Browse > Article
http://dx.doi.org/10.21593/kjhno/2021.37.1.29

Paradoxical Lower Lip Twitching after Removal of the Submandibular Gland  

Yoo, Ji Seob (Department of Otolaryngology-HNS, Research Institute for Clinical Medicine of Jeonbuk National University, Biomedical Research Institute of Jeonbuk National University Hospital)
Hong, Yong Tae (Department of Otolaryngology-HNS, Research Institute for Clinical Medicine of Jeonbuk National University, Biomedical Research Institute of Jeonbuk National University Hospital)
Publication Information
Korean Journal of Head & Neck Oncology / v.37, no.1, 2021 , pp. 29-32 More about this Journal
Abstract
Benign submandibular gland tumor is a common disease in the head and neck region and can be completely removed by transcervical approach. Typical submandibular gland resection can lead to neurological complications. The most common complications are damage to the marginal mandibular branch of the facial nerve and weakening of the lower lip. We report a case of ipsilateral lower lip twitching occurring 3 months after surgery. There was no difficulty during the operation, and there were no neurologic complications immediate after surgery. However, in the present case, the patient experienced lower lip twitching paradoxically after surgery which has not been reported in the literature yet. Therefore, we reported this case with a review of relevant literature.
Keywords
Lip twitching; Submandibular gland;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Leonardo BA, Cosme GE. Morbidity associated with removal of the submandibular gland. J Cranio-maxillo-facial Surg. 1992;20: 216-219.   DOI
2 Jannetta PJ. Typical or atypical hemifacial spasm. J Neurosurg. 1998;89:346-347.
3 Zappia JJ, Wiet RJ, Chouhan A, Zhao JC. Pitfalls in the diagnosis of hemifacial spasm. Laryngoscope. 1997;107:461-465.   DOI
4 Celik M, Forta H, Vural C. The development of synkinesis after facial nerve paralysis. European Neurology. 2000;43:147-151.   DOI
5 Wang A, Jankovic J. Hemifacial spasm: clinical findings and treatment. Muscle Nerve. 1998;21:1740-1747.   DOI
6 Colosimo C, Bologna M, Lamberti S. A comparative study of primary and secondary hemifacial spasm. Arch Neurol. 2006;63: 441-444.   DOI
7 Yamamoto E, Nishimura H, Hirono Y. Occurrence of sequelae in Bell's palsy. Acta Otolaryngol. 1987;446:93-96.   DOI
8 Jankovic J. Peripherally induced movement disorders. Neurol Clin. 2009;27:821-832.   DOI
9 Valls-Sole J, Tolosa E, Ribera G. Blink reflex studies of patients with blepharospasm before and after treatment with botulinum toxin. J Neurol Neurosurg Psychiatry. 1991;54:310-313.   DOI
10 Lorentz IT. Treatment of hemifacial spasm with botulinum toxin. J Clin Neurosci. 1995;2:132-135.   DOI