motor root and carries motor information from the brain. The spinal nerve emerges from the spinal column through an opening (intervertebral foramen) between adjacent vertebrae. Th ...
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Accessory Nerve
The accessory nerve, also known as the eleventh cranial nerve, cranial nerve XI, or simply CN XI, is a cranial nerve that supplies the sternocleidomastoid and trapezius muscles. It is classified as the eleventh of twelve pairs of cranial nerves because part of it was formerly believed to originate in the brain. The sternocleidomastoid muscle tilts and rotates the head, whereas the trapezius muscle, connecting to the scapula, acts to shrug the shoulder. Traditional descriptions of the accessory nerve divide it into a spinal part and a cranial part. The cranial component rapidly joins the vagus nerve, and there is ongoing debate about whether the cranial part should be considered part of the accessory nerve proper. Consequently, the term "accessory nerve" usually refers only to nerve supplying the sternocleidomastoid and trapezius muscles, also called the spinal accessory nerve. Strength testing of these muscles can be measured during a neurological examination to assess funct ...
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Motor Donor Nerve
An engine or motor is a machine designed to convert one or more forms of energy into mechanical energy. Available energy sources include potential energy (e.g. energy of the Earth's gravitational field as exploited in hydroelectric power generation), heat energy (e.g. geothermal), chemical energy, electric potential and nuclear energy (from nuclear fission or nuclear fusion). Many of these processes generate heat as an intermediate energy form, so heat engines have special importance. Some natural processes, such as atmospheric convection cells convert environmental heat into motion (e.g. in the form of rising air currents). Mechanical energy is of particular importance in transportation, but also plays a role in many industrial processes such as cutting, grinding, crushing, and mixing. Mechanical heat engines convert heat into work via various thermodynamic processes. The internal combustion engine is perhaps the most common example of a mechanical heat engine, in which hea ...
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Atrophy
Atrophy is the partial or complete wasting away of a part of the body. Causes of atrophy include mutations (which can destroy the gene to build up the organ), poor nourishment, poor circulation, loss of hormonal support, loss of nerve supply to the target organ, excessive amount of apoptosis of cells, and disuse or lack of exercise or disease intrinsic to the tissue itself. In medical practice, hormonal and nerve inputs that maintain an organ or body part are said to have ''trophic'' effects. A diminished muscular trophic condition is designated as ''atrophy''. Atrophy is reduction in size of cell, organ or tissue, after attaining its normal mature growth. In contrast, hypoplasia is the reduction in the cellular numbers of an organ, or tissue that has not attained normal maturity. Atrophy is the general physiological process of reabsorption and breakdown of tissues, involving apoptosis. When it occurs as a result of disease or loss of trophic support because of other diseases ...
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Electromyogram
Electromyography (EMG) is a technique for evaluating and recording the electrical activity produced by skeletal muscles. EMG is performed using an instrument called an electromyograph to produce a record called an electromyogram. An electromyograph detects the electric potential generated by muscle cells when these cells are electrically or neurologically activated. The signals can be analyzed to detect abnormalities, activation level, or recruitment order, or to analyze the biomechanics of human or animal movement. Needle EMG is an electrodiagnostic medicine technique commonly used by neurologists. Surface EMG is a non-medical procedure used to assess muscle activation by several professionals, including physiotherapists, kinesiologists and biomedical engineers. In Computer Science, EMG is also used as middleware in gesture recognition towards allowing the input of physical action to a computer as a form of human-computer interaction. Clinical uses EMG testing has a variety of ...
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Masseteric Nerve
The masseteric nerve is a nerve of the face. It is a branch of the mandibular nerve (V3). It crosses the mandibular notch to reach masseter muscle. It supplies the masseter muscle, and gives sensation to the temporomandibular joint. It may be used to compensate for facial nerve paralysis. Structure The masseteric nerve is a branch of the mandibular nerve (V3), itself a branch of the trigeminal nerve. It passes laterally, above the lateral pterygoid muscle, in front of the temporomandibular articulation, and behind the tendon of the temporalis muscle. It crosses the mandibular notch with the masseteric artery. It then reaches the deep surface of the masseter muscle, often branching into 2 or 3 branches. It ramifies nearly as far as the anterior border of the masseter muscle. Function The masseteric nerve supplies the masseter muscle. It gives sensation to the temporomandibular joint. Clinical significance The masseteric nerve may be harvested and used to repair paralysi ...
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Hypoglossal Nerve
The hypoglossal nerve, also known as the twelfth cranial nerve, cranial nerve XII, or simply CN XII, is a cranial nerve that innervates all the extrinsic and intrinsic muscles of the tongue except for the palatoglossus, which is innervated by the vagus nerve. CN XII is a nerve with a solely motor function. The nerve arises from the hypoglossal nucleus in the medulla as a number of small rootlets, passes through the hypoglossal canal and down through the neck, and eventually passes up again over the tongue muscles it supplies into the tongue. The nerve is involved in controlling tongue movements required for speech and swallowing, including sticking out the tongue and moving it from side to side. Damage to the nerve or the neural pathways which control it can affect the ability of the tongue to move and its appearance, with the most common sources of damage being injury from trauma or surgery, and motor neuron disease. The first recorded description of the nerve is by Herophil ...
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Babysitter Procedure
Babysitting is temporarily caring for a child. Babysitting can be a paid job for all ages; however, it is best known as a temporary activity for early teenagers who are not yet eligible for employment in the general economy. It provides autonomy from parental control and dispensable income, as well as an introduction to the techniques of childcare. It emerged as a social role for teenagers in the 1920s, and became especially important in suburban America in the 1950s and 1960s, when there was an abundance of small children. It stimulated an outpouring of folk culture in the form of urban legends, pulp novels, and horror films. Overall In developed countries, most babysitters are high school or college students (age 16+). There are some adults who have in-home childcare as well. They are not babysitters; they are professional childcare providers and early childhood educators. The type of work for babysitters also varies from watching a sleeping child, changing diapers, playing ...
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Cross Facial Nerve Graft
A cross is a geometrical figure consisting of two intersecting lines or bars, usually perpendicular to each other. The lines usually run vertically and horizontally. A cross of oblique lines, in the shape of the Latin letter X, is termed a saltire in heraldic terminology. The cross has been widely recognized as a symbol of Christianity from an early period.''Christianity: an introduction''
by Alister E. McGrath 2006 pages 321-323
However, the use of the cross as a religious symbol predates Christianity; in the ancient times it was a pagan religious symbol throughout Europe and western Asia. The effigy of a man hanging on a cross was set up in the fields to protect the crops. It often appeared in conjunction with the female-genital circle or oval, to signify the sacred marriage, as in Egyptian amul ...
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