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Revista Archivo Médico de Camagüey

On-line version ISSN 1025-0255


SANTANA ALVAREZ, Jorge et al. Peripheral facial paralysis: Surgical treatment outcomes. AMC [online]. 2008, vol.12, n.1. ISSN 1025-0255.

An explanatory longitudinal type study, applied in 120 patients with peripheral facial paralysis of variable cause to which an exploration and surgical treatment was performed. The investigation was carried out at «Dr. Octavio de la Concepción y de la Pedraja» Surgical Clinical Educational Military Hospital of Camagüey city, from October 1989 to January 2007. Patients were remitted to the Otorhinolaryngology consultation where was defined the surgical intervention criteria and behavior according to the lesion found; after surgery, patients were evaluated by a period of one year and the evolution of the clinical signs, recovery time, complications, outcomes and satisfaction degree were collected. There was a predominance of ages between 21 and 50 years old, and better outcomes for female patients. The most frequent cause of peripheral facial paralysis were the Bell type and the traumatic one with a 36.66% of the total, respectively. The edema of the nerve was observed in the 58.33%, and within the traumatic localization mastoid lesion in the second knee was observed in the 81.81% of the patients. The mastoid approach was utilized in the 91.66% of the patients. The occlusion of the eyelid and mobility of the commissure of lips were signs with faster recovery. Results showed normal mobility and slight paresis in 76.76% of the patients operated according to Jongkees´ criteria, what showed the functional value of the technique. The satisfaction degree was excellent or good in the 96.66% of patients, what shows the invaluable value that patients to this result confer

Keywords : Facial paralysis [terapy]; treatment outcome; signs and symptoms; bell palsy; women; longitudinal studies.

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