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De ocorrência frequente, a paralisia facial é uma patologia que acomete a face ea expressão facial. Dentre as etiologias possíveis será destacada uma de ocorrência pouco comum, a Otomastoidite. A intervenção fonoaudiológica iniciada precocemente colabora para o retorno da mobilidade e funções da musculatura reduzindo assim a atrofia muscular e surgimento de sincinesias e contraturas. O objetivo do estudo foi reabilitar um paciente acometido pela paralisia facial após otomastoidite com a intervenção fonoaudiológica precoce e descrever a aplicação de uma proposta de intervenção terapêutica diferenciada. Na metodologia optou-se por exercícios miofuncionais específicos, avaliação e acompanhamento audiológico. Nos resultados, após nove semanas de acompanhamento, observou-se melhora expressiva na simetria do sorriso, adequação das funções estomatognáticas e presença dos reflexos acústicos estapedianos.

The neurophysiologic study in the modality of electroneuromyography (ENMG) determined and quantified the components in the motor ambit. The main data supplied by the examination was from the motor and sensory nerve conduction studies and by electromyography. However, many factors can interfere with the nervous response to electrostimulation, such as: age, gender, temperature, humidity, and other things. The aim of this work was to verify the effect of surgical exposure of the sciatic, common fibular, tibial, and cranial tibial muscle nerves in a neurophysiologic test on rats. Twenty (20) Wistar male rats were utilized, with approximately 80 days of age, divided into two groups. In the normal group the exam was made without the surgical exposure of the fibular nerve. In the surgical group the common fibular nerve was exposed. With the experimental model utilized, it was concluded that the neurophysiologic test done on animals with nerves and muscles surgically exposed is viable, since the alteration in animal temperature did not interfere significantly with the values of the electrophysiological parameters observed. In addition, the exposure of nerves and muscles allows stimulation of an exact point on the target nerve.