Causes of Facial Synkinesis with Dr. Amer – Expert in Facial Nerve Recovery
Understanding Facial Synkinesis
Facial synkinesis is a condition where involuntary facial movements occur alongside voluntary ones. For example, the eye may close while trying to smile. This often develops after recovery from facial nerve paralysis, such as Bell’s palsy.
Dr. Tarek Amer: A Leader in Facial Nerve Medicine
Dr. Amer, Professor of Plastic and Microsurgery at Cairo University, is one of the Middle East’s pioneers in facial nerve surgeries. He has decades of experience diagnosing and treating complex cases of facial synkinesis.
🔍 Main Causes of Facial Synkinesis
1. Incomplete Nerve Healing After Bell’s Palsy
The most common cause is incomplete or abnormal nerve regeneration following Bell’s palsy. Miswiring during nerve healing can lead to unintentional muscle activation.
2. Trauma to the Facial Nerve
Facial injuries from accidents, surgery, or fractures can damage the nerve. If the nerve regenerates incorrectly, synkinesis may result.
3. Viral Infections (Herpes Simplex Virus)
Certain viruses that attack the facial nerve may not only cause initial paralysis but also lead to irregular healing pathways, causing synkinesis.
4. Tumors Near the Facial Nerve
Tumors in the brainstem or parotid gland can compress or damage the facial nerve, and after removal, abnormal healing may occur.
5. Surgical Nerve Grafting or Reanimation Attempts
While surgeries aim to restore movement, they sometimes lead to unintended muscle connections that result in synkinesis.
👨⚕️ How Dr. Amer Helps
Dr. Amer uses precise diagnostic tools to identify the root cause of synkinesis and applies a mix of:
-
Surgical intervention (microsurgical corrections)
-
Botulinum toxin injections
-
Physical therapy for re-education of facial muscles
-
Electromyographic (EMG) mapping for targeted treatment