Botulinum-A Toxin Application for the Treatment of Asymmetric Crying Facies

Abstract

An infant with a face symmetrical at rest, but one corner of the mouth does not pull downward and outward symmetrically with the other while crying and smiling, is said to have an “asymmetric crying facies” (ACF). The etiology of this asymmetry is congenital absence or hypoplasia of the depressor anguli oris muscle (DAOM) at one corner of the mouth. Its associations with major congenital anomalies, most commonly in the cardiovascular system, have been reported. In this report, a six-year-old boy with asymmetric crying facies and its treatment with botulinum-A toxin (BOTOX) is presented. To our knowledge, the treatment of ACF with BOTOX has not been reported yet. Key words: Asymmetric Crying Facies; Botulinum-A Toxin; Child.

Keywords

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Asimetrik Ağlayan Yüz Tedavisinde Botulinum-A Toksin Uygulaması

Öz

“Asimetrik ağlayan yüz” istirahat esnasında simetrik olan yüzün, ağlama ya da gülme sırasında ağız köşesinin aşağı ve dışa hareketinin kısıtlı olması ya da hiç olmamasıdır. Asimetrinin etiyolojisinde tek taraflı depresör anguli oris kasının konjenital yokluğu veya hipoplazisi vardır. Major konjenital anomalilerle, en çok da kardiovasküler sistemle birlikteliği bildirilmiştir. Bu yazıda asimetrik ağlayan yüzü olan 6 yaşındaki bir erkek çocuğu ve botulinum-A toksiniyle (BOTOKS) tedavisi sunulmaktadır. Asimetrik ağlayan yüzün BOTOKS'la tedavisi henüz bildirilmemiştir. Anahtar Sözcükler: Asimetrik Ağlayan Yüz; Botulinum-A Toksini; Çocuk.

Anahtar Kelimeler

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Kaynakça

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