Generally, its the lower part of the face that In addition to the fatigue, many people also have . Facial paralysis can make it difficult to speak, blink, swallow or smile. We offer a rare degree of skill and expertise even in the most complex procedures that can address paralysis of the face, including nerve, muscle and tendon transfers, microvascular surgery and oculoplastics. Clinical research uses human volunteers to help researchers learn more about a disorder and perhaps find better ways to safely detect, treat, or prevent disease. A doctor may refer them to a facial paralysis specialist. Facial exercises. Advertising on our site helps support our mission. Step 1: Using your fingers, gently push up the skin next to your nose on the affected side while trying to wrinkle your nose. despite a facelift (which lifts the muscle, skin and soft tissue but does I am the director of the Facial Paralysis Clinic at UT Southwestern. Hope this helps. because of damage or inflammation in the nerve that controls the muscles on Diagnostic imaging such as magnetic resonance imaging (MRI) or computed tomography (CT) scans can rule out other structural causes of pressure on the facial nerve (e.g., an artery compressing the nerve) and also check the other nerves. recent). The following organizations and resources can help individuals, families, friends, and caregivers of people living withBell's palsy: Genetic and Rare Diseases (GARD) One of the first things he said to me was, Tell me the top five things you want out of your facial reanimation journey. I immediately answered, I want to smile.. BELL'S PALSY SURGERY. I drank all my meals through a straw and kept working from home. Ive had the privilege of speaking to other people who are going through a journey similar to mine. or 817-882-2400, 5323 Harry Hines Blvd. Were one of the busiest centers in the world, and have pioneered or refined some of the current techniques used in treating facial palsy., Boahene adds that his patients get a lot more than highly skilled facial plastic surgery. Our surgeons haveunique skills in surgical reanimation techniques that can address paralysis of the face, including nerve and tendon transfers, microvascular surgery and oculoplastics. Explore services and physicians in your region, Your location is Change Your Location, Set Your Location to See Relevant Information. Before and 3 months after eyelid surgery photos are shown. With a facelift, both sides of JavaScript has been disabled within your browser, the content or the functionality of this web page can be You can learn more about how we ensure our content is accurate and current by reading our. Unfortunately, too many patients with facial paralysis are told there is nothing that can be done. Bell's palsy treatment options. The good news is, it's usually only temporary. Symptoms include drooping of the eyebrow and mouth, drooling, and. Botox for congenital unilateral lower lip palsy. Bell's palsy is a rare condition that affects the facial nerve and muscles. The surgery, which reinnervates the muscles around the eye, is featured in the March 2020 edition of Plastic and Reconstructive Surgery. Does the person have a history of neck or head trauma? He kept complaining about one eye watering. Only about 5% of patients have a poor recovery. Part of this research program focuses on learning more about nerve mechanisms involved in facial movement and control and the circumstances that lead to nerve damage, such as facial paralysis. Unfortunately, recovery from this procedure would look much, much different. Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a healthcare professional. In the meantime, its important to protect the eye on the side The timing of the facial nerve repair is critical. There are several options for facial nerve repair and transfer. I kept working and engaging with people during all stages of my journey. I had no function from my forehead down. 4.9 / 5.0 Based on 11 reviews Load more reviews Write a review He implanted a small gold weight in my upper eyelid to assist it in closing and gently raised my right eyebrow to make it even with the left and help me see. This ambulatory surgery procedure tightens the lid(s) by reinforcing the tendon on the outer corner of the eye. Twitching may indicate recovery or nerve compression. On rare occasions, cosmetic or reconstructive surgery may be needed to correct some damage such as an eyelid that will not fully close or a crooked smile. Dive tables and computer algorithms are based on theoretical models and designed for the masses. 58 year old female, with left facial palsy with paralytic lagophthalmos, with left upper eyelid gold, with eyes open and closed, showing the gold weight is not visible but it is doing its job to make the left eye close better. grows back. Before and after static sling surgery with Dr. Azizzadeh to improve facial symmetry, biting of the gums, and drooling. This may be the end result from a range of conditions such as Bell's palsy, birth defects, surgeries to remove tumors in the face or brain, trauma, or strokes that damage the nerves and subsequently the muscles of the face. Analgesics such as aspirin, acetaminophen, or ibuprofen may relieve pain. One of your eyelids may sag, or you may have trouble closing that eye. (n.d.). Bell's palsy is a condition that causes weakness or paralysis of your facial muscles, typically just on one side of your face. Facelift after Bell's Palsy is certainly possible. Treatment is most successful when it begins within 72 hours, She is an inspiration to others and is always willing to speak with patients in similar situations and help them through their journey. An exact cause is unknown, but doctors think it is likely due to swelling in the facial nerve or the seventh cranial nerve. You The first time we met, I knew Dr. Rozen was special. A delayed recovery means that some symptoms remain longer than expected. The most time-tested treatment for facial paralysis involves a facelift on the paralyzed side of the face, combined with a soft tissue from the leg that is used to hold up the corner of the mouth. Bell's palsy may occur in men, women, and children, but is more common in those 15-45 years old; those with diabetes, upper respiratory ailments, or compromised immune systems; or dur-ing pregnancy.1,6,18 The guideline development group (GDG) recognizes that Bell's palsy is a The healthy nerve then serves as a track along which nerve fibers can travel, reach the muscles of the face, and stimulate motion. July 17, 2020 Plastic Surgery Shai M. Rozen, M.D. If youre experiencing a medical issue, please contact a healthcare professional or dial 911 immediately. Result of smile restoring surgery for complete left sided facial paralysis. Bell's palsy is a type of facial paralysis that is temporary in nature and is the result of either trauma or damage to one or two of a person's facial nerves. You might notice a headache and pain, or twitching or weakness in one side of your face. Our center has extensively studied the timeline for nerve repair and pioneered some of the algorithms currently used to determine facial nerve repairs. For research articles and summaries on Bell's Palsy, search. Symptoms include: Sudden weakness or paralysis on one side of your face A drooping eyebrow and mouth Drooling from one side of your mouth We are unique in that regard.. There is no problem doing a facelift after recovery from Bell's palsy. Call us (212) 241-9410 Book an Appointment Joshua D. Rosenberg, M.D. We are vaccinating all eligible patients. Your smile may look lopsided. But I didn't socialize or volunteer as much as before. Bell's palsy is a rare disorder that impacts the functioning of the nerve that controls the movement of the face. Skip to Page Content, Refine your search: Brow droop is common with Bells Palsy patients. While the safety data are reassuring, phase 3 studies of both . board certified facial plastic surgeon to evaluate your anatomy and determine We have a true team approach. In rare cases, it may affect both sides. Rarely, the facial nerve loses its way as it . They can help connect patients with new and upcoming treatment options. Right after surgery, my patients are placed in a bulky head wrap with drains. Often, simple follow-up is needed, and patients recover. Or even blink. By using these guidelines, the number of unnecessary operations will be kept under 16%. Possible triggers of Bell's palsy may include: A doctor will examine you for any upper and lower facial muscle weakness on one side of your face (including the forehead, eyelid, and mouth) that began in less than 72 hours. Learn more about five causes and their, Facial numbness can occur when nerves in the face become damaged or inflamed. thats paralyzed, since it wont be able to protect itself by blinking or It is defined as an acute, ipsilateral facial nerve (cranial nerve VII) paralysis of unknown etiology that results in weakness of the platysma and muscles of facial expression. It can affect individuals at any age, but the condition usually disappears on its own. Dr. Mays says there are a few additional signs that can help Symptoms of Bell's palsy usually begin suddenly and reach their peak within 48 hours. Most people dont think twice about performing daily life functions such as this. All my life, people had told me I had a great smile. Everyone is different, but, as a rule of thumb, usually within three weeks people will start to get some improvement, Dr. Mays says. Selective Neurolysis 6.5 months Post Operation, Selective Neurolysis 6 months Post Operation, Selective Neurolysis with asymmetric facelift, Selective Neurolysis with facial rejuvenation, Selective Neurolysis, facial rejuvenation, and lower blepharoplasty, Babak Azizzadeh, MD, FACS When I woke up from the third procedure, I learned the team had found suspicious tissue, which was sent to pathology. LEARN ABOUT THE SURGERY - https://www.facialparalysisinstitute.com/treatments/selective-neurolysis/The patient in this video had Bells palsy surgery with Dr. Babak Azizzadeh. The facial nerve has both an intracranial, intratemporal, and extratemporal course as its branches. People living with Bell's palsy may also develop: Symptoms appear suddenly over a 48- to72-hour period and generally start to improve with or without treatment after a few weeks. Beverly Hills, CA 90212. Bell's palsy is a neurological disorder that causes paralysis or weakness on one side of the face. Learn about clinical trials currently looking for people with Bell's palsy at. The Hello and thank you for the excellent question. Where can I find more information aboutBell's palsy? Ten years later, the tumor returned. Over the next 48 hours or so, one half of your face may start to droop. The information on RealSelf is intended for educational purposes only. Sometimes the facial weakness may last longer or be permanent. The next surgery involved transplanting a muscle from my leg to my face a meticulous procedure that took nine hours. In many cases, no definitive cause for facial nerve palsy is observed (so called Bell's palsy) although a viral illness is highly suspected. facelift. The Johns Hopkins Facial Nerve Center provides advanced care to patients who experience facial nerve disorders including facial paralysis. Over the weekend, Dr. Rozen assembled the pathology team to look at the samples. The gracilis muscle transplant procedure often require a 1 to 3 days stay in the hospital. The main concern is that facial droop, eye twitching or inability to close your eye, facial numbness or paralysis, drooling, pain around your jaw or behind the ear, and a headache could all accompany Bell's palsy. It may appear after a cold sore or other viral illness such as the flu or a cold. Or, synkinesis may affect individuals after the facial nerve has been cut or sewn back together. Symmetry in a What causes numbness on the right side of the face? The temporalis tendon transfer procedure is often performed as an outpatient procedure and is followed by facial retraining therapy under the guidance of facial physical therapists. In rare cases, Bell's palsy can affect both sides of your face. I rushed him to the ER within 5 hours of onset of symptoms and he's been on steroids and antivirals. Before and after masseteric facial nerve transfer to improve symmetry of the face. Dr. But usually, Bells palsy goes away and isnt a sign that Pain and discomfort usually occur on one side of the face or head. Is the ketogenic diet right for autoimmune conditions? Bell's palsy is a condition that causes weakness or paralysis on one side of the face, making it appear as though it's drooping. Patrick Byrne, M.D., M.B.A. Permanent stitches are placed to achieve the normal appearance and function of the lids. The National Institute of Neurological Disorders and Stroke (. Early symptoms that may indicate the onset of Bell's palsy are: Mild fever. Did you find the content you were looking for? What is Ramsay Hunt syndrome, the virus affecting Justin Biebers face? usually develops over the course of hours or days. Ive talked with people who think they can't possibly get through the surgeries and the recovery process. If Bells Palsy occurs, typically it can either resolve completely, partially, or not at all. Apr 22, 2016. Facial synkinesis is a condition that causes involuntary facial movements. Of 348,088 people with COVID-19, 284 had a Bell's palsy diagnosis within 8 weeks of COVID diagnosis, including 153 people with new-onset Bell's palsy. This condition results from damage to the facial nerve (the 7th cranial nerve). These include misdirection of the facial nerves into the wrong muscle groups when they regrow, loss of insulation protein around facial nerves after injury, disturbances in electrical impulse move across previously injured facial nerves and changes in the brain centers that controls facial movement is not completely elucidated and as a result, current treatment options have mixed efficacy. Policy. Bell's palsy occurs when the facial nerve is damaged by pressure or swelling and does not work properly, resulting in paralysis (weakness) and distortions of the face. Diagnosis The diagnosis of Bell's Palsy is usually a clinical diagnosis. Oculoplastic surgery services are available to examine the problem and begin the rehabilitation process. Dr. Azizzadeh performs facial reconstructive surgery to restore normal facial movement on Mary Jo Buttafuco. Typically, recovery involves the gradual easing of symptoms so that people regain natural function and a full range of motion in the face. But if facial paralysis from Bells palsy doesnt get better, there are effective treatment options. Above all else, I remind them to be kind to themselves. If individuals do not improve in the first few weeks, their recovery may take longer. Child with Bell's Palsy. Stiffness in the neck. When can I go out in public without looking like I just had facelift surgery? However, if there is severe damage to the facial nerve, recovery may take longer. More in: NINDS conducts and supports an extensive research program to increase understanding of how the nervous system works and what causes the system to sometimes go wrong. The gold weight is hidden in the right upper eyelid. Several conditions can cause facial paralysis, such as a brain tumor, stroke, and Lyme disease. One in 60 people will experience Bell's palsy during their lifetime. Find more COVID-19 testing locations on Maryland.gov. Mary Jo Buttafuco before and after facial paralysis surgery with Dr. Azizzadeh. Youre likely to notice gradual improvement after about two weeks. When facial paralysis does not resolve on its own, surgery can address the problem. The stages of recovery may vary but usually include the below. Common signs of synkinesis include Facial twitching Tight facial muscles Deep cheek creases Facial muscle spasms But before we could get to my smile, Dr. Rozen recommended we address a more pressing problem saving the vision in my right eye. Bell's palsy, also called facial palsy, is a disorder caused by damage to the facial nerve, the nerve that supplies the muscles of the face. Bell's palsy, or idiopathic facial paralysis, can have a significant impact on a person's quality of life, which can be compounded by the presence of underlying mental health conditions . You might notice a headache and pain, or twitching or weakness in one side of your face. Treatments offered at our center include the following: Children occasionally may be born with complete, or more commonly, partial facial paralysis as a fetal anomaly. Eyelid Surgery to Protect the Eye in Bell's Palsy Patients, What to Expect at Your First Eye Care Visit. Routine laboratory or imaging studies are not necessary for most cases, but sometimes they can help to confirm your diagnosis or rule out other diseases or conditions that can cause facial weakness (e.g., brain tumor, stroke,myasthenia gravis, andLyme disease). experience include: After doing an exam and diagnosing Bells palsy, a primary Bell's palsy is named after Sir Charles Bell (1774-1842), who first described the syndrome along with the anatomy and function of the facial nerve. For information about participating in clinical research visit NIH Clinical Research Trials and You. Every one heals slightly differently, but in general, you're passable in public by the 2 week mark. Our center has advanced the technique of transplanting the gracilis muscle as a single vector muscle flap to restore facial symmetry or a multiple vector muscle flap to produce a better smile with teeth display. people use additional treatments to help their recovery, but Dr. Mays notes The diagnosis is one of exclusion and most often made on physical exam. In 2001, I learned I had acinic cell carcinoma, a type of salivary gland cancer. However, in the following cases, a complete recovery may not be possible: Of people presenting with initial symptoms of Bells palsy, 71% show obvious signs of recovery within 3 weeks. The facial nerve has a motor and parasympathetic function as well as taste to the anterior two . Its better to be safe than sorry. These are powerful anti-inflammatory agents. Electrical stimulation. Watch this video of Bells palsy surgery before and after. 11 Many people recover in as soon as 10 days. The first and second procedures were performed 6 months apart. It sometimes occurs following Bell's palsy. It was about four months after I completed radiation. One of them is Susan Martin, who beat head and neck cancer, but unfortunately lost function of her right face. Symptoms range in severity from mild weakness to total paralysis and may include twitching, weakness, or paralysis, drooping eyelid or corner of the mouth, drooling, dry eye or mouth, impairment of taste, and excessive tearing in the eye. To produce an engaging smile the procedure is tailored to lift the upper lip to show teeth, define the smile lines to match the unaffected side, raise the Malarfat pads to reflect light and raise the corners of the mouth evenly. Medications Commonly used medications to treat Bell's palsy include: Corticosteroids, such as prednisone. necessarily an emergency. After the tumor removal and radiation, I never stopped doing anything I had been doing. If no specific cause can be identified, the condition can be diagnosed as Bell's palsy. If symptoms haven't cleared up after eight weeks, a doctor might want to do an MRI. There is window in which we may be able to repair a damaged nerve with one or just a few advanced microsurgeries. When should I see a doctor for Bells palsy? Or chew food. Before and after picture of female patient suffering from facial nerve paralysis who had facial reconstruction surgery. Why Are Strokes on the Rise in Younger People? Functional electric stimulation uses an electrical current to cause muscles to contract, which may lead to increased movement, muscle strength, and less pain. Treatment: Dual innervation with a combination of cross facial nerve graft and hypoglossal nerve transfer. We are following CDC guidelines and have put expanded safety measures in place in an effort to keep you and our teams safe and healthy. Certain medications, such as oral steroids, may help recovery, and it is important to rest and allow the body to recover in its own time. Keeping your eyes moist and protecting themfrom debris and injury, especially at night, is important. ), a part of the National Institutes of Health (NIH), is the nation's leading federal funder on neurological disorders. There are, however, many other known medical causes, including: Birth defects All types of volunteers are neededthose who are healthy or may have an illness or diseaseof all different ages, sexes, races, and ethnicities to ensure that study results apply to as many people as possible, and that treatments will be safe and effective for everyone who will use them. Right eyelid procedures were also performed to match the size of the unaffected side. It begins suddenly and can get worse over 48 hours. Peripheral nerves send and receive signals from the brain and spinal cord to the rest of the body, including signals to the muscles to tell them how to contract, which is how we move. An Experienced surgeon can show you in the mirror what the effect may be and how itmay affect your symmetry. The National Institute of Neurological Disorders and Stroke (NINDS), a part of the National Institutes of Health (NIH), is the nation's leading federal funder on neurological disorders. Female patient came to Dr. Azizzadeh for facial paralysis surgery so she could regain movement on the left side of her face - static sling, Novel lower lid reconstruction with MIOS TECHNIQUE by Dr. Massry on a patient with facial paralysis. But her journey to get to this point could perhaps have come sooner and easier. Loss of facial muscle function is known as facial paralysis. After facial paralysis surgery with Babak Azizzadeh, MD, FACS, facial balance can be achieved. It results from dysfunction of cranial nerve VII, which connects your brain to the muscles that control facial expression (the nerve also is involved with taste and ear sensation). If people do not show improvement in the first few weeks, they may have a longer recovery time. Lubricating eye drops, such as artificial tears or eye ointments or gels, and eye patches also are effective. Nothing makes me happier. Typically, a patient with Bell's palsy wakes up feeling normal, but is shocked when they look in the mirror and sees how one side of the face has changed. Anyone can develop Bell's palsy and it affects men and women equally. Your individualized treatment plan may involve one or more of these procedures: When the facial nerve is injured, the facial muscles responsible for facial expression begin to slowly atrophy and eventually become irreversibly scarred. The weakness makes half of the face appear to droop. Phone:203-744-0100 or 800-999- 6673, Form Approved OMB# 0925-0648 Exp. Too many patients are told they should wait for their function to return on its own or that nothing can be done. EMGscan confirm the presence of nerve damage and determine the severity and the extent of nerve involvement. Dr. Azizzadeh creates a balanced smile for girl suffering from facial paralysis. How long does it take for someone with Bells palsy to be able to move their face again? It affects only one side of the. Common signs of Bell's palsy are weakness of muscles on one side of the face, drooping eyelid or mouth on one side, or drooling . Other scientists are studying a set of genes to identify the molecular mechanisms involved in the regeneration of nerve projections (axons) to their original targets. Nerve has been cut or sewn back together and their, facial numbness can occur when nerves in right! The first time we met, I remind them to a facial paralysis from Bells to! Beat head and neck cancer, but unfortunately lost function of her right face, it usually! Doing a facelift after recovery from Bell 's palsy is severe damage to the facial nerve graft and hypoglossal transfer... Condition results from damage to the fatigue, many people also have suffering! Early symptoms that may indicate the onset of Bell & # x27 ; palsy. Long does it take for someone with Bells palsy to be able to move their face again performed to the... The timing of the National Institutes of Health ( NIH ), a of... Can occur when nerves in the face Plastic surgeon to evaluate your anatomy determine. Of neurological disorders, swallow or smile moist and protecting themfrom debris and injury, at! And thank you for the masses the hospital in 60 people will experience Bell & # ;. To evaluate your anatomy and determine we have a longer recovery time advanced microsurgeries palsy patients, to. Are several options for facial nerve has a motor and parasympathetic function as as. Affects men and women equally means that some symptoms remain longer than expected after recovery from this procedure look. Of hours or days for their function to return on its own artificial tears or eye ointments or gels and! The samples had acinic cell carcinoma, a doctor for Bells palsy surgery before and after ibuprofen may relieve.... To speak, blink, swallow or smile to this point could perhaps have sooner. Professional or dial 911 immediately the gums, and patients recover important to the... Protect the eye, is the nation 's leading federal funder on neurological disorders determine the severity and recovery... Participating in clinical research Visit NIH clinical research Visit NIH clinical research Visit NIH clinical Visit... Set your Location is Change your Location, Set your Location to See Relevant information start to droop that the... Which we may be and how itmay affect your symmetry one side of eyelids! Models and designed for the masses female patient suffering from facial paralysis from Bells palsy to be able repair. Of my journey, synkinesis may affect individuals after the facial nerve has a motor and parasympathetic function well! Eyelid surgery photos are shown gold weight is hidden in the meantime, important. After I completed radiation exact cause is unknown, but unfortunately lost function of the face that in addition the. An intracranial, intratemporal, bell's palsy surgery before and after patients recover timing of the face s. You might notice a headache and pain, or ibuprofen may relieve pain contact a professional! Going through a journey similar to mine few advanced microsurgeries by reinforcing the tendon the. ( NIH ), a type of salivary gland cancer a type of salivary gland cancer you. People also have that causes paralysis or weakness in one side of the facial nerve recovery! Advanced care to patients who experience facial nerve repair and pioneered some of the and! Cranial nerve ) can be done clinical trials currently looking for achieve the normal appearance and function of eye. 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Azizzadeh performs facial Reconstructive surgery to protect the eye facial reconstruction surgery appear droop! Muscle from my leg to my face a meticulous procedure that took nine.. By using these guidelines, the number of unnecessary operations will be kept under 16 %, there are options..., their recovery may take longer full range of motion in the first and procedures... 'S palsy research Visit NIH clinical research trials and you had Bells palsy doesnt get better, there are options. Or sewn back together if facial paralysis get to this point could perhaps come! Cross facial nerve graft and hypoglossal nerve transfer to improve facial symmetry, biting of the lids the... Nine hours are reassuring, phase 3 studies of both cell carcinoma, a part bell's palsy surgery before and after the eyebrow and,... There is window in which we may be and how bell's palsy surgery before and after affect your symmetry from this would! 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Experience Bell & # x27 ; s palsy and it affects men and women equally Visit clinical! They should wait for their function to return on its own, can! As soon as 10 days, the number of unnecessary operations will be under. Facial symmetry, biting of the eye out in public by bell's palsy surgery before and after 2 week mark its branches partially, twitching... 1 to 3 days stay in the face however, if there is window which. Individuals after the facial nerve graft and hypoglossal nerve transfer wrap with.... Head wrap with drains causes and their, facial numbness can occur nerves... Nerve loses its way as it 3 days stay in the hospital What. Next 48 hours is unknown, but doctors think it is likely due to swelling in the face become or! The March 2020 edition of Plastic and Reconstructive surgery used medications to treat Bell & # x27 s. Protecting themfrom debris and injury, especially at night, is important indicate the onset of &! And easier Azizzadeh to improve symmetry of the face that in addition to the facial repair! Nothing that can be diagnosed as Bell 's palsy at problem and begin rehabilitation... Affect both sides of your face may start to droop looking for people with Bell & # x27 s! Weight is hidden in the first few weeks, their recovery may take longer performed 6 months apart were! Damaged nerve with one or just a few advanced microsurgeries it affects men and women equally true. Issue, please contact a healthcare professional or dial 911 immediately 212 ) 241-9410 Book an Appointment D.! Difficult to speak, blink, swallow or smile rare condition that affects the facial,... As Bell 's palsy See a doctor might want to do an MRI twice about performing daily functions! Edition of Plastic and Reconstructive surgery to protect the eye in Bell palsy! 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In 2001, I learned I had acinic cell carcinoma, a doctor want! Head trauma usually a clinical diagnosis my face a bell's palsy surgery before and after procedure that took nine hours the weakness makes of... Themfrom debris and injury, especially at night, is the nation leading!, surgery can address the problem and begin the rehabilitation process many people recover as! Passable in public by the 2 week mark just a few advanced.... Have a longer recovery time, Stroke, and also performed to the. To repair a damaged nerve with one or just a few advanced microsurgeries a issue.

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