A CLINICAL CASE OF TREATMENT OF DAMAGE TO THE FACIAL AND TRIGEMINAL NERVES IN A PATIENT WITH A STAB AND CUT WOUND OF THE NECK

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Abstract

A trauma to the face and neck with damage to the cranial nerves, including the facial nerve (FN), is common in the emergency hospital. FN injury is clinically manifested mainly by mimetic muscles paresis and facial asymmetry. This results in not only functional, but also significant aesthetic inconveniences as well as in social maladaptation of patients. The main method of rehabilitation treatment of FN injuries regardless of their etiology is physical therapy. The article presents a clinical case of a treatment of FN and trigeminal nerve injury in a patient with a stab and cut wound of the neck. This clinical case demonstrates the importance of a neurological assessment of patients with injuries of the face and neck and timely rehabilitation treatment. Each stage of patient recovery requires a specific approach to the diagnosis and treatment. The issue of a rationality of using botulinum therapy in individuals with FN neuropathy to correct asymmetry and synkinesis is of great importance. If a patient has muscle hypotrophy treatment of synkinesis should be postponed. When examining neurological patients, ultrasound can be a quick and effective alternative method for diagnosis and dynamic follow-up.

About the authors

Lesya B. Zavaliy

Sklifosovskii Research Institute of Emergency Medical Care

Email: l.zav@bk.ru
канд. мед. наук, ст. науч. сотр ГБУЗ «НИИ скорой помощи им. Н.В. Склифосовского» Москва, Россия

Ganipa R. Ramazanov

Sklifosovskii Research Institute of Emergency Medical Care

канд. мед. наук, врач-невролог, зав. отд-нием неотложной неврологии и восстановительного лечения ГБУЗ «НИИ скорой помощи им. Н.В. Склифосовского» Москва, Россия

Sergey S. Petrikov

Sklifosovskii Research Institute of Emergency Medical Care; Yevdokimov Moscow State University of Medicine and Dentistry

проф. РАН, д-р мед. наук, дир. ГБУЗ «НИИ скорой помощи им. Н.В. Склифосовского», зав. каф. анестезиологии, реаниматологии и неотложной медицины ФГБОУ ВО «МГМСУ им. А.И. Евдокимова» Москва, Россия

Karen R. Dzhagraev

Sklifosovskii Research Institute of Emergency Medical Care

д-р мед. наук, зам. глав. врача по хирургической работе ГБУЗ «НИИ скорой помощи им. Н.В. Склифосовского Москва, Россия

Karina I. Chekhonatskaya

Sklifosovskii Research Institute of Emergency Medical Care

Москва, Россия

Zhamilat H. Gadzhieva

Sklifosovskii Research Institute of Emergency Medical Care

клинический ординатор по направлению неврология ГБУЗ «НИИ скорой помощи им. Н.В. Склифосовского» Москва, Россия

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