Infant facial muscle aplasia











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Facial Asymmetry In A Crying Newborn

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Congenital facial nerve aplasia

Introduction NACF represents a specific phenotype, the major symptom of which is the absence or weakness of the downward motion of the lateral side of the mouth with crying [ 1 , 2 ]. The facial nerve is the motor innervation of all facial muscles. Trauma to the facial nerve may result from fetal positioning, as with compression injury from the shoulder in the intrauterine period, intrapartum pressure from the maternal pelvis, or forceps application [ 11 ]. The downward motion of the lower lip is produced by the coordinated action of four muscles. The mentalis muscle raises and protrudes the lower lip and the platysma muscle blends in with the DAOM and assists in its function. The infant was clinically diagnosed to have facial nerve palsy on the left side. It is defined as asymmetry of the mouth and lips with grimacing or smiling, but a symmetric appearance at rest. The authors declare that there is no conflict of interests regarding the publication of this paper. The baby was followed by our team till 6 months of age, during which he continued to exhibit the deformity with crying. NACF represents a specific phenotype, the major symptom of which is the absence or weakness of the downward motion of the lateral side of the mouth with crying [ 1 , 2 ]. The first case of facial asymmetry we describe was caused by the absence of DAOM.

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Congenital (present at birth) facial paralysis is uncommon and, when extraocular muscle paralysis, facial hypoplasia, other cranial nerve.

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Facial asymmetry in a crying newborn can be due to a variety of different causes. This movement is carried out by a group of four facial muscles, the most A majority of cases of NACF are caused by the hypoplasia of the.

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Description: Birth weight was grams. Facial palsy can also be caused in newborns by developmental mishaps during the intrauterine life. The infant also received surfactant for respiratory distress syndrome and required continuous positive airway pressure CPAP for respiratory support. The muscles of the upper face are represented bilaterally in the facial nerve nucleus of the pons, so a unilateral supranuclear facial nerve abnormality results in the contralateral weakness of all facial muscles except those involved in forehead wrinkling, closure of eye lids, and nostril dilatation with breathing. Injury to one of the peripheral branches of the facial nerve secondary to trauma may also present with this deformity in rare cases [ 7 ]. These adverse events may be due to genetic factors, vascular events, and teratogenic insults which cause aplasia or hypoplasia of the cranial nerve nuclei, nuclear agenesis, and aplasia or hypoplasia of the facial nerve. Also note the less prominent nasolabial fold on the left. The patient was discharged with plans for close follow-up care by the pediatric ophthalmology team, due to inability to voluntarily close the left eyelid. The infant was clinically diagnosed to have facial nerve palsy on the left side. Individual branches of the facial nerve, like the mandibular nerve, are especially prone to compression injury as it courses just above the lower edge of the mandible in a neonate. Neonatal asymmetric crying facies NACF is one such condition, which is often underrecognized.
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