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Article in Chinese | WPRIM | ID: wpr-877664


OBJECTIVE@#To observe the effect of conventional acupuncture combined with row-like puncture at sternocleidomastoid on peripheral facial palsy at recovery stage.@*METHODS@#A total of 60 patients with peripheral facial palsy at recovery stage were randomized into an observation group and a control group, 30 cases in each one. Acupuncture was applied at affected Cuanzhu (BL 2), Yangbai (GB 14), Sibai (ST 2), Quanliao (SI 18), Jiache (ST 6), Dicang (ST 4), Hegu (LI 4), Taichong (LR 3) and Zusanli (ST 36) in the control group. On the basis of the treatment in the control group, row-like puncture was applied at sternocleidomastoid (1 needle was punctured at muscle origin and insertion respectively, 3 to 4 needles were row-like punctured at the connection line of muscle origin and insertion). The treatment was given once a day, 5 times were as one course, with 2-day interval, totally 4 courses were required in the both groups. The house-brackmann (H-B) facial nerve function grade, facial nerve function rating system-dynamic view rating scale score and facial disability index (FDI) scale score [including scores of FDI physical function (FDIp) and FDI social life function (FDIs)] before and after treatment were observed, and the clinical efficacy was evaluated in the two groups.@*RESULTS@#After treatment, the H-B facial nerve function grades were improved compared before treatment in the both groups (@*CONCLUSION@#Compared with conventional acupuncture, combination therapy with row-like puncture at sternocleidomastoid can improve the therapeutic effect of peripheral facial palsy at recovery stage.

Acupuncture Points , Acupuncture Therapy , Facial Paralysis/therapy , Humans , Needles , Punctures , Treatment Outcome
Article in Chinese | WPRIM | ID: wpr-877575


The current development situation and the hotspot of the relevant research on refractory facial paralysis are explored. The articles on refractory facial paralysis are retrieved from CNKI database. The bibliographic items co-occurrence matrix builder (BICOMB) 2.0 is adopted to extract and analyze statistically literature characteristics and generate the high-frequency keywords matrix. The graphical clustering toolkit (gCLUTO) 1.0 is used to cluster the high-frequency keywords. A total of 750 articles are included, mostly published in

Acupuncture Points , Acupuncture Therapy , Bibliometrics , China , Facial Paralysis/therapy , Humans , Moxibustion
Audiol., Commun. res ; 26: e2462, 2021. tab, graf
Article in Portuguese | LILACS | ID: biblio-1339240


RESUMO Objetivo comparar os resultados da reabilitação da paralisia facial pós-acidente vascular cerebral isquêmico na fase aguda, com e sem o uso da Kinesio Taping. Métodos estudo experimental caso e controle com 46 pacientes com paralisia facial pós-acidente vascular cerebral, distribuídos em dois grupos de forma randomizada, para a reabilitação da mímica facial: o grupo caso realizou terapia miofuncional orofacial e fez uso da Kinesio Taping nos músculos zigomáticos maior e menor e o grupo controle apenas terapia miofuncional orofacial. Para avaliação da paralisia facial, foi utilizada a escala de House e Brackmann e o protocolo de incompetência do movimento para as medições da face. Todos os participantes realizaram 12 dias de intervenção fonoaudiológica para a reabilitação da mímica facial. Para análise, considerou-se a incompetência do movimento por meio das medidas da face e o grau de comprometimento da paralisia facial e foi verificado se a idade poderia ter influenciado os resultados. Foram realizadas análises de associação e o nível de significância adotado foi de 5%. Resultados os dois grupos apresentaram melhora da assimetria facial após intervenção fonoaudiológica, a incompetência do movimento foi menor em todas as medidas da face e a melhora da gravidade da paralisia facial foi semelhante, sem diferença estatística entre os tratamentos. Conclusão tanto a terapia miofuncional orofacial exclusiva, como associada ao uso da Kinesio Taping, são estratégias terapêuticas que promovem melhora da paralisia facial pós-acidente vascular cerebral.

ABSTRACT Purpose To compare the results of treatment of facial paralysis after ischemic stroke in the acute phase with and without the use of Kinesio Taping. Methods Experimental case-control study with 46 patients with facial paralysis after stroke, randomly assigned to two groups for treatment of facial mimicry: the case group underwent orofacial myofunctional therapy and used Kinesio Taping on the zygomatic major and minor muscles while the control group only received orofacial myofunctional therapy. To assess facial paralysis, the House and Brackmann scale and the movement incompetence protocol were used for facial measurements. All participants underwent 12 days of treatment for facial mimicry. The analysis considered movement incompetence by means of the face measurements and the degree of impairment of facial paralysis, checking whether age might have influenced the results. Association analyses were performed and the significance level adopted was 5%. Results both groups showed an improvement in facial asymmetry after treatment, movement incompetence was lower in all facial measurements, and the improvement in the severity of facial paralysis was similar, with no statistical difference between treatments. Conclusion Both the exclusive orofacial myofunctional therapy and the one combined with Kinesio Taping are therapeutic strategies that promote improvement in post-stroke facial paralysis.

Humans , Stroke , Facial Paralysis/rehabilitation , Facial Paralysis/therapy , Athletic Tape , Myofunctional Therapy , Speech, Language and Hearing Sciences
Chinese Acupuncture & Moxibustion ; (12): 1281-1285, 2020.
Article in Chinese | WPRIM | ID: wpr-877528


OBJECTIVE@#To compare the curative effect between the warm acupuncture at Yifeng (TE 17) combined with conventional acupuncture and TDP plus conventional acupuncture on facial paralysis with periauricular pain during pregnancy.@*METHODS@#A total of 68 patients were randomized into an observation group (36 cases, 3 cases dropped off) and a control group (32 cases, 1 case dropped off). First week, TDP light was used on the affected side in the control group, and warm acupuncture at Yinfeng (TE 17) on the affected side was used in the observation group, both once a day. From the second week, both groups were given acupuncture at Chengjiang (CV 24) and the affected side of Cuanzhu (BL 2), Yangbai (GB 14), Taiyang (EX-HN 5), Yingxiang (LI 20), Dicang (ST 4), etc. and electroacupuncture (continuous wave, 2 Hz in frequency) was connected at Cuanzhu (BL 2) and Taiyang (EX-HN 5), Jiache (ST 6) and Dicang (ST 4). Both treatments were given every other day for 4 weeks totally. The visual analogue scale (VAS) score of the periauricular pain degree before treatment and after 1 week of treatment, the House-Brackmann (H-B) facial nerve function grading scale and facial disability index (FDI) score before treatment and after 2, 4 weeks of treatment were compared between the two groups.@*RESULTS@#After 1 week of treatment, the VAS scores of both groups decreased (@*CONCLUSION@#Warm acupuncture at Yinfeng (TE 17) combined with conventional acupuncture can effectively improve the periauricular pain and facial nerve function in patients of facial paralysis with periauricular pain during pregnancy, and the curative effect is better than TDP plus conventional acupuncture.

Acupuncture Points , Acupuncture Therapy , Electroacupuncture , Facial Paralysis/therapy , Humans , Pain , Pregnancy , Treatment Outcome
Article in Spanish | LILACS | ID: biblio-1000380


INTRODUCCIÓN: La parálisis facial periférica implica una disfunción del VII par. Predomina la forma idiopática o de Bell. Su tratamiento se basa en el uso de corticoides y en las demás causas depende de la patología de base. El presente estudio describe la incidencia, la etiología y el grado de afectación de la parálisis facial en la población del Hospital de Clínicas José de San Martín. MÉTODO: Revisión de historias clínicas de pacientes que concurrieron a la guardia del Servicio de Otorrinolaringología entre enero de 2013 y septiembre de 2017, y revisión bibliográfica...

INTRODUCTION: Peripheral facial paralysis implies a dysfunction of the seventh pair. The idiopathic or Bell form predominates. Its treatment is based on the use of corticosteroids; and in the other causes depends on the underlying pathology. The present study describes the incidence, etiology and degree of involvement of facial paralysis in the population of the Hospital de Clínicas José de San Martín. METHOD: Review of medical records of patients who attended the otorhinolaryngology service ward between january 2013 and september 2017, and literature review…

INTRODUÇÃO: A paralisia facial periférica implica uma disfunção do sétimo par. Predomina a forma idiopática ou de Bell. O seu tratamento baseia-se no uso de corticosteróides; e nas outras causas depende da patologia subjacente. O presente estudo descreve a incidência, etiologia e grau de envolvimento da paralisia facial na população do Hospital de Clínicas José de San Martín. MÉTODO: Revisão dos registros médicos de pacientes atendidos na sala de atendimento de Otorrinolaringologia entre janeiro de 2013 e setembro de 2017 e revisão da literatura...

Humans , Male , Adolescent , Adult , Facial Paralysis/etiology , Facial Paralysis/therapy , Facial Paralysis/epidemiology , Otitis Media/complications , Retrospective Studies , Herpes Zoster Oticus/complications , Bell Palsy/complications
Article in Spanish | LILACS | ID: biblio-1051112


Se presentan dos casos de pacientes con parálisis facial periférica aguda y crónica respectivamente, en los que se utilizó el mismo tratamiento kinésico basado en electroestimulación muscular selectiva combinado con masoterapia y reeducación de músculos faciales. Ambos pacientes recuperaron las funciones básicas de oclusión básica de ojos y boca como así también mímica y simetría facial. En el caso del paciente con parálisis facial aguda, se obtuvieron resultados funcionales en menor número de sesiones. El inicio precoz del tratamiento kinésico podría ser considerado como un factor que favorecería la pronta recuperación del paciente. No se registraron efectos no esperados con el uso de corrientes eléctricas para la recuperación del trofismo de los músculos faciales

Electric Stimulation/methods , Muscles , Electric Stimulation Therapy , Facial Paralysis/therapy
São Paulo; s.n; 2015. [85] p. ilus, tab, graf.
Thesis in Portuguese | LILACS | ID: biblio-870755


A aplicação de toxina botulínica A no lado não paralisado (LNP) é feita para tratar a assimetria resultante da paralisia facial (PF). As unidades de toxina onabotulinica A (Ona) e toxina abobotulinica A (Abo) não são equivalentes. Comparou-se a taxa de conversão de 1:3 em pacientes com PF. Cinquenta e cinco pacientes (idade entre 16 e 67 anos, 43 mulheres), com PF de longa duração foram tratados de forma aleatória com a aplicação de Ona (n = 25) ou Abo (n = 30) no LNP. Efeitos adversos, simetria facial, satisfação subjetiva e Índice de Incapacidade Facial (IIF) foram avaliados após 1 e 6 meses. Os resultados mostraram que a incidência de efeitos adversos foi maior com Abo (93,3% vs. 64,0%, p = 0,007). Avaliação Clínica do LNP diminuiu após 1 mês e aumentou novamente aos 6 meses, sem diferenças entre os grupos. A nota do lado paralisado (LP) foi menor no grupo Ona antes do tratamento, mas semelhante em ambos os grupos depois do tratamento. A nota do LP aumentou depois de 1 mês, e aos 6 meses foi ainda maior que a nota de prétratamento em ambos os grupos. A avaliação subjetiva melhorou em todos os momentos em comparação com a nota do pré-tratamento e diferiu entre os dois grupos apenas em 1 mês, quando o grupo Abo ficou um pouco mais paralisado. Índice de Função Física (IFF) e Índice de Bem-Estar Social (IBES), subescalas do Índice de Incapacidade Facial (IFF), entre os dois grupos não foram diferentes. Concluímos que ambas as toxinas reduziram a assimetria de forma eficiente em pacientes com FP. Os efeitos adversos foram maiores com Abo na equivalência de 1:3.

Botulinum toxin A injection into the nonparalyzed side (NPS) is used to treat asymmetry resulting from facial palsy (FP). OnabotulinumtoxinA (ONA) and abobotulinumtoxinA (ABO) units are not equivalent. We compared the conversion ratio of 1:3 in patients with FP. Fifty-five patients (aged 16-67 years, 43 women) with long-standing FP were randomly treated with either ONA (n = 25) or ABO (n = 30) injections into the NPS. Adverse effects, facial symmetry, subjective satisfaction, and Facial Disability Index (FDI) were assessed after 1 and 6 months. The results showed that the incidence of adverse effects was higher with ABO (93.3% vs. 64.0%, p = 0.007). Clinical scores of the NPS decreased after 1 month and increased again at 6 months, with no betweengroup differences. Scores of the paralyzed side were lower in the ONA group before treatment, but similar in both groups thereafter. The paralyzed side scores increased after 1 month, and at 6 months were still higher than the pretreatment scores in both groups. Subjective assessment improved at all time points compared to pretreatment score and differed between the two groups only at 1 month, when the ABO group was a bit too paralyzed. The Physical Function and Social/Well-Being Function subscales of the FDI did not differ between the two groups. We conclude that both toxins efficiently reduced asymmetry in patients with FP. Adverse effects were higher with ABO at an equivalence ratio of 1:3.

Humans , Male , Female , Adolescent , Young Adult , Adult , Middle Aged , Aged , Facial Asymmetry , Facial Paralysis/therapy , Quality of Life , Therapeutic Equivalency , Botulinum Toxins, Type A/antagonists & inhibitors , Botulinum Toxins, Type A/adverse effects
Rev. bras. ginecol. obstet ; 35(8): 368-372, Aug. 2013. tab
Article in Portuguese | LILACS | ID: lil-688697


OBJETIVO: Comparar o grau da paralisia facial periférica de gestantes e puérperas no momento da admissão e na alta e avaliar outros fatores associados. MÉTODOS: Estudo retrospectivo, transversal, com análise dos prontuários de gestantes e puérperas atendidas no ambulatório de paralisia facial, em um período de 12 meses, com aplicação de protocolo padronizado de avaliação das pacientes e da escala de House-Brackmann na primeira consulta e na data da alta. RESULTADOS: Foram identificadas 6 pacientes, com média de idade de 22,6 anos. Cinco casos foram classificados com estadiamento IV e um com II na escala de House-Brackmann, sendo que duas eram puérperas e quatro gestantes. Todas evoluíram com melhora na escala de House-Brackmann. CONCLUSÃO: A paralisia de Bell tem bom prognóstico mesmo em gestantes e puérperas, sendo importante realizar tratamento adequado para diminuir as sequelas neste grupo apontado como mais susceptível à paralisia facial periférica.

PURPOSE: To compare the degree of peripheral facial palsy of pregnant women and puerperae at admission and at discharge and to evaluate related factors. METHODS: Retrospective, cross-sectional study, with analysis of medical records of pregnant and postpartum women with facial palsy, over a period of 12 months, with application of a standardized protocol for patient evaluation and of the House-Brackmann scale on the occasion of the first visit and at discharge. RESULTS: Six patients were identified, mean age of 22.6 years. Five cases were classified as stage IV and one as stage II on the House-Brackmann scale, being two of them puerperae and four pregnant. All showed improvement on the House-Brackmann scale. CONCLUSION: The Bell's palsy has a good prognosis even in pregnant and postpartum women, being important to perform the correct treatment to reduce the sequelae in this group identified as more susceptible to peripheral facial palsy.

Female , Humans , Pregnancy , Young Adult , Facial Paralysis , Pregnancy Complications , Cross-Sectional Studies , Facial Paralysis/therapy , Pregnancy Complications/therapy , Retrospective Studies
Rev. Col. Bras. Cir ; 39(5): 368-372, set.-out. 2012. ilus
Article in Portuguese | LILACS | ID: lil-656249


OBJETIVO: Avaliar a utilização do fio de polipropileno de autossustentação de tripla convergência para a correção do desvio de hemiface que se apresenta como sequela tardia da paralisia facial periférica. MÉTODOS: Realizou-se um estudo retrospectivo e observacional em 34 indivíduos portadores de paralisia facial tardia. Utilizou-se fio de polipropileno de tripla convergência para a correção do desvio da hemiface paralisada. Trata-se de fio monofilamentar, sintético, transparente e inabsorvível que possui garras que tracionam os tecidos ptosados mantendo-os na posição correta, em simetria com o lado são. Os resultados foram avaliados através de análise subjetiva, quanto ao grau de satisfação dos pacientes, submetidos a um questionário próprio. RESULTADOS: Analisou-se 34 pacientes, 73,52% deles relataram grande melhora, 20,58% relataram melhora moderada e 5,88%, uma melhora leve; encontrou-se um alto índice de satisfação, 94,1%. Dois pacientes apresentaram extrusão parcial do fio. Nenhum paciente desenvolveu infecção. CONCLUSÃO: O emprego do fio de polipropileno de autossustentação de tripla convergência para a correção do desvio da hemiface, consequente à paralisia facial, ocasionou acentuada melhora da assimetria facial e a recuperação da autoestima dos pacientes.

OBJECTIVE: To evaluate the use of self-sustaining triple-convergence polypropylene thread for correction of hemiface deviation presenting as late result of facial paralysis. METHODS: We conducted a retrospective, observational study with 34 subjects with late facial paralysis. We used a triple-convergence polypropylene thread to correct the deviation of the paralyzed hemiface. It is a monofilament, synthetic, transparent and unabsorbable thread that has hooks that exert traction in the ptotic tissues, keeping them in the correct position, in symmetry with the healthy side. The results were evaluated by subjective analysis, with assessment of patient satisfaction with a proper questionnaire. RESULTS: We analyzed 34 patients, 73.52% of them reported great improvement, 20.58% moderate improvement and 5.88%, slight improvement; we found a high satisfaction rate of 94.1%. Two patients had partial extrusion of the wire. No patient developed infection. CONCLUSION: The use of triple-convergence polypropylene thread to correct the deviation of hemiface consequent to facial palsy markedly improved facial asymmetry and recovery of patients' self-esteem.

Adult , Aged , Female , Humans , Male , Middle Aged , Young Adult , Facial Nerve Injuries/complications , Facial Paralysis/etiology , Facial Paralysis/therapy , Polypropylenes , Retrospective Studies
Arq. bras. neurocir ; 31(3)set. 2012. ilus
Article in Portuguese | LILACS | ID: lil-668411


Objetivo: O objetivo deste estudo foi avaliar a viabilidade do óleo essencial da Alpinia zerumbet associado ao tratamento fisioterapêutico da paralisia cerebral. Métodos: O estudo foi prospectivo, analítico e clínico do tipo II, aleatório por grupos em períodos específicos. A amostra, N = 24, de crianças com paralisia cerebral foi dividida em quatro grupos: dois grupos de cinesioterapia tratado com óleo essencial e seu controle, por via dérmica, na dose de 0,5 kg ml/10 kg, e dois grupos de cinesioterapia, tratado com óleo essencial e seu controle, por via inalatória, na dose 0,05 ml/10 kg/5 ml de soro fisiológico por 15 minutos. A espasticidade muscular e as atividades funcionais estáticas e dinâmicas foram mensuradas pelo protocolo de Durigon (2004). Os testes t-Student e ANOVA foram utilizados para a significância de 95%. Resultados: Os grupos tratados com óleo essencial apresentaram resultados significativos na avaliação do tônus muscular e na função estática e dinâmica. Conclusão: O óleo essencial associado à cinesioterapia modula o tônus muscular, possibilitando ganho funcional. As crianças tratadas de forma dermal apresentaram melhor resultado em relação às que inalaram o óleo essencial.

Objective: The objective of this study was to evaluate the feasibility of the essential oil of Alpinia zerumbet associated with physical therapy for cerebral palsy. Methods: The study was a prospective, clinical analytical type II, random by groups in specific periods. The sample, N = 24, were children with cerebral palsy was divided into four groups: groups of exercise treated with essential oil and its control and dermal administration of 0.5 kg ml/10 kg and two groups of kinesiotherapy treated with essential oil and its control by inhalation at a dose of 0.05 ml/10 kg/5 ml saline for 15 minutes. Muscle spasticity and the static and dynamic functional activities were measured by protocol Durigon (2004). The Student t-tests and ANOVA were used for the 95% significance. Results: The groups treated with essential oil showed significant results in the assessment of muscle tone and function static and dynamic. Conclusion: The essential oil associated with the kinesiotherapy modulates the tone making it functional gain. Children treated in such a way that showed best results for dermal which inhaled the essential oil.

Humans , Child , Muscle Spasticity , Facial Paralysis/drug therapy , Facial Paralysis/therapy , Physical Therapy Modalities
Repert. med. cir ; 19(2): 161-167, 2010. graf, tab
Article in Spanish | LILACS | ID: lil-585619


En la literatura hay discrepancia acerca del tratamiento de la parálisis facial idiopática. No existe suficiente evidencia que soporte la asociación de un antiviral con corticoide sistémico; sin embargo, su uso es frecuente en la práctica clínica justificado por la posible etiología viral. Objetivo: describir la frecuencia de recuperación completa en quienes reciben prednisolona o prednisolona/aciclovir. Métodos: estudio de cohorte histórica identificando los casos de parálisis facial periférica diagnosticados entre enero 2005 y enero 2009 mediante registros del servicio de otorrinolaringología. Se describe la clasificación de la parálisis al momento del diagnóstico con escala de House Brackman. Resultados: se analizaron 106 casos, 59 mujeres (55,7%) y 47 hombres (44,3%), con edad promedio 36.9 años (DE 16.7). Al ingreso el 47,2% de los pacientes presentaron parálisis grado III. Recibieron prednisolona 32 (30,2%) y prednisolona-aciclovir 74 (69,8%). La recuperación completa (House Brackman I) se documentó en 23 (71,9%) con prednisolona y 52 (70,2%) con prednisolona/aciclovir. El seguimiento mediano fue 39 días. En ambos grupos la frecuencia de mejoría fue mayor en quienes ingresaron con grados II y III. Conclusión: la tasa de mejoría es superior a la descrita con el uso de placebo, pero por debajo de lo esperado con prednisolona a tres meses. La frecuencia de recuperación completa fue similar en ambos grupos. Los datos no son comparables con otras publicaciones por el corto tiempo de seguimiento.

There is discrepancy in literature regarding the treatment of idiopathic facial palsy. Insufficient evidence is available supporting combined therapy with anti-viral drugs and systemic corticosteroids; however, this regime is frequently used in clinical practice justified by probable viral etiology. Objective: to describe frequency of full recovery in patients who received prednisolone alone or prednisolone/acyclovir combined therapy. Methods: this is a historic cohort trial identifying the cases of peripheral facial palsy diagnosed between January 2005 and January 2009 by a review of otolaryngology records. Palsy was classified at admission using the House-Brackmann grading scale. Results: 106 cases were studied, 59 females (55.7%) and 47 males (44.3%), with a mean age of 36.9 years (SD 16.7). At admission, 47.2% presented grade III palsy. Prednisolone was administered to 32 (30.2%) and 74 (69.8%) received prednisolone-acyclovir. Complete recovery (House-Brackmann Grade I) was documented in 23 (71.9%) prednisolone-treated-patients and in 52 (70.2%) prednisolone/acyclovir-treated-patients. Mean follow-up was 39 days. The improvement profile in both groups was better in patients with grades II and III palsy at admission. Conclusion: improvement is greater to that described for a placebo, but less than expected for a 3-month administration of prednisolone. The rate of complete recovery was similar in both groups. Data cannot be compared with other publications due to the short follow-up period in this trial.

Humans , Male , Female , Adolescent , Young Adult , Middle Aged , Facial Paralysis/therapy , Bell Palsy/etiology , Bell Palsy/therapy , Acyclovir/therapeutic use , Herpes Zoster , Prednisolone/therapeutic use
Rev. Méd. Clín. Condes ; 20(4): 528-535, jul. 2009. graf, tab
Article in Spanish | LILACS | ID: lil-530380


La parálisis facial periférica (PFP) es una patología frecuente que habitualmente es unilateral, que genera deformidad estética facial y alteraciones funcionales. Se describe la anatomía del nervio facial (NF) en sus segmentos supranuclear, nuclear e infranuclear; describiendo con mejor definición surelación en el hueso temporal. Se hace una breve mención de la fisiopatología de PFP y de los grados de lesión: neuropraxia, axonotmesis y neurotmesis. Especial énfasis se da al diagnóstico en la PFP. Se mencionan las pruebas de topodiagnóstico: Test de Shirmer, Test del Reflejo Estapedial y Test de Blatt con Gustometría que brindan la posibilidad de ubicar topográficamente el lugar de la lesión en el NF Asimismo, se describen las pruebas electrodiagnósticas: Prueba de Excitabilidad del Nervio; - Prueba de Excitabilidad Máxima; - Electroneuronografía y - Electromiografía, todas pruebas que brindan un pronóstico en la evolución de la PFP Se hace mención de las principales causas de PFP vinculándolo a los diferentes segmentos del NF Por último, se plantean las opciones terapéuticas en la PFP, tanto el tratamiento médico donde tiene importante presencia la cortico terapia y el tratamiento quirúrgico, que sobre todo en las causales traumáticas tiene su indicación.

Peripheral facial palsy (PFP) is a common disease, that usually presents as an unilateral form, with facial esthetic deformity, and functional changes. The article describes the anatomy of the facial nerve ( FN), the intranuclear, nuclear and supranuclearsegments, and its relation with the temporal bone. A brief mention of the pathophysiology lesions of the PFP and the type od neurological damage : neuropraxya, axonotmesys and neurotmesys. A special emphasize in the diagnosis of PFP is made and the topodiagnosis tests : Shirmer tests, Estapedial Reflex tests, and Blatt tests with tastemeter, that makes possible to locate topographically the injury zone in the facial nerve. A description is made of the electrodiagnosis tests: Nerve excitabillity test - Maximum excitabillity test - Electroneuronography and eletromiography. All these tests can provide a prognostic information of the PFP. Is mention the underlying explanation of the PFP, associated with the different facial nerve segments. At last, is represented the therapeutic options of the PFP, medical treatment where the corticotherapy is important, and the surgical treatment, specially at the traumatic causes is indicated.

Humans , Facial Paralysis/diagnosis , Facial Paralysis/therapy , Electrodiagnosis , Facial Nerve/pathology , Facial Paralysis/surgery , Facial Paralysis/etiology , Facial Paralysis/physiopathology , Severity of Illness Index , Signs and Symptoms , Signs and Symptoms
Rev. bras. otorrinolaringol ; 75(2): 228-230, mar.-abr. 2009.
Article in Portuguese, English | LILACS | ID: lil-517161


A otite média aguda com paralisia facial não é uma associação muito freqüente. OBJETIVO: O objetivo deste trabalho foi avaliar a evolução da paralisia facial decorrente de otite média aguda. FORMA DE ESTUDO: Clínico retrospectivo. MATERIAL E MÉTODO: Foram estudados 40 pacientes com esta associação de patologias, num total de 2758 casos de paralisa facial atendidos neste período no setor de distúrbios do nervo facial. Todos os pacientes foram avaliados clinicamente com dados epidemiológicos, prognósticos e evolutivos. RESULTADOS E CONCLUSÃO: A paralisia foi súbita em 95 por cento dos casos. A recuperação foi de 85 por cento para o grau I (House-Brackman) e 15 por cento para o grau II (House-Brackman). O tratamento foi clínico com antibiótico e corticoterapia com bons resultados. Nos pacientes com mau prognóstico elétrico a descompressão do nervo facial fez com que a evolução fosse favorável.

Acute otitis media with facial paralysis is not a very frequent association. AIM: the goal of the present investigation was to asses the evolution of facial paralysis caused by acute otitis media. STUDY FORMAT: clinical-retrospective. MATERIALS AND METHODS: we studied 40 patients with this association, from a total of 2758 cases of facial paralysis seen during this time in the department of facial nerve disorders. All the patients were clinically assessed and had epidemiological data, prognostics and evolution. RESULTS AND CONCLUSION: the paralysis was of sudden onset in 95 percent of the cases. Recovery was of 85 percent for grade I (House-Brackman) and 15 percent for grade II (House-Brackman). Treatment was clinical, with antibiotics and steroids - yielding good results. In those patients with electrical bad prognosis, facial nerve decompression turned their evolution into a favorable one.

Adolescent , Adult , Aged , Child , Child, Preschool , Female , Humans , Infant , Male , Middle Aged , Young Adult , Facial Paralysis/etiology , Otitis Media/complications , Acute Disease , Facial Paralysis/therapy , Retrospective Studies , Young Adult
Homeopatia Méx ; 78(659): 5-23, 2009.
Article in Spanish | LILACS | ID: lil-562622


La Parálisis facial es un padecimiento si bien causado por lesión del séptimo par craneal, tiene una múltiple etiología, es frecuente en nuestro medio y generalmente es tratada por el médico especialista, sea este otorrinolaringologólogo, odontólogo o neurólogo.

Humans , Aconitum , Baryta Carbonica , Causticum , Solanum , Gelsemium sempervirens , Homeopathy , Facial Paralysis/therapy , Toxicodendron , Senega
Arq. int. otorrinolaringol. (Impr.) ; 12(2): 214-219, abr.-jun. 2008. tab
Article in English, Portuguese | LILACS | ID: lil-495781


Introdução: O uso de cola de fibrina humana na anastomose do nervo facial tem se mostrado uma opção bastante segura e rápida para os cirurgiões. Objetivo: Avaliar o uso da cola de fibrina humana na realização de anastomose do nervo facial em uma série de 42 pacientes que sofreram lesão parcial do nervo facial no segmento intratemporal e foram tratados por três diferentes técnicas de anastomose. Método: Estudo retrospectivo de 42 pacientes apresentavam lesão parcial no segmento intratemporal do nervo facial o qual as anastomoses foram fixadas com cola de fibrina humana. Dividiu-os em 3 grupos: interposição de enxerto parcial na parte lesada do nervo(Grupo 1=12 pacientes); manter a parte preservada e realizar tubolização (Grupo 2= 8 pacientes); seccionar as partes do nervo lesionado (proximal e distal) e interpor enxerto total de nervo sural(Grupo3 =22 pacientes). Resultados: Pacientes com resultado menor ou igual a III na escala House-Brackmann somaram 8,3% (1) no grupo 1, 0,0% (0) no grupo 2 e 68.2% (15) no grupo 3 (p<0.001). Discussão: Ainda existe controvérsia quanto a melhor técnica cirúrgica no tratamento da lesão parcial do nervo facial. O uso da cola de fibrina tem mostrado resultados semelhantes a sutura com pontos. Conclusões: O uso de cola de fibrina humana mostrou ser eficaz na realização destes três tipos diferentes de anastomose do nervo facial sendo que nesta série de 42 pacientes, os indivíduos do grupo 3 (enxerto total) tiveram melhores resultados estatisticamente comprovados se compararmos aos dos grupos 1 (reconstrução parcial) e 2 (tubolização).

Introduction: The use of human fibrin glue in anastomosis of the facial nerve have been an option rather safe and quick for surgeons. Objective: To evaluate the use of the glue of human fibrin glue in the anastomosis of the facial nerve in a series of 42 patients who had suffered partial injury from the facial nerve in the intratemporal segment and they had been treated by three different techniques of anastomosis. Method: A retrospective study on 42 patients who presented partial lesion on intratemporal segment of facial nerve. Patients were divided into three groups: interposition of partial graft on the injured area of the nerve (group 1 - 12 patients); to keep the preserved part and perform tubulization (group 2 - 8 patients); to divide parts of injured nerve (proximal and distal) and place total graft of sural nerve (group 3 - 22 patients). Results: Results lower or equal III on House-Brackmann scale were: 1 (8.3%) patient on group 1; 0 (0.0%) patient on group 2 and 15 (68.2%) of patients on group 3 (p>0.001). Discussion: The best surgery technique for partial lesion therapy of facial nerve is still questionable. The use of the fibrin glue has shown resulted similar to the suture with points. Conclusion: The use The use of human fibrin glue showed to be efficient in the accomplishment of these three different anastomosis types of the facial nerve. Among these 42 patients, the best achieved results were from total graft of facial nerve when comparing to others.

Fibrin Tissue Adhesive/therapeutic use , Facial Nerve/physiopathology , Facial Paralysis/therapy , Facial Injuries/therapy , Anastomosis, Surgical
Rev. Soc. Bras. Fonoaudiol ; 13(2): 113-118, abr.-jun. 2008. tab
Article in Portuguese | LILACS | ID: lil-486345


OBJETIVO: Correlacionar a auto-avaliação da condição facial do paciente, o grau de incômodo quanto às seqüelas e de prejuízo em atitudes diárias com os dados encontrados na avaliação fonoaudiológica. MÉTODOS: Participaram da pesquisa 29 indivíduos, de ambos os sexos, média de idade de 46 anos, com média de 5,9 sessões de fonoterapia. Realizou-se avaliação fonoaudiológica da simetria e da movimentação da face e verificou-se a presença de sincinesias e contraturas por meio de instrumento publicado e padronizado. Além disso, realizou-se uma entrevista por meio de perguntas fechadas que permitiram a graduação da opinião do paciente quanto à sua própria face e influência desse problema em suas atividades sociais e profissionais. RESULTADOS: Encontrou-se concordância quanto à auto-avaliação do paciente e a avaliação fonoaudiológica (p=0,0029), porém essa correlação não esteve presente em pacientes com menos de três sessões de fonoterapia. Não houve correlação significante entre o grau de sincinesia/contratura e o grau de incômodo referido pelo paciente, assim como o prejuízo em atividades sociais e profissionais não foi associado ao grau de paralisia, sincinesia, ou contratura. No entanto, houve correlação fraca com tendência à significação (r=-0,3250/p=0,085) quando comparou-se a auto-avaliação do paciente com o grau de prejuízo referido. CONCLUSÕES: A autopercepção da condição facial nem sempre é concordante entre o profissional e o paciente, sendo que essa concordância aumenta em pacientes com maior tempo de terapia. Por outro lado, o impacto da condição facial na vida do paciente parece não depender do grau das seqüelas.

PURPOSE: To correlate the self-evaluation of patients with facial paralysis regarding their facial condition, the level of sequelae discomfort and the negative consequences in daily activities, with the results found in clinical assessment. METHODS: Twenty-nine subjects of both genders, with average age of 46 years and an average of 5.9 therapy sessions participated in this study. A clinical evaluation of facial symmetry and movement was carried out, verifying the presence of synkinesis and contractures using a facial grading system proposed by a standardized and published instrument. Moreover, an interview with closed questions was carried out, in order to measure the patient's opinion regarding how his own face influences his professional and social activities. RESULTS: There was an accordance regarding the patient's self evaluation and the clinical assessment (p=0,0029), but this correlation was not found in patients with less than three sessions of the speech therapy. No significant correlation was found between the degree of synkinesis/contracture and the level of discomfort reported by the patient. Furthermore, the negative consequences in professional and social activities were not associated to the degree of facial paralysis, synkinesis or contracture. However, there was a weak correlation tending to significance (r=-0,3250/p=0,085) when the self evaluation was compared to the reported negative consequences. CONCLUSIONS: The patient's self perception of the facial condition is not always in agreement with the professional's assessment, although this agreement increases in patients with longer intervention periods. On the other hand, the impact of the facial condition in the patient's life does not depend on the degree of sequelae.

Humans , Facial Paralysis/therapy , Quality of Life , Self-Assessment , Sickness Impact Profile , Speech Therapy , Synkinesis/psychology