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KMID : 0948920140130020103
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Clinical Pain
2014 Volume.13 No. 2 p.103 ~ p.106
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New Technical Trial to Treatment of Post-Paralytic Facial Synkinesis after Trauma:Combination Technique with Ultrasonographyand Electromyography- A Case Report -
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Han A-Reum
Kim Seung-Min
Lee Sang-Heon
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Abstract
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During the recovery from the facial muscle paralysis, somepatients suffer from post-paralytic facial synkinesis. A31-year-old woman visited our hospital with a history of hittingher left face on the steering wheel and had deep lacerationsin her mouth from a traffic accident 1 year ago. Fourmonths later, she noticed that her zygomatic area contractedspontaneously and left upper lip was drawn up withher left eye blinking. We assumed that the cause of facialasymmetry could be due to facial neuropathy and synkinesis.And we planned ultrasonography and electromyographyguided botulinum toxin injection. One month later, her facialasymmetry was remarkably improved and abnormal synkineticcontractions were disappeared. To the best of ourknowledge, this is the first case report of dual device guidedbotulinum toxin injection for post-paralytic facial synkinesis.This is more precise and safer procedure than previousmethods. (Clinical Pain 2014;13:103-106)
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KEYWORD
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Facial palsy, Synkinesis, Botulinum toxins
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FullTexts / Linksout information
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Listed journal information
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