Facial paralysis due to a spitting cobra bite
Summary: The global burden of snakebites is growing, particularly its nonfatal sequelae. Therefore, the World Health Organization reinstated snakebites to its list of Neglected Tropical Diseases. We describe the case of a 4.5-year-old boy who was bitten by a spitting cobra, resulting in considerable...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2021-09-01
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| Series: | JPRAS Open |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352587821000498 |
| _version_ | 1818603038060838912 |
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| author | Willem D. Rinkel Richard Mastenbroek Pieter J. Wismans Marc A.M. Mureau |
| author_facet | Willem D. Rinkel Richard Mastenbroek Pieter J. Wismans Marc A.M. Mureau |
| author_sort | Willem D. Rinkel |
| collection | DOAJ |
| description | Summary: The global burden of snakebites is growing, particularly its nonfatal sequelae. Therefore, the World Health Organization reinstated snakebites to its list of Neglected Tropical Diseases. We describe the case of a 4.5-year-old boy who was bitten by a spitting cobra, resulting in considerable local swelling accompanied by a right-sided facial paralysis due to neurotoxicity by cobra venom. Presently, surgical methods to recover facial paralysis include nerve repair, nerve grafting, nerve transfers, static slings, muscle transfers, and functional muscle transplantations. However, mime therapy consisting of neuromuscular retraining resulted in a good functional result with a moderate contour deficiency of the right cheek and a subtle paresis of the zygomatic muscles at 1 year and 9 months follow-up. The natural history of facial paralysis in our case shows that this condition can be transient and may resolve with mime therapy as a conservative measure. |
| first_indexed | 2024-12-16T13:16:49Z |
| format | Article |
| id | doaj.art-e512583896254609ac27a9cc2f42353a |
| institution | Directory Open Access Journal |
| issn | 2352-5878 |
| language | English |
| last_indexed | 2024-12-16T13:16:49Z |
| publishDate | 2021-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JPRAS Open |
| spelling | doaj.art-e512583896254609ac27a9cc2f42353a2022-12-21T22:30:28ZengElsevierJPRAS Open2352-58782021-09-01299398Facial paralysis due to a spitting cobra biteWillem D. Rinkel0Richard Mastenbroek1Pieter J. Wismans2Marc A.M. Mureau3Department of Plastic-, Reconstructive- and Hand surgery, Utrecht University Medical Center, University of Utrecht, Utrecht, the Netherlands; Corresponding author. UMCU – University Medical Center Utrecht, Department of Plastic-, Reconstructive- and Hand Surgery, Room G.04-122, Box 85500, 3508 GA UTRECHT, the Netherlands. telephone +31 6 31 04 37 76Herpetologist, advisor to the Travel Clinic of the Harbour Hospital and Institute for Tropical Diseases, Rotterdam, the NetherlandsDepartment of Internal Medicine, Harbour Hospital and Institute for Tropical Diseases, Rotterdam, the NetherlandsDepartment of Plastic-, Reconstructive- and Hand surgery, Erasmus Medical Center, Erasmus University, Rotterdam, the NetherlandsSummary: The global burden of snakebites is growing, particularly its nonfatal sequelae. Therefore, the World Health Organization reinstated snakebites to its list of Neglected Tropical Diseases. We describe the case of a 4.5-year-old boy who was bitten by a spitting cobra, resulting in considerable local swelling accompanied by a right-sided facial paralysis due to neurotoxicity by cobra venom. Presently, surgical methods to recover facial paralysis include nerve repair, nerve grafting, nerve transfers, static slings, muscle transfers, and functional muscle transplantations. However, mime therapy consisting of neuromuscular retraining resulted in a good functional result with a moderate contour deficiency of the right cheek and a subtle paresis of the zygomatic muscles at 1 year and 9 months follow-up. The natural history of facial paralysis in our case shows that this condition can be transient and may resolve with mime therapy as a conservative measure.http://www.sciencedirect.com/science/article/pii/S2352587821000498Facial paralysisSnake bitesVenomsNeurological rehabilitation |
| spellingShingle | Willem D. Rinkel Richard Mastenbroek Pieter J. Wismans Marc A.M. Mureau Facial paralysis due to a spitting cobra bite JPRAS Open Facial paralysis Snake bites Venoms Neurological rehabilitation |
| title | Facial paralysis due to a spitting cobra bite |
| title_full | Facial paralysis due to a spitting cobra bite |
| title_fullStr | Facial paralysis due to a spitting cobra bite |
| title_full_unstemmed | Facial paralysis due to a spitting cobra bite |
| title_short | Facial paralysis due to a spitting cobra bite |
| title_sort | facial paralysis due to a spitting cobra bite |
| topic | Facial paralysis Snake bites Venoms Neurological rehabilitation |
| url | http://www.sciencedirect.com/science/article/pii/S2352587821000498 |
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