vol número1 Achados otoneurológicos em indivíduos portadores de Palavras-chave: exercises; bell’s palsy; facial paralysis; physical therapy techniques. 2() Departamento de Fisioterapia, Fonoaudiologia e Terapia Ocupacional, Faculdade de Medicina, A PFP do tipo idiopática ou paralisia de Bell é a mais frequente, . ter apresentado pontuação entre 1 e 18 na Avaliação da Mímica Facial. ao efeito da fisioterapia em pacientes com paralisia de Bell; O objetivo desta declaração é destacar a incerteza sobre o papel da fisioterapia na paralisia de.
|Published (Last):||4 October 2004|
|PDF File Size:||1.42 Mb|
|ePub File Size:||7.77 Mb|
|Price:||Free* [*Free Regsitration Required]|
Directory of Open Access Journals Sweden. Colesteatoma causando paralisia facial Cholesteatoma causing facial paralysis. Facial paralysis caused by cholesteatoma is uncommon. The portions most frequently involved are horizontal tympanic and second genu segments.
When cholesteatomas extend over the anterior epitympanic space, the facial nerve is placed in jeopardy in the region of the geniculate ganglion.
The aetiology can be related to compression of the nerve followed by impairment of its. Peripheral facial paralysis requires specialized treatment.
Physical therapy aims at reestablishing facial movements. The aim of this study was to describe and to analyze physical therapy results for individuals with peripheral facial paralysis. A retrospective study was carried out at the University Hospital, authorized by the Statistics and Medical File Services, from to Data are presented in descriptive form with mean and median values for numeric variables and frequency for categorical variables.
Twenty-three files were analyzed during four years. Females predominated and the average age was of Facial electroneurography in Bell’s palsy: Full Text Available To determine the variability of the abnormalities found in the electroneurography ENG of the facial nerve in cases of Bell’s palsy during the initial two week period was one of the objectives of the authors.
A second one was to investigate the value of ENG as a tool to determine an early prognosis of recovery utilizing two different methods. In the first one the amplitude of the compound muscular action potential CMAP obtained on the paralyzed side was compared to this potential on the opposite normal side.
The second method compared the CMAP on the paralyzed side to normal standardized data from normal individuals. A group of 33 patients with Bell’s palsy was followed until total recovery or for at least 4 months, if the recovery was not achieved earlier. It was observed that amplitude of the CMAP become stable towards the sixth day of palsy and this is a good time to establish the prognosis.
Another conclusion is that both methods were equivalent to determine the prognosis in Bell’s palsy. The facial mimic is very important to the human expression and communication, which depend on the integrity of the facial nerve. So, the peripheric facial palsy PFP can leave esthetics, functional and psychological sequelae.
The simultaneous bilateral PFP is rare, and the leukemia is the neoplasia that can often that kind of manifestation.
We present a clinical case of an year-old patient with acute lymphoid leukemia and simultaneous bilateral facial palsy, who did not recover after the chemotherapy treatment, and died five months after the initial manifestation of the facial palsy.
Important considerations were accomplished about the physiopathology of PFP in acute lymphoid leukemia, besides literature review. A documental and photographical. O grupo controle correspondeu a 10 adultos normais. Este resultado foi estatisticamente significante.
The use of a Digimess ,BL digital measuring caliper was adopted for this study. The measurements were carried out in the facial mimic movement, always starting from a fixed point to a mobile point in the structures: The degree of acquired facial palsy was. The case of a year-old patient in which a peripheral facial paralysis occurred during raise of diving is reported.
In reviewing the literature several conditions are mentioned and discussed as fortuitous causes of peripheral facial paralysis, being emphazised an North-American report about two patients suffering five episodes of transient seventh nerve paresis during ascent to altitude, where a disequilibrium of pressures between the middle ear and the nasopharynx was assumed to be the efective cause of the Bell’s palsy.
A similar mechanism was admited for the reported case. A clinical case description. It is presented a clinical case of a patient with a peripheral facial paralysis with hemifacial compromise. During the clinical investigation it was expected that the topographic compromise of the facial nerve would arise out of the emergence of the nerve from the pons. After some image examinations, an expansive brain trunk lesion was evidenced.
Thus, the classification of facial paralysis – either peripheral or central – is not applicable to this case.
The use of a classification having the facial nerve nucleus as reference could be more adequate in the clinical investigation of the paralysis. Facial paralysis can result from a variety of etiologies; the most common is the paralusia type. Evaluation and treatment are particularly complex.
The treatment of acute facial paralysis may require facial nerve decompression surgery. Any structure near the path of the facial nerve is at risk during transmastoid decompression surgery. This is a retrospective study, carried out in order to evaluate hearing loss after transmastoid decompression and how idiopathic cases evolved in terms of their degree of paralysis in the last 15 years. We selected the charts from 33 patients submitted to transmastoid facial nerve decompression in the past 15 years and we assessed their hearing loss and facial paralysis.
The objective of this study was to analyze some clinical and epidemiologic aspects, as well paralisiq the follow up of patients. The facial nucleus and fisioyerapia nucleus are connected with fibers, then a lesion in this conection could interfer in the outer cell function changing the result of fsiioterapia emission product distortion test DPOE.
To observe the possibility of Bell’s palsy affect the function of outer hair cells, using the DPOE test.
Paralisia de Bell
Forty patients with Bell’s palsy were compared with 69 patients without symptons control group using DPOE. We did not observe a correlation with stapedium reflex and degree of palsy and DPOE. Full Text Available Facial paralysis is an injury that assaults horses, not very unusual paarlisia veterinary. It occurs mainly because of direct or indirect traumas over the facial nerve, that goes nw the masseter muscle, having only skin an tissue to protect it. Paralyses are common in cases of compression because of the contention of the animal head on the ground.
These animals received therapy physical, using cinesiotherapy and electrical stimulation, for 60 days, obtaining a satisfactory effect like improve of the left facial muscle, return to symmetrical the left nostril, discreet ptosis in the ns lip, normalization of the action to feed and improve of the facial esthetics.
Conclu ding that therapy physical was a efficient method of treatment injuries in the facial nerve, like compression, helping in the return of the disturbs of muscle function gell to the welfare of these animals. A nimal, cinesiotherapy, electrical stimulation, neurology, rehabilitation. Este trabalho relata dois casos de paralisia facial. Os termos pesquisados foram: Trata-se, portanto, de etiologia multifatorial. Os pacientes foram divididos em dois grupos: The etiology of idiopathic peripheral facial palsy IPFP is still uncertain; however, some authors suggest the possibility of a viral infection.
We studied 20 patients with peripheral facial palsy PFP, with fisiotdrapia to severe FP, of both genders, between years of age, from the Clinic of Facial Nerve Disorders. The patients were broken down into two groups – Study: Habilidades expressivas de um grupo de alunos com paralisia cerebral na atividade de jogo Expressive abilities of a group of students with fisioterapix palsy during game activities.
Analisar as habilidades expressivas de um grupo de alunos com paralisia cerebral sem oralidade durante atividades de jogos.
To analyze the expressive abilities of a group of bepl students with cerebral palsy during game activities. Three male students with.
Wegener’s Granulomatosis WG is characterized by necrotizing granulomas and vasculitis. Several authors have described the otologic manifestations of WG; these authors, however, have not mentioned the stage of the disease in which these findings present – whether as initial manifestations or subsequent to.
Bell’s palsy is a unilateral facial paralysis of sudden onset and unknown paraliaia. It may affect salivation, taste and lachrymation depending on the site of facial nerve involvement. Patients can report supersensitive parailsia.
The stapedius reflex is absent in. Peripheral facial palsy in the past: Full Text Available This study provides historical documents of peripheral facial palsy from Egypt, Greece and Rome, through the middle ages, and the renaissance, and into the last four centuries.
Peripheral facial palsy: muscle activity in different onset times
We believe that the history of peripheral facial palsy parallels history of the human race itself. Emphasis is made on contributions by Avicenna and Nicolaus Friedreich.
Controversies about the original clinical description by Charles Bell are also discussed. Dos 79 artigos encontrados, 18 fizeram parte da amostra. To demonstrate the clinical results of triple arthrodesis in Cerebral Palsy patients and determine whether there is any correspondence between the results and the AOFAS scale, and changes in radiographic angles between the pre- and postoperative periods.
Between andthirty-four patients 40 feet were submitted to triple arthrodesis of the foot, with an average follow-up time of ninety-one months. The evaluation consisted of the patient’s satisfaction and the presence of pain, plantigrade support, residual deformity, range of movement of the.
Fisioterapia na paralisia facial periférica: estudo retrospectivo
Necrotizing external otitis NEO, known in the past as malignant external otitis, is a potencial letal infection which begins usually in the external ear canal and spreads to the base of the skull. It occurs mainly in diabetic elderly patients who despite prolonged antibioticotherapy is associated to high morbidity and significant mortality. The authors present a case of an adult diabetic patient who developed NOE associated with bilateral periferic facial palsy evoluting with cure of the infection but fisiotdrapia facial improvement.
Clusters of Bell’s palsy “Surtos” da paralisia de Bell. Full Text Available The idiopathic facial paralysis or Bell’s palsy installs abruptly or within a few hours, without any apparent cause.
Three theories try to explain its pathogenecity: Data were analysed according to age, gender, seasonal distribution of cases. There was a predominance of cases in the 31 – 60 age bracket The female gender was responsible to There was a predominance of cases in winter These findings let us to suppose that Bell’s palsy predominates in females, in years age bracket, and occurs predominantly in cold months.
There are groups of clusters throughout temporal distribution of cases and cases are dependent on one each other or on factors affecting them all, which reinforces the infectious hypothesis there is a rise in the incidence of viral upper respiratory tract infection during cold months.
Estes achados levam-nos a supor que a paralisia de Bell. Patients should not show any masticatory complaints or have any diagnoses of temporo-mandibular joint dysfunction, having at least six teeth in each half dental ridge.
All subjects filled out a questionnaire regarding oral habits and were assessed by surface electromyography of the masseter muscle of both sides.