Ocular-oral synkinesis caused by partial injury of the zygomatic and buccal branches of the facial nerve after mid-face trauma
Facial nerve paralysis induced by acute traumatic facial nerve injuries limited to the zygomatic and buccal branches shows unique complications, such as strong co-contractions of the lower facial muscles around the lips during voluntary blinking (ocular-oral synkinesis). We investigated the characte...
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| Veröffentlicht in: | Journal of plastic, reconstructive & aesthetic surgery reconstructive & aesthetic surgery, 2024-03, Vol.90, p.1-9 |
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| creator | Jun, Dongkeun Park, Il-Seok Kim, Jin |
| description | Facial nerve paralysis induced by acute traumatic facial nerve injuries limited to the zygomatic and buccal branches shows unique complications, such as strong co-contractions of the lower facial muscles around the lips during voluntary blinking (ocular-oral synkinesis). We investigated the characteristics of facial complications after facial nerve injury in the mid-face area and reported the treatment results.
A total of 21 patients with facial nerve injuries to the zygomatic and/or buccal branches were evaluated for the degree of facial synkinesis and mouth asymmetry. Patients with mild-to-moderate symptoms were treated using physical rehabilitation therapy combined with botulinum toxin (Botox) injection, and patients with severe or uncontrolled symptoms were treated using surgical therapy.
Initial/final mean synkinesis scores and mouth asymmetry degrees were 2.17/1.75 and 0.85/0.66 in the physical therapy group and 3.11/0.78 and 2.41/−0.31 in the surgery group, respectively. Physical therapy with Botox injection alone did not show significant improvements in synkinetic symptoms of the patients with mild-to-moderate synkinesis (p > 0.05), whereas surgical therapy resulted in significant improvements in synkinesis and mouth asymmetry (p |
| doi_str_mv | 10.1016/j.bjps.2023.11.053 |
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A total of 21 patients with facial nerve injuries to the zygomatic and/or buccal branches were evaluated for the degree of facial synkinesis and mouth asymmetry. Patients with mild-to-moderate symptoms were treated using physical rehabilitation therapy combined with botulinum toxin (Botox) injection, and patients with severe or uncontrolled symptoms were treated using surgical therapy.
Initial/final mean synkinesis scores and mouth asymmetry degrees were 2.17/1.75 and 0.85/0.66 in the physical therapy group and 3.11/0.78 and 2.41/−0.31 in the surgery group, respectively. Physical therapy with Botox injection alone did not show significant improvements in synkinetic symptoms of the patients with mild-to-moderate synkinesis (p > 0.05), whereas surgical therapy resulted in significant improvements in synkinesis and mouth asymmetry (p < 0.05).
Surgical treatment is an effective adjustment procedure for the management of facial complications in patients with severe or uncontrolled synkinesis after facial nerve injury to the mid-face area.</description><identifier>ISSN: 1748-6815</identifier><identifier>ISSN: 1878-0539</identifier><identifier>EISSN: 1878-0539</identifier><identifier>DOI: 10.1016/j.bjps.2023.11.053</identifier><identifier>PMID: 38280337</identifier><language>eng</language><publisher>Netherlands: Elsevier Ltd</publisher><subject>Botulinum Toxins, Type A - therapeutic use ; Face ; Facial Injuries ; Facial Muscles - surgery ; Facial Nerve - surgery ; Facial nerve injuries ; Facial Nerve Injuries - complications ; Facial paralysis ; Facial Paralysis - surgery ; Humans ; Neurectomy ; Synkinesis ; Synkinesis - drug therapy ; Synkinesis - etiology</subject><ispartof>Journal of plastic, reconstructive & aesthetic surgery, 2024-03, Vol.90, p.1-9</ispartof><rights>2023 British Association of Plastic, Reconstructive and Aesthetic Surgeons</rights><rights>Copyright © 2023 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c307t-966b4af6f8aab8041f43dfec05611be13b3259dbe49c8d4f1607463d83e24eda3</cites><orcidid>0000-0001-9017-9929</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.bjps.2023.11.053$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3549,27923,27924,45994</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38280337$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jun, Dongkeun</creatorcontrib><creatorcontrib>Park, Il-Seok</creatorcontrib><creatorcontrib>Kim, Jin</creatorcontrib><title>Ocular-oral synkinesis caused by partial injury of the zygomatic and buccal branches of the facial nerve after mid-face trauma</title><title>Journal of plastic, reconstructive & aesthetic surgery</title><addtitle>J Plast Reconstr Aesthet Surg</addtitle><description>Facial nerve paralysis induced by acute traumatic facial nerve injuries limited to the zygomatic and buccal branches shows unique complications, such as strong co-contractions of the lower facial muscles around the lips during voluntary blinking (ocular-oral synkinesis). We investigated the characteristics of facial complications after facial nerve injury in the mid-face area and reported the treatment results.
A total of 21 patients with facial nerve injuries to the zygomatic and/or buccal branches were evaluated for the degree of facial synkinesis and mouth asymmetry. Patients with mild-to-moderate symptoms were treated using physical rehabilitation therapy combined with botulinum toxin (Botox) injection, and patients with severe or uncontrolled symptoms were treated using surgical therapy.
Initial/final mean synkinesis scores and mouth asymmetry degrees were 2.17/1.75 and 0.85/0.66 in the physical therapy group and 3.11/0.78 and 2.41/−0.31 in the surgery group, respectively. Physical therapy with Botox injection alone did not show significant improvements in synkinetic symptoms of the patients with mild-to-moderate synkinesis (p > 0.05), whereas surgical therapy resulted in significant improvements in synkinesis and mouth asymmetry (p < 0.05).
Surgical treatment is an effective adjustment procedure for the management of facial complications in patients with severe or uncontrolled synkinesis after facial nerve injury to the mid-face area.</description><subject>Botulinum Toxins, Type A - therapeutic use</subject><subject>Face</subject><subject>Facial Injuries</subject><subject>Facial Muscles - surgery</subject><subject>Facial Nerve - surgery</subject><subject>Facial nerve injuries</subject><subject>Facial Nerve Injuries - complications</subject><subject>Facial paralysis</subject><subject>Facial Paralysis - surgery</subject><subject>Humans</subject><subject>Neurectomy</subject><subject>Synkinesis</subject><subject>Synkinesis - drug therapy</subject><subject>Synkinesis - etiology</subject><issn>1748-6815</issn><issn>1878-0539</issn><issn>1878-0539</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEtv1TAQRi1ERUvhD7BAXrJJ8MSO40hsUMVLqtRNu7b8GFOHPC52Uiks-tvx1W1ZsprR-Hyf5EPIO2A1MJAfh9oOh1w3rOE1QM1a_oJcgOpUVdb-Zdk7oSqpoD0nr3MeGBMcRPuKnHPVKMZ5d0Eeb9w2mlQtyYw07_OvOGOOmTqzZfTU7vRg0hrLY5yHLe10CXS9R_pn_7lMZo2Omrlgm3MFscnM7h7zMxSMOyZnTA9ITVgx0Sn6qpyRrslsk3lDzoIZM759mpfk7uuX26vv1fXNtx9Xn68rx1m3Vr2UVpgggzLGKiYgCO4DOtZKAIvALW_a3lsUvVNeBJCsE5J7xbER6A2_JB9OvYe0_N4wr3qK2eE4mhmXLeumb3pgUkBb0OaEurTknDDoQ4qTSbsGpo_e9aCP3vXRuwbQRXYJvX_q3-yE_l_kWXQBPp0ALL98iJh0dhFnhz4mdKv2S_xf_18pXpX5</recordid><startdate>202403</startdate><enddate>202403</enddate><creator>Jun, Dongkeun</creator><creator>Park, Il-Seok</creator><creator>Kim, Jin</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-9017-9929</orcidid></search><sort><creationdate>202403</creationdate><title>Ocular-oral synkinesis caused by partial injury of the zygomatic and buccal branches of the facial nerve after mid-face trauma</title><author>Jun, Dongkeun ; Park, Il-Seok ; Kim, Jin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c307t-966b4af6f8aab8041f43dfec05611be13b3259dbe49c8d4f1607463d83e24eda3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Botulinum Toxins, Type A - therapeutic use</topic><topic>Face</topic><topic>Facial Injuries</topic><topic>Facial Muscles - surgery</topic><topic>Facial Nerve - surgery</topic><topic>Facial nerve injuries</topic><topic>Facial Nerve Injuries - complications</topic><topic>Facial paralysis</topic><topic>Facial Paralysis - surgery</topic><topic>Humans</topic><topic>Neurectomy</topic><topic>Synkinesis</topic><topic>Synkinesis - drug therapy</topic><topic>Synkinesis - etiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jun, Dongkeun</creatorcontrib><creatorcontrib>Park, Il-Seok</creatorcontrib><creatorcontrib>Kim, Jin</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of plastic, reconstructive & aesthetic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jun, Dongkeun</au><au>Park, Il-Seok</au><au>Kim, Jin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Ocular-oral synkinesis caused by partial injury of the zygomatic and buccal branches of the facial nerve after mid-face trauma</atitle><jtitle>Journal of plastic, reconstructive & aesthetic surgery</jtitle><addtitle>J Plast Reconstr Aesthet Surg</addtitle><date>2024-03</date><risdate>2024</risdate><volume>90</volume><spage>1</spage><epage>9</epage><pages>1-9</pages><issn>1748-6815</issn><issn>1878-0539</issn><eissn>1878-0539</eissn><abstract>Facial nerve paralysis induced by acute traumatic facial nerve injuries limited to the zygomatic and buccal branches shows unique complications, such as strong co-contractions of the lower facial muscles around the lips during voluntary blinking (ocular-oral synkinesis). We investigated the characteristics of facial complications after facial nerve injury in the mid-face area and reported the treatment results.
A total of 21 patients with facial nerve injuries to the zygomatic and/or buccal branches were evaluated for the degree of facial synkinesis and mouth asymmetry. Patients with mild-to-moderate symptoms were treated using physical rehabilitation therapy combined with botulinum toxin (Botox) injection, and patients with severe or uncontrolled symptoms were treated using surgical therapy.
Initial/final mean synkinesis scores and mouth asymmetry degrees were 2.17/1.75 and 0.85/0.66 in the physical therapy group and 3.11/0.78 and 2.41/−0.31 in the surgery group, respectively. Physical therapy with Botox injection alone did not show significant improvements in synkinetic symptoms of the patients with mild-to-moderate synkinesis (p > 0.05), whereas surgical therapy resulted in significant improvements in synkinesis and mouth asymmetry (p < 0.05).
Surgical treatment is an effective adjustment procedure for the management of facial complications in patients with severe or uncontrolled synkinesis after facial nerve injury to the mid-face area.</abstract><cop>Netherlands</cop><pub>Elsevier Ltd</pub><pmid>38280337</pmid><doi>10.1016/j.bjps.2023.11.053</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0001-9017-9929</orcidid></addata></record> |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Botulinum Toxins, Type A - therapeutic use Face Facial Injuries Facial Muscles - surgery Facial Nerve - surgery Facial nerve injuries Facial Nerve Injuries - complications Facial paralysis Facial Paralysis - surgery Humans Neurectomy Synkinesis Synkinesis - drug therapy Synkinesis - etiology |
| title | Ocular-oral synkinesis caused by partial injury of the zygomatic and buccal branches of the facial nerve after mid-face trauma |
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