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Id: biblio-1090557
Autor: Mangia, Lucas Resende Lucinada; Santos, Vanessa Mazanek; Mansur, Thaisa Muniz; Wiemes, Gislaine Richter Minhoto; Hamerschmidt, Rogerio.
Título: Facial Nerve Intraoperative Monitoring in Otologic Surgeries under Sedation and Local Anesthesia - A Case Series and Literature Review
Fonte: Int. arch. otorhinolaryngol. (Impr.);24(1):11-17, Jan.-Mar. 2020. tab, graf.
Idioma: en.
Resumo: Abstract Introduction Local anesthesia with sedation has been employed for an increasingly number of otolaryngology procedures, and might be associated with lower surgical morbidity and costs. Facial nerve monitoring is often advisable in otology to minimize the risks of injuries to this cranial nerve, but the principles, techniques and parameters involved have only been studied for procedures under general anesthesia. Objective To report the preliminary outcomes of intraoperative facial nerve moni- toring during otologic procedures under sedation and local anesthesia. Methods A total of five procedures and their respective intraoperative electrophysi- ological main findings were described. Facial neuromonitoring was performed using the same device by an electrophysiologist. The monitor sensitivity was set at 100 mV, and a stimulating probe was used whenever needed. Results Progressively decreasing low-amplitude baseline values were usually obtained as the level of anesthesia increased, with isolated oscillations possibly related to some degree of voluntary muscular activity. These oscillations could be easily distinguished from those of the surgical manipulation or electrical stimulation of the nerve, which tended to be of much greater amplitude and shorter latency, occurring during specific surgical steps. Conclusion With a surgical team with proper procedural knowledge and broad expertise regarding the technique, intraoperative facial nerve monitoring under local anesthesia with sedation seemed both feasible and reliable. Thus, the need for intraoperative neuromonitoring should not be an obstacle for otologic procedures under less aggressive anesthetic management.
Descritores: Procedimentos Cirúrgicos Otológicos/métodos
Monitorização Intraoperatória/métodos
Nervo Facial/fisiologia
Anestesia Local
-Resultado do Tratamento
Estimulação Elétrica
Eletromiografia
Limites: Humanos
Masculino
Feminino
Adulto
Pessoa de Meia-Idade
Idoso
Tipo de Publ: Relatos de Casos
Revisão
Responsável: BR66.1 - Divisão de Biblioteca e Documentação


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Bento, Ricardo Ferreira
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Id: biblio-975582
Autor: Braga, Gabriela Pereira Bom; Gebrim, Eloisa; Balachandran, Ramya; Noble, Jack; Labadie, Robert; Bento, Ricardo Ferreira.
Título: Evaluation of the Facial Recess and Cochlea on the Temporal Bone of Stillbirths regarding the Percutaneous Cochlear Implant
Fonte: Int. arch. otorhinolaryngol. (Impr.);22(3):260-265, July-Sept. 2018. tab, graf.
Idioma: en.
Resumo: Abstract Introduction The literature shows that there are anatomical changes on the temporal bone anatomy during the first four years of life in children. Therefore, we decided to evaluate the temporal bone anatomy regarding the cochlear implant surgery in stillbirths between 32 and 40 weeks of gestational age using computed tomography to simulate the trajectory of the drill to the scala timpani avoiding vital structures. Objectives To measure the distances of the simulated trajectory to the facial recess, cochlea, ossicular chain and tympanic membrane, while performing the minimally invasive cochlear implant technique, using the Improvise imaging software (Vanderbilt University, Nashville, TN, US). Methods An experimental study with 9 stillbirth specimens, with gestational ages ranging between 32 and 40 weeks, undergoing tomographic evaluation with individualization and reconstruction of the labyrinth, facial nerve, ossicular chain, tympanic membrane and cochlea followed by drill path definition to the scala tympani. Improvise was used for the computed tomography (CT) evaluation and for the reconstruction of the structures and trajectory of the drill. Results Range of the distance of the trajectory to the facial nerve: 0.58 to 1.71mm. to the ossicular chain: 0.38 to 1.49 mm; to the tympanic membrane: 0.85 to 1.96 mm; total range of the distance of the trajectory: 5.92 to 12.65 mm. Conclusion The measurements of the relationship between the drill and the anatomical structures of the middle ear and the simulation of the trajectory showed that the middle ear cavity at 32 weeks was big enough for surgical procedures such as cochlear implants. Although cochlear implantation at birth is not an indication yet, this study shows that the technique may be an option in the future.
Descritores: Osso Temporal/anatomia & histologia
Osso Temporal/cirurgia
Cóclea/cirurgia
Implante Coclear/métodos
-Membrana Timpânica/cirurgia
Cadáver
Gravidez
Tomografia Computadorizada por Raios X
Epidemiologia Experimental
Procedimentos Cirúrgicos Minimamente Invasivos
Orelha Média/anatomia & histologia
Ossículos da Orelha/cirurgia
Natimorto
Nervo Facial/cirurgia
Orelha Interna/cirurgia
Limites: Humanos
Recém-Nascido
Responsável: BR66.1 - Divisão de Biblioteca e Documentação


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Id: lil-634721
Autor: Campero, Álvaro; Socolovsky, Mariano; Campero, Abraham; Torino, Rafael; Rivadeneira, Conrado.
Título: Estudio anatómico de los pares xii yvii extracraneanos en la anastomosis hipogloso-facial / Anatomic study of extracranial pairs xii and vii in the hypoglossal-facial anastomosis
Fonte: Rev. argent. neurocir;20(2):55-60, abr.-jun. 2006. ilus, tab.
Idioma: es.
Resumo: Objetivo:analizar laanatomía microquirúrgica de los nervios facial e hipogloso extracraneana enrelación con la anastomosis hipogloso-facial.Método: en cinco cabezas cadavéricas adultas, formolizadas e inyectadascon silicona coloreada, se reprodujeron tres técnicas de anastomosis hipogloso-facialcon magnificación (clásica, Sawamura e injerto) y se tomaron medidas de laporción extracraneana de los nervios facial e hipogloso empleadas paratrasponer y unir un nervio con el otro y su proyección cutánea.Resultados: las distancias promedio obtenidas fueron: bifurcación facialhasta el sector horizontal del hipogloso 31,56 mm, sector mastoideo del facial16,35, de la porción extracraneana del facial hasta su bifurcación 18,93 mm ydesde la piel 21,16 mm. En el 100 % de los nervios faciales estudiados suporción extracraneana prebifurcación se encontró por debajo de un cuadriláteroauditivomastoideo ubicado 2 cm por debajo del conducto auditivo externo.Conclusión: la proyección cutánea de la porción extracraneanaprebifurcación del facial fue constante mientras que el resto de las medidastuvieron una ligera variación.

Objective: to analize the microsurgical anatomy of the extracranialhypoglossal and facial nerves in relationship with hypoglosso- facialanastomosis.Method: in five cadaveric heads, formolized and silicone coloured, weperformed with magnification three techniques of hypoglosso-facial anastomosis(classic, Sawamura and nerve grafting) and we measured the extracranialportions of the hypoglossal and facial nerves used in their anastomosis andtransposition and, its cutaneous proyection.Results: the average distances obtained were: from the facial nervebifurcation to the horizontal portion of the hypoglossal nerve 31.56 mm, facialnerve mastoidal portion 16.35 mm, from the facial nerve extracranial portion toits bifurcation 18.93 mm and from the skin 21.16 mm. The 100 % of the facialnerves prebifurcation extracranial portions studied were under anauditory-mastoid quadrilateral space located 2 cm beneath the external auditorycanal.Conclusion: the cutaneous proyection of the facial nerve prebifurcationextracranial portion was constant but the other measures obtained showedvariations.
Descritores: Anastomose Cirúrgica
Nervo Facial
Nervo Hipoglosso
Responsável: AR423.1 - Biblioteca


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Id: lil-634720
Autor: Campero, Álvaro; Campero, Abraham; Torino, Rafael; Socolovsky, Mariano; Rivadeneira, Conrado.
Título: Relación entre la porción extracraneana del nervio facial y el arco cigomático: triángulo cigomático-facial / Relationship between the extracranial portion of the facial nerve and the zygomatic arch: zygomatic-facial triangle
Fonte: Rev. argent. neurocir;20(2):51-54, abr.-jun. 2006. ilus, tab.
Idioma: es.
Resumo: Objetivo.Determinar larelación entre la porción extracraneana del nervio facial y el arco cigomático.Método. Estudiamos 4 cabezas cadavéricas (8 regiones parotídeas),fijadas en formol e inyectadas con silicona coloreada.Resultados. El nervio facial tiene 6 porciones. La extracraneanacomienza cuando el nervio atraviesa el foramen estilomasteoideo y corre dentrode la parótida. Anterior al trago el nervio se ubica a 26,88 mm debajo del arcosuperior del arco cigamático. Desde ese punto el nervio toma una direcciónsuperoanterior, cruzando el cigoma 18,65 mm por delante del trago. Así dibujaun triángulo (cigomático-facial), con 3 puntos: a) sobre el borde superior delcigoma, a nivel del borde anterior del trago; b) 26 mm por debajo del punto a)y c) 18 mm por delante del punto a) podemos trazar un área de trabajo libre,sin riesgo de dañar el facial.Conclusión. El triángulo cigomaticofacial es un reparo útil paratrabajar debajo del arco cigomático con bajo riesgo de dañar al facial.

Objective: To determine the relationship between the extracranialportion of the seventh nerve and the zygomatic arch.Method: We studied 4 cadaveric heads (8 parotid regions) formaline fixedand injected with coloured silicone. A surgical microscope was used to performthe disections. Measures were taken with a caliper.Results: The facial nerve has 6 portions. The extracranial portionstarts when the nerve traverses the stylomastoid foramen, running inside theparotid gland. Just anterior to the tragus, the nerve is located 26.88 mm belowthe superior edge of the zygomatic arch. From that point, the nerve takes asuperior and anterior direction, crossing the zygomatic arch 18.65 mm ahead ofthe tragus. Thus, drawing a triangle (zygomatic-facial triangle), with threepoints: a) over the superior edge of the zygomatic arch, at the level of theanterior border of the tragus, b) 26 mm below the point a, and c) 18 mm aheadthe point a, we can trace a safe area of working, without risk of damage of thefacial nerve.Conclusion: The zygomatic-facial triangle is a very useful landmark forto work below the zygomatic arch with a low risk of damage of the facial nerve.
Descritores: Zigoma
Craniotomia
Nervo Facial
Responsável: AR423.1 - Biblioteca


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Id: biblio-986260
Autor: Aparicio L, Mayber; Campohermoso R, Omar; Arostegui C, Guido; Fuentes de la B, Carmiña; Quispe H, Mary; Churqui M, Marlene; Campohermoso R, Omar Félix.
Título: La hipertensión arterial como factor de riesgo de parálisis facial severa / Arterial hypertension as a risk factor for severe facial paralysis
Fonte: Cuad. Hosp. Clín = Cuad. - Hosp. clín;59(2):11-18, 2018. ilus..
Idioma: es.
Resumo: INTRODUCCIÓN: Problema de Investigación: La parálisis facial periférica es una de las causas más frecuentes de deformidad estética facial y alteraciones funcionales, entre los factores de riesgo de parálisis facial está la hipertensión arterial. OBJETIVO: Determinar la asociación entre hipertensión arterial y Parálisis Facial Periférica en pacientes que acuden a Consulta Externa del Servicio de Medicina Física y Rehabilitación del Hospital de Clínicas Universitario durante la gestión 2013 a 2016 DISEÑO METODOLÓGICO: El presente estudio es un estudio analítico de casos y controles, realizado en pacientes que acuden a Consulta Externa del Servicio de Medicina Física y Rehabilitación del Hospital Clínicas Universitario de enero de 2008 a diciembre de 2010. En total se estudiaron 122 pacientes con parálisis facial leve, moderada y severa, en diferentes edades y con distintos factores de riesgo, estos datos fueron estratificados por la Escala de House Brackman. Los casos fueron pacientes con parálisis facial severa y los controles pacientes con parálisis facial moderada y leve. RESULTADOS: Se encontró asociación positiva entre la hipertensión arterial y la parálisis facial severa (p=0.025), triplicando la hipertensión arterial el riesgo de padecer una parálisis facial severa (OR=3.3), en todo los grupos de edad. CONCLUSIÓN: La hipertensión arterial sistémica es un factor de riesgo de parálisis facial severa, independientemente de la edad de la persona.

INTRODUCTION: Research Problem: Peripheral facial paralysis is one of the most frequent causes of facial aesthetic deformity and functional alterations, among the risk factors for facial paralysis is high blood pressure. OBJECTIVE: To determine the association between arterial hypertension and Peripheral Facial Paralysis in patients attending the External Consultation of the Physical Medicine and Rehabilitation Service of the Hospital de Clínicas Universitario during the TERM 2013 to 2016 METHODOLOGICAL DESIGN: The present study is an analytical study of cases and controls, carried out in patients who attend the Outpatient Service of Physical Medicine and Rehabilitation of the Hospital Clínicas Universitario from January 2008 to December 2010. In total, 122 patients were studied. Mild, moderate and severe facial paralysis, at different ages and with different risk factors, these data was stratified by the House Brackman Scale. The cases were patients with severe facial paralysis and the controls patients with moderate and mild facial paralysis. RESULTS: A positive association was found between arterial hypertension and severe facial paralysis (p = 0.025), tripling the arterial hypertension the risk of suffering a severe facial paralysis (OR = 3.3), in all the age groups. CONCLUSION: Systemic arterial hypertension is a risk factor for severe facial paralysis, regardless of the age of the person.
Descritores: Nervo Facial
Paralisia Facial/reabilitação
Hipertensão
-Serviços de Reabilitação
Limites: Humanos
Tipo de Publ: Relatos de Casos
Responsável: BO138.1 - Biblioteca Central


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Id: biblio-1001207
Autor: Coraglia, Carla; Udaquiola, Julia; Lobos, Pablo; Moldes Larribas, Juan M; Liberto, Daniel H.
Título: Schwannoma del nervio facial como diagnóstico diferencial en tumores de la región parotídea en pediatría / Facial nerve schwannoma as differential diagnosis of parotid tumors in pediatrics
Fonte: Arch. argent. pediatr;117(3):301-304, jun. 2019. ilus, tab.
Idioma: es.
Resumo: El schwannoma es un tumor benigno originado de las células de Schwann y puede producirse a lo largo de cualquier nervio en el que estas células formen parte de su vaina. Los schwannomas del nervio facial extratemporales son infrecuentes y se presentan como masas indoloras en la región parotídea, de lento crecimiento y con compromiso del nervio facial. Se los debe tener en cuenta como diagnóstico diferencial en masas parotídeas en los niños, aunque sean raros. La utilización de la punción aspirativa con aguja fina y la resonancia magnética nuclear evidencia la mejor aproximación diagnóstica. El tratamiento quirúrgico de elección en la localización intraparotídea es la parotidectomía superficial. Otra opción es la tumorectomía completa con electroestimulación intraoperatoria y preservación del nervio facial. Se presenta un caso de schwannoma intraparotídeo en una paciente pediátrica operada con esta última técnica.

Schwannomas are benign tumors which arise from Schwann cells and take place along peripheral nerves. Extra-temporal facial nerve schwannomas are infrequent and present as painless masses in the parotid region, slow-growing and involvement of the facial nerve. Although rare, they should be taken into account as a differential diagnosis in parotid masses in children. Surgical strategies include superficial parotidectomy and surgical tumor resection with electrical nerve stimulation and nerve preservation. The following case describes a paediatric patient treated with the previously mentioned nerve sparing surgical technique.
Descritores: Glândula Parótida
Pediatria
Nervo Facial
Neoplasias
Neurilemoma
Limites: Humanos
Feminino
Adolescente
Tipo de Publ: Relatos de Casos
Responsável: AR94.1 - Centro de Información Pediatrica


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Texto completo SciELO Brasil
Abrahäo, Márcio
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Id: lil-775568
Autor: Melo, Giulianno Molina de; Cervantes, Onivaldo; Covolan, Luciene; Baptista, Heloisa Allegro; Ferreira, Elenn Soares; Abrahao, Marcio.
Título: Facial nerve identification with fluorescent dye in rats
Fonte: Acta cir. bras;31(2):92-102, Feb. 2016. tab, graf.
Idioma: en.
Resumo: PURPOSE The parotidectomy technique still has an elevated paresis and paralysis index, lowering patient life's quality. The correct identification of the facial nerve can prevent nerve damage. Fluorescent dye identifies nerves in experimental studies but only few articles focused its use on facial nerve study in parotidectomies. We aimed to stain the rat facial nerve with fluorescent dye to facilitate visualization and dissection in order to prevent injuries. METHODS Forty adult male Wistar rats were submitted to facial injection of saline solution (Gsf-control group, 10) or fluorescent dye solution (Gdye group, 30) followed by parotidectomy preserving the facial nerve, measuring the time for localization and facility of localization (LocTime and LFN). Nerve function was assessed using the Vibrissae Movements (PMV) and Eyelid Closure Motion (PFP) scores. RESULTS Nerve localization was faster in Gdye group, with 83% Easy LFN rate. The Gdye group presented with low nerve injury degree and better PMV and PFP scores, with high sensitivity and accuracy. CONCLUSIONS This experimental method of facial nerve fluorescence was effective for intraoperative nerve visualization, identification and preservation. The technique may be used in future facial nerve studies, translated to humans, contributing to the optimization of parotid surgery in the near future.
Descritores: Glândula Parótida/cirurgia
Carbocianinas/administração & dosagem
Nervo Facial/cirurgia
Corantes Fluorescentes/administração & dosagem
-Fatores de Tempo
Variações Dependentes do Observador
Sensibilidade e Especificidade
Ratos Wistar
Modelos Animais
Dissecação/métodos
Microinjeções/instrumentação
Microscopia de Polarização
Limites: Animais
Masculino
Tipo de Publ: Research Support, Non-U.S. Gov't
Responsável: BR1.1 - BIREME


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Texto completo SciELO Brasil
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Id: biblio-1040016
Autor: Jain, Shraddha; Deshmukh, PT; Lakhotia, Pooja; Kalambe, Sanika; Chandravanshi, Deepshikha; Khatri, Mohnish.
Título: Anatomical Study of the Facial Recess with Implications in Round Window Visibility for Cochlear Implantation: Personal Observations and Review of the Literature
Fonte: Int. arch. otorhinolaryngol. (Impr.);23(3):281-291, July-Sept. 2019. tab, graf.
Idioma: en.
Resumo: Abstract Introduction Posterior tympanotomy through facial recess (FR) is the conventional and most preferred approach to facilitate cochlear implantation, especially when the electrode is inserted through the round window. The complications of the FR approach can be minimized by proper understanding of the anatomy of the FR. Objective The present study was undertaken to assess the various parameters of FR and round window visibility, which may be of relevance for cochlear implant surgery. Methods Thirty-five normal wet human cadaveric temporal bones were studied by dissection for anatomy of FR and posterior tympanum. Photographs were taken with an 18megapixels digital camera, which were then imported to a computer to determine various parameters. Results The mean distance from the take-off point/crotch of the chorda tympani nerve (CTN) to the stylomastoid foramen was 4.08 ± 0.8 mm(range of 2.06 - 5.5mm). The variations in the course of the CTN included origin at the level of the lateral semicircular canal. Themean chorda-facial angle in our study was 26.91° ± 1.19°, with a range of 25° to 28.69°. The mean FR length ranged between 9.4 mm and 18.56 mm (mean of 12.41 ± 2.91mm) and varied with the origin of the CTN and pneumatization of temporal bone. The average maximum width of the FR was 2.93 ± 0.4 mm (range 2.24-3.45 mm) and the mean width of the FR at the level of the round window was 2.65 ± 0.41 mm. Conclusion The FR approach provides good access to the round windowmembrane in all cases. In some cases, table adjustment is required.
Descritores: Janela da Cóclea/anatomia & histologia
Implante Coclear
Nervo Facial/anatomia & histologia
-Osso Temporal/anatomia & histologia
Membrana Timpânica/anatomia & histologia
Cadáver
Nervo da Corda do Tímpano/anatomia & histologia
Dissecação
Limites: Humanos
Adulto
Responsável: BR66.1 - Divisão de Biblioteca e Documentação


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Id: biblio-1016004
Autor: Rocha, Franklin De Souza; Rocha, Cynthia Martins; Viterbo, Fausto.
Título: Ritidoplastia e paralisia facial: como lidar? / Facelift and Facial nerve injury: how to deal with?
Fonte: Rev. bras. cir. plást;34(2):299-305, apr.-jun. 2019. ilus, tab.
Idioma: en; pt.
Resumo: Não é novidade para os cirurgiões plásticos, especialmente aos que se dedicam à cirurgia de face, que o nervo facial pode ser lesado virtualmente em qualquer cirurgia de ritidoplastia. Porém, apesar da importância contida nesse tema, não é tarefa simples encontrar na literatura artigos que abordem de forma objetiva a correlação entre lesão do nervo facial e cirurgia facial. Paralisias faciais, sejam elas completas ou não, podem se tornar situações potencialmente conflituosas na relação médicopaciente. Este artigo, portanto, visa propor de forma clara e sucinta, baseada na experiência dos autores, um guia de como evitar, identificar e tratar uma potencial lesão do nervo facial no contexto de uma cirurgia de face, em especial a ritidoplastia.

Is largely known that the facial nerve virtually can be injured in every facial lift. Even though its importance, it is difficult to find in the literature articles related to this theme. Complete or incomplete facial paralysis after a facial procedures, may become a very uncomfortable situation between the patient and the surgeon, that is why we propose in this article a guide which intends to help avoid, identify and manage a facial nerve injury in the event of a face lift. Identifying Facial palsy before the surgery: Intending to make the pre-op facial assessment as simple as possible, we suggest a systematic approach examination. Avoiding facial nerve injury during face lifting: Several technical details are discussed along the text aiming to minimize the risk of nerve damage during the surgical procedure. What to in the event of a post-operative facial palsy: The authors propose a logical approach to the facial palsy, suggesting a planning for diagnosis, classification of the lesion and a rational treatment for the injury. Conclusion: This article presents a guide showing some safe technical options to avoid nerve damage during rythidoplasty, how to identify the lesion and treat it if necessary.
Descritores: Procedimentos Cirúrgicos Operatórios/efeitos adversos
Procedimentos Cirúrgicos Operatórios/métodos
Ritidoplastia/efeitos adversos
Ritidoplastia/métodos
Guia de Prática Clínica
Face/cirurgia
Traumatismos Faciais/cirurgia
Traumatismos Faciais/complicações
Nervo Facial/cirurgia
-Procedimentos Cirúrgicos Reconstrutivos/efeitos adversos
Procedimentos Cirúrgicos Reconstrutivos/métodos
Limites: Humanos
Tipo de Publ: Relatos de Casos
Guia
Responsável: BR32.1 - Serviço de Biblioteca e Informação Biomédica


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Id: biblio-885161
Autor: Tavares, Alex Douglas Conceição; Souza, Wesley Pereira de; Jesus, Elaine Andrade de.
Título: Intervenção fisioterapêutica no tratamento de paciente com paralisia facial periférica: estudo de caso / Physiotherapeutic intervention in the treatment of a patient with peripheral facial paralysis: a case study
Fonte: Saude e pesqui. (Impr.);11(1):179-189, Jan-Abr. 2018. ilus.
Idioma: pt.
Resumo: Buscou-se no trabalho realizar um protocolo de intervenção fisioterapêutica no tratamento de paciente acometida pela Paralisia Facial Periférica (PFP) e verificar seus resultados, relacionando-o com a funcionalidade e influenciando na qualidade de vida, enquanto estudo de caso, realizado no Ambulatório de Neurologia da Faculdade Estácio Sergipe ­ Aracaju-SE. Como método avaliativo, foram utilizadas escalas de House-Brackmann e Visual Analógica para coleta de dados. Os atendimentos duraram oito semanas com seções de 50 minutos cada (total de 16 atendimentos) utilizando-se os seguintes recursos: crioestimulação, massagem excitatória, estimulação elétrica funcional (FES), facilitação neuromuscular proprioceptiva e mímica facial. Como resultados foi observada a redução de grau de disfunção na escala de House-Brackmann e de escore de dor na escala visual analógica (EVA). Houve reestabelecimento da simetria, propagação excitatória nervosa e efetiva contração muscular de face, sendo observados reintegração social e melhora da qualidade de vida da paciente. Contudo, faz-se necessária a produção de novos estudos, com maior aprofundamento e número de pacientes, para fundamentação e afirmação de futuros protocolos de intervenção fisioterapêutica no tratamento da PFP

A protocol for physiotherapeutic intervention in the treatment of a patient with peripheral facial paralysis (PFP) was prepared and its results were verified and related to functionality and influence on life quality. The case study was performed in the Neurology Clinic of the Faculdade Estácio Sergipe, in Aracaju SE Brazil. Protocol was evaluated by House-Brackmann scale and by Visual Analog scale for data retrieval. Attendance lasted eight weeks, with 50-min sessions (total 16 attendances), employing the following resources: cryo-stimulation, excitation massage, functional electrical stimulation, proprioceptive neuromuscular facilitation and facial mimics. Results show a decrease in the dysfunction degree within the House-Brackmann scale and pain score within the visual analog scale. Symmetry was established, propagation of nerve excitation and effective muscular contraction of the face, with social reintegration and improvement in the patient ´s life quality. However, further and more in-depth studies should be undertaken and more patients should be analyzed for the establishment of further protocols in the physiotherapeutic intervention in the treatment of PFP.
Descritores: Reabilitação
Paralisia de Bell
Fisioterapia
Nervo Facial
Responsável: BR313.1 - Biblioteca Ana Bove



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