Navegando por Palavras-chave "facial paralysis"
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- ItemAcesso aberto (Open Access)Estudo de paralisias faciais traumáticas: análise de casos clínicos e cirúrgicos(ABORL-CCF Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial, 2004-08-01) Pinna, Bruno R. [UNIFESP]; Testa, Jose Ricardo Gurgel [UNIFESP]; Fukuda, Yotaka [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Traumatic facial paralysis is the second more common cause of facial impairment. STUDY DESIGN: Chart review. MATERIAL AND METHOD: A retrospective review of 82 patients with facial paralysis was conducted from January 1990 to January 1999. RESULTS: From this group 54 were males (65.8%) and 28 females (34.2%), patients' age ranged from 2 to 75 years (mean age 30.9 y). The kind of trauma was iatrogenic in 15 (18.22%); penetrating injuries into the face in 2 (2.44%); temporal bone fractures in 50 (60.97%); gunshot injuries in 14 (17.07%) and birth injury in 1 (1.22%). There were 71 sudden paralysis (86.5%), 10 progressive paralysis (12.3%) and 1 at birth (1.22%). The beginning electrical tests were symmetrical in 32 (43.84%) and with markedly decreased response in 41 (56.16%). The symmetrical ones had complete recovery in 24, 80% of recovery in 6 and 60% of recovery in 2; the asymmetrical ones with decreased response, only 5 recoveries completely. CONCLUSION: 1. There was greater male incidence; 2. There were more sudden paralysis and they recovered better than the progressives; 3. There were more patients with temporal trauma with fractures and they recovery better than the others; 4. The electrical tests could give the prognoses to the facial paralysis patient; 5. The worst cases of facial paralysis received more aggressive treatment, with good results.
- ItemAcesso aberto (Open Access)Mastoidite e paralisia facial como manifestações iniciais de Granulomatose de Wegener(Associação Brasileira de Otorrinolaringologia e Cirurgia Cervicofacial, 2012-04-01) Maranhão, André Souza de Albuquerque [UNIFESP]; Chen, Vitor Guo [UNIFESP]; Rossini, Bruno Almeida Antunes [UNIFESP]; Testa, Jose Ricardo Gurgel [UNIFESP]; Penido, Norma de Oliveira [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Wegener's Granulomatosis (WG) is characterized by necrotizing granulomas and vasculitis. If left untreated, the prognosis is poor - a 90% mortality rate within 2 years. 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 other findings. Aim: To describe three confirmed cases of WG with mastoiditis as the first manifestation, progressing to peripheral facial paralysis (PFP). Material and Method: A clinical series study. Patients diagnosed with WG that initially presented with otologic findings are described. Results: The three cases presented with unilateral otalgia, otorrhea, and hearing loss associated with ipsilateral PFP. None recovered in spite of the treatment; an investigation of associated diseases was therefore undertaken. Positive ANCA-C titers where detected in all patients, confirming the diagnosis of WG. Clinical improvement was seen after treatment of WG; the PFP regressed and hearing thresholds improved partially. Conclusion: Complications of otitis media (mastoiditis and PFP) that do not respond to the usual treatment require an investigation of associated diseases; WG should be included for an early diagnosis to change the prognosis in these patients.
- ItemAcesso aberto (Open Access)Paralisia facial associada à otite média aguda(ABORL-CCF Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial, 2009-04-01) Yonamine, Fernando Kaoru [UNIFESP]; Tuma, Juliane [UNIFESP]; Silva, Rogério Fernandes Nunes da [UNIFESP]; Soares, Maria Claudia Mattos [UNIFESP]; Testa, Jose Ricardo Gurgel [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)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% of the cases. Recovery was of 85% for grade I (House-Brackman) and 15% 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.
- ItemAcesso aberto (Open Access)Perdas auditivas em paralisia facial periférica após cirurgia de descompressão(Associação Brasileira de Otorrinolaringologia e Cirurgia Cervicofacial, 2012-06-01) Palombo, Alexandre Augusto Kroskinsque [UNIFESP]; Shibukawa, Andre Fernando [UNIFESP]; Barros, Flavia [UNIFESP]; Testa, Jose Ricardo Gurgel [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Facial paralysis can result from a variety of etiologies; the most common is the idiopathic 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. AIM: 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. MATERIALS AND METHODS: 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. RESULTS: There was a high percentage (61%) of patients with some degree of hearing loss after the procedure and in all cases there was improvement in the paralysis. DISCUSSION: The values obtained are similar to those reported in the literature. One possible explanation for this hearing loss is the vibration transmission by drilling near the ossicular chain. CONCLUSION: The surgical procedure is not risk free; indications, risks and benefits should be explained to patients through an informed consent form.
- ItemSomente MetadadadosTemporal branch of facial nerve A normative study of nerve conduction(Assoc Arquivos Neuro- Psiquiatria, 2010-08-01) Silva, Paula Fabiana Sobral da; Lima, Maria Carolina Martins de; Figueiroa, Jose Natal [UNIFESP]; Lins, Otavio Gomes [UNIFESP]; Inst Med Integral Prof Fernando Figueira IMIP; Universidade Federal de Pernambuco (UFPE); Universidade de São Paulo (USP); Escola Pernambucana Med FBV IMIP; Universidade Federal de São Paulo (UNIFESP)The temporal branch of the facial nerve is particularly vulnerable to traumatic injuries during surgical procedures. It may also be affected in clinical conditions. Electrodiagnostic studies may add additional information about the type and severity of injuries, thus allowing prognostic inferences. The objective of the present study was to develop and standardize an electrophysiological technique to specifically evaluate the temporal branch of the facial nerve. Method: Healthy volunteers (n=115) underwent stimulation of two points along the nerve trajectory, on both sides of the face. The stimulated points were distal (on the temple, over the temporal branch) and proximal (in retro-auricular region). Activities were recorded on the ipsilateral frontalis muscle. The following variables were studied: amplitude (A), distal motor latency (DML) and conduction velocity (NCV). Results: Differences between the sides were not significant. The proposed reference values were: A >= 0.4 mV, DML <3.9 ms and NCV >= 40 m/s. Variation between hemifaces should account for less than 60% for amplitudes and latency, and should be inferior to 20% for conduction velocity. Conclusion: These measurements are an adequate way for proposing normative values for the electrophysiological evaluation of the temporal branch.
- ItemAcesso aberto (Open Access)Tumor neuroectodérmico primitivo periférico: caso raro de paralisia facial periférica(ABORL-CCF Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial, 2007-02-01) Tiago, Romualdo Suzano Louzeiro [UNIFESP]; Pio, Marcio Ricardo Barros; Silva, Marcelo Nery; Valle, Lupércio Oliveira Do; Universidade Federal de São Paulo (UNIFESP); Hospital do Servidor Público Estadual de São Paulo Serviços de Otorrinolaringologia; Hospital do Servidor Público Municipal de São Paulo Serviços de Otorrinolaringologia; Hospital do Servidor Público Municipal de São Paulo Serviço de Otorrinolaringologia; Hospital do Servidor Público Municipal de São Paulo Serviço de Neurocirurgia; PUC-SP