Prevention and Treatment of Post-Paralytic Synkinesis: Critical Changes Following Severe Facial Palsy
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Facial synkinesis following severe facial palsy has been observed clinically across a wide range of patient groups, from infants to older adults, indicating that it is not limited to any specific demographic. In one of the largest studies on the natural progression of idiopathic peripheral facial nerve palsy, synkinesis was reported in approximately 16% to 55% of patients. The severity of facial synkinesis generally correlates with the severity of the initial facial palsy. Various types of nerve injuries have been categorized based on the extent of damage to the endoneurium, perineurium, and axons. Aberrant responses and ephaptic transmission following facial nerve injury are responsible for the clinical manifestations of facial synkinesis. It is crucial to minimize facial synkinesis in the early stages and to ablate it in the chronic stages to effectively manage this challenging complication following severe facial palsy. We advocate for physical therapy, including neuromuscular retraining during the acute phase, as a viable option for patients at high risk of developing facial synkinesis after a severe episode of Bell’s palsy. This approach helps prevent excessive movement (hyperkinesis) and enables patients to recognize and manage unwanted co-contractions (synkinesis). Several treatments targeting the facial nerve and muscles are available, including chemo-denervation, selective myectomy, and selective neurectomy. These interventions aim to address aberrant regeneration and peripheral ephaptic transmission.
Abstract
Facial synkinesis following severe facial palsy has been observed clinically across a wide range of patient groups, from infants to older adults, indicating that it is not limited to any specific demographic. In one of the largest studies on the natural progression of idiopathic peripheral facial nerve palsy, synkinesis was reported in approximately 16% to 55% of patients. The severity of facial synkinesis generally correlates with the severity of the initial facial palsy. Various types of nerve injuries have been categorized based on the extent of damage to the endoneurium, perineurium, and axons. Aberrant responses and ephaptic transmission following facial nerve injury are responsible for the clinical manifestations of facial synkinesis. It is crucial to minimize facial synkinesis in the early stages and to ablate it in the chronic stages to effectively manage this challenging complication following severe facial palsy. We advocate for physical therapy, including neuromuscular retraining during the acute phase, as a viable option for patients at high risk of developing facial synkinesis after a severe episode of Bell’s palsy. This approach helps prevent excessive movement (hyperkinesis) and enables patients to recognize and manage unwanted co-contractions (synkinesis). Several treatments targeting the facial nerve and muscles are available, including chemo-denervation, selective myectomy, and selective neurectomy. These interventions aim to address aberrant regeneration and peripheral ephaptic transmission.
참고문헌 (49)
- Azizzadeh B, "Surgical management of postparalysis facial palsy and synkinesis", Otolaryngol Clin North Am, 51, pp.1169~1178 (2018)
- Stennert E, "The autoparalytic syndrome : a leading symptom of postparetic facial function", Arch Otorhinolaryngol, 236, pp.97~114 (1982)
- Baillarger JGF, "Memoire sur l‘obliteration du canal de Stenon", Gaz Med, 23, pp.194~196 (1853)
- Oppenheim H, "Lehrbuch der Nervenkrankheiten für Ärzte und Studierende", pp.638~641 (1913), S Karger
- Crumley RL, "Mechanisms of synkinesis", Laryngoscope, 89, pp.1847~1854 (1979)
- Sunderland S, "Nerve and nerve injuries", pp.88~97 (1978), Churchill Livingstone
- Møller AR, "Hemifacial spasm : results of electrophysiologic recording during microvascular decompression operations", Neurology, 35, pp.969~974 (1985)
- Choi D, "Somatotopic organization of the facial nucleus is disrupted after lesioning and regeneration of the facial nerve : the histological representation of synkinesis", Neurosurgery, 50, pp.355~363 (2002)
- Laskawi R, "The use of botulinum toxin in head and face medicine : an interdisciplinary field", Head Face Med, 4, pp.5~ (2008)
- Armstrong MW, "Treatment of facial synkinesis and facial asymmetry with botulinum toxin type A following facial nerve palsy", Clin Otolaryngol Allied Sci, 21, pp.15~20 (1996)
- Baker RS, "Aberrant reinnervation of facial musculature in a subhuman primate : a correlative analysis of eyelid kinematics, muscle synkinesis, and motoneuron localization", Neurology, 44, pp.2165~2173 (1994)
- Oge AE, "Excitability of facial nucleus and related brain-stem reflexes in hemifacial spasm, post-facial palsy synkinesis and facial myokymia", Clin Neurophysiol, 116, pp.1542~1554 (2005)
- Rijntjes M, "Cortical reorganization in patients with facial palsy", Ann Neurol, 41, pp.621~630 (1997)
- Moran CJ, "Patterns of facial nerve synkinesis", Laryngoscope, 106(12 Pt 1), pp.1491~1496 (1996)
- Celik M, "The development of synkinesis after facial nerve paralysis", Eur Neurol, 43, pp.147~151 (2000)
- Kim DR, "Neuromuscular retraining therapy for early stage severe Bell’s palsy patients minimizes facial synkinesis", Clin Rehabil, 37, pp.1510~1520 (2023)
- Lee JM, "Half-mirror biofeedback exercise in combination with three botulinum toxin A injections for long-lasting treatment of facial sequelae after facial paralysis", J Plast Reconstr Aesthet Surg, 68, pp.71~78 (2015)
- Azizzadeh B, "Modified selective neurectomy : a new paradigm in the management of facial palsy with synkinesis", Facial Plast Surg Clin North Am, 29, pp.453~457 (2021)
- Maria CM, "Individualized management of facial synkinesis based on facial function", Acta Otolaryngol, 137, pp.1010~1015 (2017)
- Jeong J, "Neuromuscular retraining therapy combined with preceding botulinum toxin A injection for chronic facial paralysis", Acta Otolaryngol, 143, pp.446~451 (2023)
- Azuma T, "Mirror biofeedback rehabilitation after administration of single-dose botulinum toxin for treatment of facial synkinesis", Otolaryngol Head Neck Surg, 146, pp.40~45 (2012)
- VandeWater T, "Botulinum toxin in facial reanimation : map of the facial musculature and dosage", Atlas Oral Maxillofac Surg Clin North Am, 31, pp.71~83 (2023)
- Park TH, "How to enhance the success of selective neurectomy for facial synkinesis by considering the patient’s preferences : lesson learned from a retrospective analysis of 122 cases", Aesthetic Plast Surg, 48, pp.1249~1257 (2024)
- Urban E, "Prognostic factors for the outcome of Bells’ palsy : a cohort register-based study", Clin Otolaryngol, 45, pp.754~761 (2020)
- Volk GF, "Prognostication of recovery time after acute peripheral facial palsy : a prospective cohort study", BMJ Open, 3, pp.e003007~ (2013)
- Yoo MC, "Evaluation of factors associated with favorable outcomes in adults with Bell palsy", JAMA Otolaryngol Head Neck Surg, 146, pp.256~263 (2020)
- Esslen E, "Surgery of the facial nerve", pp.45~51 (1973), WB Saunders
- Fisch U, "Neurological surgery of the ear", pp.21~33 (1977), Aesculapius
- Fisch U, "Maximal nerve excitability testing vs electroneuronography", Arch Otolaryngol, 106, pp.352~357 (1980)
- Fisch U, "Prognostic value of electrical tests in acute facial paralysis", Am J Otol, 5, pp.494~498 (1984)
- Khedr EM, "Prognostic role of neurophysiological testing 3-7 days after onset of acute unilateral Bell’s palsy", Neurophysiol Clin, 48, pp.111~117 (2018)
- Gantz BJ, "Surgical management of Bell’s palsy", Laryngoscope, 109, pp.1177~1188 (1999)
- Azuma T, "Electroneurography in the acute stage of facial palsy as a predictive factor for the development of facial synkinesis sequela", Auris Nasus Larynx, 45, pp.728~731 (2018)
- Nakano H, "Electroneurography value as an indicator of high risk for the development of moderate-to-severe synkinesis after Bell’s palsy and Ramsay Hunt syndrome", Acta Otolaryngol, 139, pp.823~827 (2019)
- Morishima N, "Prognostic factors of synkinesis after Bell’s palsy and Ramsay Hunt syndrome", Auris Nasus Larynx, 40, pp.431~434 (2013)
- Byun H, "Value of electroneurography as a prognostic indicator for recovery in acute severe inflammatory facial paralysis : a prospective study of Bell’s palsy and Ramsay Hunt syndrome", Laryngoscope, 123, pp.2526~2532 (2013)
- Diels HJ, "Advances in otolaryngology-head and neck surgery", pp.289~315 (1995), Mosby-Year Book
- Fargher KA, "Effectiveness of electrical stimulation for rehabilitation of facial nerve paralysis", Phys Ther Rev, 22, pp.169~176 (2017)
- Yoo MC, "Effects of electrical stimulation on facial paralysis recovery after facial nerve injury : a review on preclinical and clinical studies", J Clin Med, 12, pp.4133~ (2023)
- Burelo-Peregrino EG, "Efficacy of electrotherapy in Bell’s palsy treatment : a systematic review", J Back Musculoskelet Rehabil, 33, pp.865~874 (2020)
- van Landingham SW, "Physical therapy for facial nerve palsy : applications for the physician", Curr Opin Ophthalmol, 29, pp.469~475 (2018)
- Husseman J, "Management of synkinesis", Facial Plast Surg, 24, pp.242~249 (2008)
- Robinson MW, "Facial rehabilitation : evaluation and treatment strategies for the patient with facial palsy", Otolaryngol Clin North Am, 51, pp.1151~1167 (2018)
- Manikandan N, "Effect of facial neuromuscular re-education on facial symmetry in patients with Bell’s palsy : a randomized controlled trial", Clin Rehabil, 21, pp.338~343 (2007)
- Monini S, "Combined protocol for treatment of secondary effects from facial nerve palsy", Acta Otolaryngol, 131, pp.882~886 (2011)
- Segal B, "Biofeedback rehabilitation is effective in chronic facial paralysis", XXVI Canadian Congress of Neurological Sciences (1990)
- Isken T, "Botulinum toxin for the correction of asymmetric crying facies", Aesthet Surg J, 29, pp.524~527 (2009)
- Terzis JK, "Facial nerve injury : diagnosis and repair", Aesthet Surg J, 25, pp.495~505 (2005)
- Bran GM, "Selective neurolysis in post-paralytic facial nerve syndrome(PFS)", Aesthetic Plast Surg, 38, pp.742~744 (2014)