Facial palsy in children

Facial palsy (FP) in children is congenital or acquired. When present at birth (congenital), etiologies are mostly traumatic and rarely developmental. Acquired FP needs investigation. Research on the etiology helps to determine prognostic and treatment. At most times, no specific cause is found. Tre...

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Bibliographic Details
Published in:Annales de chirurgie plastique et esthétique 2016-10, Vol.61 (5), p.513-518
Main Authors: Guerreschi, P, Gabert, P-E, Labbé, D, Martinot-Duquennoy, V
Format: Article
Language:fre
Subjects:
Botulinum Toxins - therapeutic use
Child
Facial Paralysis - etiology
Facial Paralysis - therapy
Humans
Muscle, Skeletal - innervation
Muscle, Skeletal - surgery
Neurotoxins - therapeutic use
Reconstructive Surgical Procedures
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Summary:Facial palsy (FP) in children is congenital or acquired. When present at birth (congenital), etiologies are mostly traumatic and rarely developmental. Acquired FP needs investigation. Research on the etiology helps to determine prognostic and treatment. At most times, no specific cause is found. Treatment of idiopathic FP consists of early oral corticosteroid therapy and ocular protection. Treating the sequelae is essential and the physician has to consider the dynamic balance of both sides of the face. Dynamic rehabilitation should mainly concern the inferior facial third. We recommend the lengthening temporalis myoplasty (LTM). This relevant technique ensures replicable and reliable results with a harmonious smile. Facial dynamic rehabilitation after surgical procedure (muscle tranfer or free muscle flap) must be directed toward control of voluntary movement, to move from a mandibular smile to a spontaneous and voluntary smile, thanks to brain plasticity. Furthermore, botulinum toxin is well tolerated and remains a great tool to treat a child who can support injections.
ISSN:1768-319X
DOI:10.1016/j.anplas.2016.07.013