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Facial Motion Disorders

A person’s 7th facial nerve is essential in the ability to make facial expressions. This nerve receives information from the brain and converts the signals into movements, such as smiling or blinking your eyes.  

Due to nerve dysfunction, some children are unable to make facial expressions or experience weakened movement in the facial muscles. In other cases, a child may experience abnormal facial movement. These issues are known as facial movement disorders, also known as facial nerve palsy.  

Symptoms of Facial Nerve Palsy 

Problems with facial movement in children can range from mild to severe. Common symptoms include:  

  • Little to no movement on one or both sides of the face 
  • Problems chewing and/or swallowing 
  • An inability to raise one’s eyebrows or smile 
  • Drooping eyes and mouth 
  • Issues when speaking 

Any abnormalities in a child’s facial movement should be evaluated by a medical practitioner immediately.  

Causes of Childhood Facial Motion Disorders 

Issues with the facial nerve can lead to problems with facial movement and function. Facial nerve palsy can be congenital or acquired: 

  • Congenital – Problems during pregnancy or delivery, including issues with compression and posture within the uterus, can damage the 7th cranial nerve and lead to facial motion dysfunction. Birth trauma can also cause issues, as can abnormal development of the facial nerve nucleus.  
  • Acquired – Facial nerve dysfunction can also be linked to injuries and certain medical conditions, including stroke. Medical conditions that cause inflammation, such as Lyme disease and herpes infections, can also result in facial nerve palsy.  

Congenital facial nerve palsy can also be caused by certain medical conditions. This includes Moebius syndrome, which prevents facial muscles from functioning correctly, or hemifacial microsomia, which reduces development on one side of the face.   

Reference Articles

How Facial Movement Disorders Are Treated 

If a facial movement disorder is mild or expected to improve as a child grows older, doctors may take a conservative approach and only monitor the condition. When the effects of a disorder are more severe, one or more of the following treatments may be recommended: 

  • Physical or occupational therapy 
  • Medication to relax muscles in the face 
  • Botox injections for treating tics and jerking movements 
  • Deep brain stimulation to address involuntary muscle contractions 

Dealing with facial nerve palsy in children can be challenging for all involved. As a result, parents are encouraged to seek support from others who share similar experiences. Also, counselling can help a child cope with any emotions they have regarding their medical condition.  

 
 
 

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