Paralisia facial associada à otite média aguda

Yonamine, Fernando Kaoru; Tuma, Juliane; Silva, Rogério Fernandes Nunes da; Soares, Maria Claudia Mattos; Testa, José Ricardo Gurgel

doi:10.1590/s0034-72992009000200011

Cited by 7 publications

(4 citation statements)

References 10 publications

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“…it may arise from skull base injuries, congenital syndromes, low skull tumors, infectious diseases and others, leading to this unique disability [1][2][3] . Bell's palsy is a peripheral palsy of the facial nerve, which results from the total or partial reduction in facial muscle mobility.…”

Section: Introductionmentioning

confidence: 99%

“…Facial paralysis is different from most disorders which affect the facial muscles insofar as clinical circumstances are concerned, because the outcome has a variety of symptoms. It may arise from skull base injuries, congenital syndromes, low skull tumors, infectious diseases and others, leading to this unique disability 1 , 2 , 3 .…”

Section: Introductionmentioning

confidence: 99%

“…The annual incidence of Bell 's palsy is 15 to 30 for every 100,000 people, and there does not seem to be gender differences. There is no predilection concerning face side 3 . The affected patients develop paralysis on their facial muscles of one and three days of duration, without any other neurological disorder.…”

Section: Introductionmentioning

confidence: 99%

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Mandibular range of motion in patients with idiopathic peripheral facial palsy

Sassi¹,

Mangilli²,

Poluca³

et al. 2011

Braz. j. otorhinolaryngol. (Impr.)

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regardi ng orofacial motor assessment in facial paralysis, quantitative measurements of the face are being used to establish diagnosis, prognosis and treatment planning. Aim:To assess the prevalence of changes in mandibular range of motion in individuals with peripheral facial paralysis.Materials and Methods: prospective study. We had 56 volunteers, divided in two groups: G1 made up of 28 individuals with idiopathic facial paralysis (6 males and 22 females); 14 with manifestations on the right side of the face and 14 on the left side; time of onset varied between 6-12 months; G2 with 28 healthy individuals paired by age and gender to G1. in order to assess mandibular range of motion, a digital caliper was used. The following measurements were made: 1) middle line; 2) maximum oral opening; 3) lateralization to the right; 4) lateralization to the left; 5) protrusion; 6) horizontal overlap.Results: Statistically significant differences between the groups were observed for maximum oral opening, lateralization to the left and protrusion. G1 presented smaller measurement values than G2.Conclusion: patients with facial paralysis present significant reduction of mandibular range of motion. The results support the suggestion of incorporating functional evaluation of the temporomandibular joint to the existing facial paralysis clinical assessment protocols. . The speech and hearing therapist's assessment must encompass instruments which enable functional measuring. These measures will enable treatment and help check for treatment efficacy. ORIgInAL ARTIcLEThe speech and hearing quantitative measures can be obtained through surface electromyography; photogrammetry; digital caliper; cephalometry and, more recently, the facial movement quantification system, in 3-d video [11][12][13][14][15] . The qualitative measures may be obtained through clinical protocols and self-perception questionnaires 16,17 . in speech and hearing therapy practice concerning facial paralysis patients, it is not a routine to completely assess orofacial functions, because the main complaint is associated with facial movements. nonetheless, frequent have been the reports of pain in the temporomandibular joint (TMJ) and a reduction in speech articulatory movements. in the bibliography search, we did not find specific studies on the relationship between facial paralysis and TMJ function. The TMJs are important structures of the stomatognathic system, since they enable mandibular movements and functions such as suction, swallowing, chewing and speech 18 . Literature states that the range of mandibular motion is associated with TMJ integrity and the action of skeletal muscles [19][20][21] . The TMJ needs to support and accommodate occlusal, muscular and neck adaptations. When the demand for functional adaptations exceeds the TMJ functional and structural tolerance, the patient may develop signs and symptoms of temporomandibular disorders (TMd) [22][23][24] , causing changes to mandibular movements and to the stomatognathic functions associated with them 1...

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Mandibular range of motion in patients with idiopathic peripheral facial palsy

Sassi¹,

Mangilli²,

Poluca³

et al. 2011

Braz. j. otorhinolaryngol. (Impr.)

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“…Facial nerve palsy may be due to basal cranial injuries, congenital syndromes, tumors, diabetes, viral infections and inflammation and pressure on the facial nerve and chronic middle ear infection, hypertension, neurological disorders and stroke, Lyme disease, surgical lesions, paralysis due to accidents and animal bites, sharp objects, axonal damage, or damage to the motor pattern in the cerebral cortex ( 4 ). Also, any lesion or damage that occurs in the brainstem to the terminal branches of the seventh facial nerve can cause rupture or paralysis of the facial nerve ( 5 , 6 ).…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Mandibular Movements in Patients with Bell's Palsy Using Kinematic Variables

Ziaiee

Sadeghi

Karimi

2023

MJIRI

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Background: Since the function of muscles, and subsequently the mandibular joint, is affected in patients with Bell's palsy, therefore, the evaluation of facial muscles and mandibular function in these patients can be effective in diagnosis, prevention, and treatment planning. The present study aimed to evaluate the degree of displacement and range of motion (ROM) of the mandible and the ability of the facial symmetrical muscles of patients with Bell's palsy.Methods: This was a quasi-experimental comparative study. The variables evaluated were mandibular movement in a vertical direction and side-to-side displacement. Ten patients with Bell's palsy and 10 healthy eligible volunteers participated in the present study. Three mobile video cameras (to record jaw movements), 9 color markers, Kinovea software, House-Brackmann index, Toledo protocol, and a specialized patient questionnaire were used. Descriptive and inferential statistics were used for data analysis, the Kolmogorov-Smirnov test was used to investigate the normality of data distribution, and independent samples the t test and paired samples t test were used to compare means.Results: The maximum lateral on the sound side was 12.40 and 4.49 mm during lateral movements of the patients' mandible, while this value was between 12.30 and 3 mm on the involved side. There is a difference between the affected side and the nonaffected side in terms of the mean lateral movements of the patients' mandible. However, this difference in the mean ROM on both sides is not statistically significant. The maximum mouth opening in healthy individuals during mandibular movements was between 40 and 60 mm, while this value was between 25 and 50 mm in the patients with Bell's palsy. This study shows a significant difference (P = 0.007) between patients and healthy individuals in terms of the mean of maximum mouth opening (P < 0.05). Conclusion:The results of this study showed that the ROM of temporomandibular joint (TMJ) of the patient is the same as that of normal subjects, but the side-to-side motion is more than normal which should be considered in rehabilitation treatments. The present study emphasizes the need to implement a mandibular kinematic evaluation protocol in patients with bell's palsy to prevent damage to the TMJ in the long term.

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