Korean J Pain.  2017 Oct;30(4):304-307. 10.3344/kjp.2017.30.4.304.

Treatment of hemifacial spasm in patient with hemifacial atrophy using combination therapy (ultrasound therapy and TENS): a case report

• Baduni A
• Krishnamoorthy B

• KMID: 2392908
• DOI: http://doi.org/10.3344/kjp.2017.30.4.304

Abstract

A 19-year-old male patient presented with facial hemi-atrophy with unilateral spasms of the masseter and temporalis muscles. Ultrasound therapy and Transcutaneous Electric Nerve Stimulation therapy, known as combination therapy, were given on alternate days for 2 weeks. At the end of 2 weeks of combination therapy the patient reported a drastic reduction in the number of episodes of muscle spasm. The visual analog scale score for tenderness of the masseter and temporalis was also markedly reduced. No one has previously used combination therapy for the treatment of facial hemi-atrophy with hemi-facial spasms. The encouraging results of the combination therapy has prompted us to document this study.

Keyword

Botulinum toxins; Facial hemi-atrophy; Hemi-facial spasm; Masseter muscle; Temporalis muscle; Transcutaneous electric nerve stimulation; Ultrasonography

MeSH Terms

Botulinum Toxins
Facial Hemiatrophy*
Hemifacial Spasm*
Humans
Male
Masseter Muscle
Muscles
Spasm
Transcutaneous Electric Nerve Stimulation
Ultrasonography
Visual Analog Scale
Young Adult
Botulinum Toxins

Figure

• 

  Fig. 1 Hemi-facial atrophy. A 19-year-old patient with atrophy of the left face.

• 

  Fig. 2 Hypoplastic malar process. Cone beam computed tomography shows hypoplastic malar process of the left face.

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