Neuromodulator for the Treatment of Congenital Unilateral Lower Lip Palsy

2018 ◽  
Vol 128 (1) ◽  
pp. 62-65 ◽  
Author(s):  
Natalie A. Krane ◽  
Jeffrey D. Markey ◽  
Myriam Loyo
Keyword(s):  
Botulinum Toxin ◽  
Minimally Invasive ◽  
Surgical Intervention ◽  
Botulinum Toxin Injection ◽  
Treatment Options ◽  
Lower Lip ◽  
Onabotulinum Toxin A ◽  
The Face ◽  
Invasive Method ◽  
Depressor Anguli Oris

Introduction: Congenital unilateral lower lip palsy is an infrequently encountered condition that manifests as lower lip asymmetry during smiling, laughing, and crying. Treatment options are not well characterized. Methods: The authors present the case of a 51-year-old woman who was referred for surgical intervention for facial paralysis. Physical examination demonstrated a symmetric face at rest that became asymmetric when smiling. The asymmetry, evident by inappropriate inferior displacement of the lower lip, was secondary to unilateral contraction and presence of the depressor labii inferioris. The depressor anguli oris was symmetric bilaterally. Her presentation was consistent with congenital unilateral lower lip palsy. Results: Lidocaine was injected into the depressor labii inferioris on the side of the face that demonstrated unilateral presence and contraction. This resulted in symmetry of the smile and lower lip without untoward effect. Onabotulinum toxin A was thereafter injected into the depressor labii inferioris. In-office treatment with botulinum toxin injection resulted in a 4-month improvement in smile symmetry. Conclusion: Chemodenervation is a safe and minimally invasive method to improve smile symmetry and lower lip position in cases of congenital unilateral lower lip palsy.

A Systematic Review of the Omohyoid Muscle Syndrome (OMS): Clinical Presentation, Diagnosis, and Treatment Options

2021 ◽  
pp. 000348942199503
Author(s):  
Jerome Zhiyi Ong ◽  
Alex Chengyao Tham ◽  
Jian Li Tan
Keyword(s):  
Systematic Review ◽  
Botulinum Toxin ◽  
Traumatic Event ◽  
Botulinum Toxin Injection ◽  
Treatment Options ◽  
Neck Mass ◽  
Good Prognosis ◽  
Common Symptom ◽  
Management Options ◽  
Omohyoid Muscle

Objective: Omohyoid muscle syndrome (OMS) is a condition that causes a X-shaped lateral neck lump on swallowing, caused by the failure of the central tendon of the omohyoid muscle to restrict movement of the muscle during swallowing. We aim to review the etiology, pathophysiology, diagnostic tests, and management options for this condition. Data Sources: Pubmed, MEDLINE, EMBASE, and Cochrane databases were searched for all articles and abstracts related to OMS up to 29th July 2020. Review Methods: A systematic review was performed, data extracted from relevant full text articles. Both quantitative data and qualitative data were analyzed. Results: Twenty cases of OMS were reported. Patients presented at a mean age of 36.0. All cases were Asian. There is a 7:3 ratio of males to females. The most common symptom was a transient neck mass. Most cases were managed conservatively with good prognosis. Open or endoscopic transection of the muscle and ultrasound-guided botulinum toxin injection were 3 treatment options, with no recurrence at 4 years, 6 months, and 6 months respectively. Conclusion: OMS could be genetic as all cases were Asian in ethnicity. The deep cervical fascia which usually envelopes the omohyoid muscle may be weakened by stress as 20% of cases had a preceding traumatic event. Real-time ultrasonography establishes the diagnosis, demonstrating the anterolateral displacement of the sternocleidomastoid muscle by a thickened omohyoid muscle during swallowing. Surgical transection can achieve cure, but due to limited studies available, they should be reserved for patients who are extremely bothered. Intramuscular injection of botulinum toxin is an effective alternative, but recurrence is expected.

scholarly journals Congenital Unilateral Hypoplasia of Depressor Anguli Oris

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Seckin O. Ulualp ◽  
Ronald Deskin
Keyword(s):  
Tertiary Care ◽  
Auditory Brainstem ◽  
Nasolabial Fold ◽  
Lower Lip ◽  
Normal Limits ◽  
Facial Musculature ◽  
The Face ◽  
Brainstem Response ◽  
Depressor Anguli Oris ◽  
Temporal Bones

Objectives. Asymmetric facial appearance may originate from abnormalities of facial musculature or facial innervation. We describe clinical features of congenital hypoplasia of depressor anguli oris muscle in a child.Material and Methods. Chart of a 10-month-old female referred to a tertiary care pediatric hospital for assessment of facial paralysis was reviewed. Data included relevant history and physical examination, diagnostic work up, and management.Results. The child presented with asymmetric movement of lower lip since birth. Asymmetry of lower lip was more pronounced when she smiled and cried. Rest of the face movement was symmetric. On examination, the face appeared symmetric at rest. The child had inward deviation of right lower lip when she smiled. Facial nerve function, as determined by frowning/forehead, wrinkling, eye closure, nasolabial fold depth, and tearing, was symmetric. Magnetic resonance imaging of the temporal bones and internal auditory canals were within normal limits. Echocardiogram did not show cardiac abnormality. Auditory brainstem response showed no abnormality.Conclusions. Congenital hypoplasia of depressor anguli oris is a rare anomaly that causes asymmetric crying face. Pediatricians and otolaryngologists need to be cognizant of cardiac, head and neck, and central nervous system anomalies associated with congenital unilateral hypoplasia of depressor anguli oris.

scholarly journals Correction of the Lower Third of the Face and Submental Area in Various Types of Aging with Laser-Assisted Liposuction

2021 ◽  
Author(s):  
Igumnov Vitaliy Aleksandrovich
Keyword(s):  
Visual Perception ◽  
Minimally Invasive ◽  
Healthy Lifestyle ◽  
Modern Society ◽  
Age Related ◽  
The World ◽  
Genetic Features ◽  
The Face ◽  
Invasive Method ◽  
Age Related Changes

Age-related changes in the face - at all times were not a desirable phenomenon in socially active and successful people. In modern society, success is primarily identified with an attractive appearance and a healthy lifestyle. Healthy lifestyle is actively promoted in mass media, this message has many followers all over the world. The most striking manifestations of age-related changes are concentrated in the lower third of the face and submental area, which is manifested in violation of the contours of the jaw line, as well as in the smoothing of the cervical - chin angle. In some genetic features, such as micrognathia, these changes lead to the visual perception of the face less young than it actually is, even without obvious manifestations in other areas of the face. We have developed and put into practice a minimally invasive method for correcting the lower third of the face and the submental area, using laser-assisted liposuction, with various degrees of age-related changes. Which allows you to effectively deal with this problem.

Cervical Dystonia

2007 ◽  
Vol 20 (6) ◽  
pp. 449-457
Author(s):  
Khashayar Dashtipour ◽  
Mandana Barahimi ◽  
Samia Karkar
Keyword(s):  
Botulinum Toxin ◽  
Medical Therapy ◽  
Cervical Dystonia ◽  
Botulinum Toxin Injection ◽  
Treatment Options ◽  
The United States ◽  
Head Tremor ◽  
Abnormal Head ◽  
Geste Antagoniste ◽  
Deep Brain

Cervical dystonia, which is the most common form of focal dystonia, presents with sustained neck spasms, abnormal head posture, head tremor, and pain. One of the interesting and unique features of cervical dystonia is the geste antagoniste. There is not a well-described pathophysiology for cervical dystonia, but several hypotheses report involvement at the central and peripheral level. Treatment options include: oral medical therapy, botulinum toxin injection, and surgery. Oral medical therapy has limited efficacy in control of the symptoms of cervical dystonia. Two types of botulinum toxin, types A and B, are being used for treatment of cervical dystonia, with equivalent benefit. Surgery is an option when other treatments fail or become ineffective. The surgical procedures are brain lesioning, brain stimulation, and peripheral surgical intervention. Several trials are currently ongoing in the United States and Europe to evaluate the efficacy of deep brain surgery in cervical dystonia.

Anatomical Considerations Regarding the Location and Boundary of the Depressor Anguli Oris Muscle with Reference to Botulinum Toxin Injection

2014 ◽  
Vol 134 (5) ◽  
pp. 917-921 ◽  
Author(s):  
You-Jin Choi ◽  
Jung-Suk Kim ◽  
Young-Chun Gil ◽  
Thavorn Phetudom ◽  
Hee-Jin Kim ◽  
...  
Keyword(s):  
Botulinum Toxin ◽  
Botulinum Toxin Injection ◽  
Depressor Anguli Oris

Cricopharyngeal Achalasia: Management and Associated Outcomes—A Scoping Review

2020 ◽  
Vol 163 (6) ◽  
pp. 1109-1113
Author(s):  
Karuna Dewan ◽  
Chloe Santa Maria ◽  
Julia Noel
Keyword(s):  
Botulinum Toxin ◽  
Head And Neck ◽  
Scoping Review ◽  
Radiation Treatment ◽  
Botulinum Toxin Injection ◽  
Treatment Options ◽  
Case Series ◽  
Small Sample ◽  
Small Sample Sizes ◽  
Head And Neck Radiation

Objective There is little consensus regarding the efficacy and safety of treatment options for cricopharyngeal (CP) achalasia. The purpose of this scoping review is to assess the literature regarding the various treatments for this disease. Data Sources PubMed was searched for all articles addressing treatment of adult CP achalasia between January 1990 and June 2019. Review Methods In total, 351 peer-reviewed results were reviewed by 3 otolaryngologists for inclusion. After review of titles, abstracts, and full texts, 60 articles were selected. Results Among included studies, 55% were retrospective and 45% were prospective. Forty-five percent of studies were case series. CP achalasia etiologies included idiopathic (28%), cerebrovascular accident (CVA) (28%), neurologic disease (17%), head and neck radiation treatment (11%), Zenker’s diverticulum (10%), and myositis (5%). Most commonly employed treatments were botulinum toxin injection (40%), endoscopic CP myotomy (30%), dilation with either balloon or bougie (25%), and open CP myotomy (15%). A proportion of patients were treated with more than 1 approach. Most studies included both subjective and objective outcome measures. Complications were reported most often in patients with a history of head and neck radiation. Conclusions Small sample sizes and heterogeneity of causes and treatments of CP achalasia, as well as short duration of follow-up, make it challenging to assess the superiority of one treatment over another. There is a need for a prospective study that more directly compares outcomes of administration of botulinum toxin, dilation, and CP myotomy in patients with CP achalasia of similar etiologies.

Botulinum toxin injection of both sides of the face to treat post-paralytic facial synkinesis

2013 ◽  
Vol 66 (8) ◽  
pp. 1058-1063 ◽  
Author(s):  
Ki Hoon Choi ◽  
Seung Hwan Rho ◽  
Jun Myung Lee ◽  
Ju Hyun Jeon ◽  
Si Young Park ◽  
...  
Keyword(s):  
Botulinum Toxin ◽  
Botulinum Toxin Injection ◽  
The Face ◽  
Facial Synkinesis

scholarly journals Effect of botulinum toxin in stellate ganglion for craniofacial hyperhidrosis: a case report

2021 ◽  
Vol 49 (3) ◽  
pp. 030006052110042
Author(s):  
Jung Hyun Park ◽  
Rip Kim ◽  
Sang Hoon Na ◽  
So Young Kwon
Keyword(s):  
Botulinum Toxin ◽  
Botulinum Toxin Injection ◽  
Stellate Ganglion ◽  
Sweat Glands ◽  
Excessive Sweating ◽  
The Face ◽  
Higher Temperature ◽  
Patients Experience ◽  
Elevated Body Temperature

Craniofacial hyperhidrosis causes sweating of the face and scalp due to excessive action of the sweat glands and manifests when patients become tense/nervous or develop an elevated body temperature. If noninvasive treatments are ineffective, invasive treatments such as a sympathetic block and resection are considered. A 32-year-old woman with no specific medical history was referred for uncontrolled craniofacial hyperhidrosis that included excessive sweating and hot flushing. Physical examination showed profuse sweating, and infrared thermography showed higher temperature in the neck and face than in the trunk. The patient underwent several stellate ganglion blocks, and her symptoms improved; however, the treatment effect was temporary. Botulinum toxin was then injected into the stellate ganglion. At the time of this writing, her sweating had been reduced for about 6 months and she was continuing to undergo follow-up. Craniofacial hyperhidrosis is a clinical condition in which patients experience excessive sweating of their faces and heads. It is less common than palmar and plantar hyperhidrosis. Botulinum toxin injection into the stellate ganglion is simple and safe and produces longer-lasting effects than other treatments, such as endoscopic sympathectomy and a single nerve block.

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