Ultrasound echomyography of facial muscles in diagnosis and follow-up of facial palsy in children.

Authors:
Maik Sauer
Maik Sauer
Jena University Hospital
Germany
Orlando Guntinas-Lichius
Orlando Guntinas-Lichius
Jena University Hospital
Germany
Gerd Fabian Volk
Gerd Fabian Volk
Jena University Hospital
Germany

Eur J Paediatr Neurol 2016 Jul 26;20(4):666-70. Epub 2016 Mar 26.

Department of Otorhinolaryngology and Facial Nerve Center, Jena University Hospital, Jena, Germany.

Background: Ultrasonography is a reliable, non-invasive and painless tool for quantitative assessment of the static and dynamic changes of the facial muscles in adult patients with facial palsy. Therefore it would also be worthwhile to establish the method for quantitative analysis of facial muscles in children with facial palsy to improve and expand the diagnostics for paediatric facial palsy.

Methods: Eight children, aged 1-18 years, with facial palsy of different aetiology were scanned and their ultrasound-images analysed. Bilateral scans of the frontal, orbicularis oculi, zygomaticus major, orbicularis oris, depressor anguli oris, depressor labii inferioris, and mentalis muscle were performed at rest and if possible during contraction. Muscle cross-section area, muscle thickness and echo intensity were measured.

Results: All muscles of our investigation protocol for adults could also be reliably identified in children. On the paralyzed side of the face a reduction of muscle size in rest and contraction and higher echo intensity could be convincingly detected. Based on these observations, we were able to make well-founded treatment decisions and avoid painful electrophysiological examinations.

Conclusion: Ultrasonography of facial muscles is also feasible in children and facilitates diagnostics in children with facial palsy.

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ejpn.2016.03.006DOI Listing

Still can't find the full text of the article?

Let us try to send a request to the authors directly.
July 2016
4 Reads

Publication Analysis

Top Keywords

facial palsy
20
facial muscles
16
facial
10
children facial
8
echo intensity
8
rest contraction
8
oris depressor
8
children
6
palsy
5
muscles
5
scans frontal
4
bilateral scans
4
frontal orbicularis
4
intensity convincingly
4
orbicularis oculi
4
major orbicularis
4
orbicularis oris
4
zygomaticus major
4
oculi zygomaticus
4
analysed bilateral
4

Similar Publications