Abstract
ABSTRACT No reports about treatments applied by orofacial motricity experts, in craniofacial trauma, were found in the specialized literature. However, their knowledge, added to that of the aesthetic area, would be useful in the rehabilitation of scars. The aim of this work is to describe the mixed use of orofacial motor skills, muscle balance massage and scar management in a patient with soft tissues facial trauma. During the initial evaluation, a decrease in the vertical and horizontal oral opening and in the mimic movements, facial asymmetry and marked scars that affected the oral phase of swallowing, chewing (bolus formation), lip mobility, compromising speech intelligibility and, significantly, aesthetics, were observed. Myofunctional therapy lasted 12 months, during which the patient underwent three surgeries. The process was divided into an intensive phase (six months, two weekly sessions) and a follow-up phase (six months, one weekly session), which ended when the indicators evaluated at the beginning were stable, showing improvements in scars condition and appearance, as well as in orofacial functions, including pre-post therapy self-perception and greater muscular mobility, reflecting a management with an integrative approach.
Highlights
The Cranio-Cervical-Mandibular Complex (CCMC), formed by the maxilla and lower jaw, the teeth, the temporomandibular joint and all their associated muscles, is an essential functional unit for life[1]
The process was divided into an intensive phase and a follow-up phase, which ended when the indicators evaluated at the beginning were stable, showing improvements in scars condition and appearance, as well as in orofacial functions, including pre-post therapy self-perception and greater muscular mobility, reflecting a management with an integrative approach
The Cranio Facial Traumas (CFT) are high probability injuries that may occur at any age, sex, race or social class[4]
Summary
The Cranio-Cervical-Mandibular Complex (CCMC), formed by the maxilla and lower jaw, the teeth, the temporomandibular joint and all their associated muscles, is an essential functional unit for life[1]. The purpose of this work is to describe the mixed use of orofacial motricity techniques, muscle balance massage and scars management in a patient who suffered a facial trauma in his soft tissues. The therapy ended when it was observed that there was no engagement on the orofacial functions and that the value of the scales and items assessed were near and/or within the ranges expected (anthropometric measurements, facial mimic and scars)[14,21,22]. Orofacial motricity a) Face harmony b) Facial sensitivity c) Pain on palpation Intraoral Extra-oral d) Damaged structures Lip Cheek Chin Teeth e) CCCM functions Chewing Swallowing (oral phase) Speech Oral antrop. Orofacial motricity a) Face harmony b) Facial sensitivity c) Pain on palpation Intraoral Extra-oral d) Damaged structures Lip Cheek Chin Teeth e) CCCM functions Chewing Swallowing (oral phase) Speech Oral antrop. measurements a) Vertical opening b) Horizontal opening Facial mimic Scars Vancouver Scale points G° rigidity perception
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