Chin Muscle
Chin Muscle
correction of sequelae of facial paralysis in a child
Dr.Yasmina Laouar
Official Endopeel Trainer in Algeria
Young male Patient - Emergency Check Up -End 2020- DAY O
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victim of a serious cranial trauma during while doing sport in 2020.
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The Head Trauma Score is 1-15 on the Glasgow Scale
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isocoria of the 2 pupils
- Right Facial Paralysis
- Absence of Motor Sensory Deficit
- An early craniocerebral computed tomography ( < 1h) was performed.
Early Craniocerebral Computed Tomography Results <1h-DAY 0
- Right fronto parieto occipital fracture lines passing through the petrous bone with depression of a bone fragment estimated at 6 mm.
- Cervical Spine : Nothing to repor
Craniocerebral Computed Tomography Results at 12 h-DAY 0
- parietal hemorrhagic contusion next to a non-compressive extradural hematoma 15 mm thick without mass effect on the cerebral parenchyma and median structures.
- hematic filling of the prepontic cistern on the right as well as in the right latero cerebella.
CRANIOCEREBRAL COMPUTED TOMOGRAPHY-DAY 11
- right extra dural hematoma in the process of organization on a background of clinical improvement
- Clinical Improvement with conscious patient, absence of motor sensory deficit, reactive isochoric pupils, facial paralysis on the right.
DAY 73-neurophysiologic exams
Electroneurography ENG Electromyography EMG-BLINK REFLEX
- ENG with recording of the nasalis muscle: absence of motor response
- study of the reflex right blink: small reflex response R1 of elongated latency on the ipsilateral side
- EMG at the level of the right frontal muscle: signs of almost total denervation without signs of reinnervation.
- EMG at the level of the orbicularis muscle of the eyelids: signs of almost total denervation without signs of reinnervation
- EMG at the level of the right chin muscle: signs of reinnervation
Patients Datas
1st consultation
1 st Results
WHILE SMILING
WHILE SMILING
without mimicry
SEMIOLOGIC ANALYSIS
static view
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absence of forehead wrinkles.
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absence of Drooping lower eyelid.
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absence of Drooping eyebrow.
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light facial asymmetry
dynamic view
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Forehead without movement.
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inability to wrinkle brow.
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incomplete closure of the eye
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mouth asymmetry
Conclusions
The chosen techniques have been those of M.TIZIANI , applied to the facial expression muscles :
-zygomatics
-levators/depressors
-risorius.
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