What is Synkinesis?

Synkinesis, a term derived from the prefix "Syn-, which, together with and the word" kinesi ", which means movement, concerns a state where involuntary muscle movements occur simultaneously with vestial movements. This condition is most often due to nerve trauma, which can be precipitated by inflammation, physical trauma, neuroma or surgery. When the healing of nerve injuries is aberrant, the nerves are made and the nerve ends innervate muscles that would normally not stimulate. As a result, when these nerve endings receive an order for voluntary movement, wrong nerves also cause involuntary movement. Treatment methods for this are surgery, face retraining, botox, MIME therapy and biofeedback. The Synkinesis face is one of the most problematic consequences of Bell's polio or idiopathic paralysis of the face. Bell's P.Alsy is the result of compression of the nerve of the face or skull nerve VII. During the acute course of this disease, the facial nerve becomes broken, which mIt results in one -sided paralysis of the face. Nervous prosecution occurs when treatment occurs, leading to syncinetic symptoms such as involuntary eye closure in searching or smiling, involuntary medium movement with deliberate eye closure, tightness of the neck with voluntary smile and hyperlakrimation during meals.

In the extraocular syncinesis of muscles, trauma with any two cranial nerves III, IV and VI leads to current voluntary and involuntary movements of six different extraocular muscles. The cranial nerve III or oculomotor nerve innervates media rectus, lower oblique, lower rectus and excellent rectus. While the skull nerve IV, the trochlear nerve, innervates the superior oblique, cranial nerve VI, Abducens nerve, innervates the side rectus. In extraocular syncinesis involving abductions and oculomotor nerves as one tries to look laterally using the affected eye, the eye looks towards the centralé line and lid pulling. Other types include nerves with trigeminal nerve and fatigue and trigeminal nerve and face nerve.

Symptoms of Synkinesis can be quite disturbing, so many people consult a doctor to seek permanent relief. Facial retraining is a conservative therapeutic modality that focuses on teaching, how to actively control facial movements. Biofeedback therapy works in a similar way and a combination of biofeedback and facial retraining has synergistic effects. Botox, reversible treatment, which includes botulinoxin injection, has been shown to reduce the hyperkinesis of the face and hyperlakrimation.

surgical modalities are rarely used and are reserved for patients who do not respond to the above conservative treatment. One such prayer is called neurolysis, where the direct nerve is destroyed. Neurolysis does not provide permanent relief and the symptoms are often repeated worse. Another surgical modality is selective myotomy, where the sycinetic muscle is resected. Provide thatE more permanent relief compared to neurolysis, but has many complications including swelling and bleeding.