LA REEDUCATION MAXILLO-FACIALE

LA REEDUCATION MAXILLO-FACIALE

La rééducation maxillo-faciale est une branche relativement récente de notre métier. Elle est basée sur les principes généraux et les méthodes classiques de la récupération articulaire et musculaire.

Cette rééducation intéresse l’ensemble du maxillaire supérieur, de la mandibule et des parties molles de la face et du cou (essentiellement les muscles).

Les pathologies traitées en rééducation maxillo-faciale sont très diverses: SADAM, œdèmes de la face et du cou, avec et sans interruption des voies lymphatiques,  cicatrices d’origine traumatique ou chirurgicale, paralysies faciales, suites des chirurgies orthognatiques, fractures de la face, limitations d’ouverture buccale,  traitements  post-carcinologiques …

La prise en charge des dyspraxies oro-faciales est un volet fondamental de cette spécialité. Son incidence dans la lutte contre la récidive des dysmorphies faciales fait du kinésithérapeute maxillo-facial le partenaire indispensable de l’orthodontiste ou du chirurgien dans le cadre de traitements ODF ou de chirurgie orthognatique.

Toujours retrouvées dans les Algies et dysfonctions de l’appareil manducateur (ADAM), ces dyspraxies linguales, labiales et ventilatoires,  sont aussi à l’origine de troubles posturaux cervico-céphaliques, de cervicalgies (ou cervico-brachialgies) persistantes.

Si depuis de nombreuses années certaines indications de rééducation sont connues, de nouvelles indications ont vu le jour ces dernières décennies comme la rééducation des SAOS (syndrome d’apnées obstructive du sommeil), les prises en charge post- injectionnelles en médecine esthétique…

Des pathologies les plus lourdes aux plus légères, au carrefour de nombreuses spécialités médicales,  la rééducation oro-maxillo-faciale est ainsi devenue une spécificité à part entière de la kinésithérapie.

DÉSORDRES TEMPORO-MANDIBULAIRES

– syndromes algo-dysfonctionnels de l’ATM

– luxation méniscale ou subluxation méniscale

– bruxisme 

– limitations d’amplitude (trismus, facilitation pose d’implant dentaire)

TRAUMATOLOGIE

– Suites et séquelles de toutes les fractures du massif facial et de la mandibule

– ankyloses temporo-mandibulaires, opérées ou non

– luxation traumatique de l’articulation temporo-mandibulaire

– suites et séquelles d’ostéotomie

– suites et séquelles des lésions cicatricielles de la face

RHUMATOLOGIE

– atteinte arthrosique chronique de l’ATM

– symptomatologie douloureuse d’arthrite en phase aigue de l’ATM 

NEUROLOGIE

– paralysie faciale post-traumatique et séquelles après chirurgie

– paralysie faciale à frigore

ONCOLOGIE

– réhabilitation et conservation des tissus et de fonctions résiduelles après traitement chirurgical d’exérèse tumorale

– suites et séquelles de hémi-resection mandibulaire et résections partielles, avec ou sans reconstruction matérielle

– réhabilitation et conservation des tissus et des fonctions résiduelles après radiothérapie, chimiothérapie

ORL

– réhabilitation après glossectomie partielle

– réhabilitation après traitement chirurgical des glandes salivaires majeures,notamment les suites et séquelles de parotidectomie

CHIRURGIE

– réhabilitation après intervention de chirurgie esthétique (lifting)

– préparation préalable et rééducation après intervention chirurgical arthroscopie, chirurgie orthognatique ou maxillo-faciale (ostéotomie)

 

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