Abstract

Paralysis is the complete abolition of movement in a given territory of the body. Traumatic peripheral facial paralysis (PFPT) is characterized by lack of movement, due to injuries to the seventh cranial nerve (Facial Nerve), as a result of surgical resection of tumors in the region, firearm trauma, falls etc., can be uni or bilateral. Individuals affected by this paralysis when unilateral, tend to present facial asymmetry between the hemi faces, both at rest and in movement, as well as functional limitations to perform activities such as drinking, eating, speaking and problems in ocular hydration (dryness or watery eyes). In the case report, the patient underwent several types of treatment with very limited results. After 30 days of therapy with the hyperboloid, the patient reported improvements in clinical and motor conditions.

Highlights

  • Facial paralysis (PF) can be central or peripheral

  • Unilateral peripheral PF is an injury that occurs below the facial nerve nucleus in the brain stem and compromises all facial mimic movements on that side

  • The lesions may be complete and may cause a decrease and consequent loss of movement, muscle flaccidity and absence of facial wrinkles or be incomplete with signs and symptoms that vary according to the affected muscles. They are classified according to the aggression suffered: Neuropraxia: the structure of the nerve remains integral, there is no loss of axonal continuity between the neuron and the muscle, there is an interruption of nerve conduction exclusively in the myelin sheath due to compression and ischemia that makes it impossible the propagation of the action potential, the nerve, paralyzed, conducts impulses above and below the lesion and responds to stimuli due to its reversibility. (Bruggermann et al, 2008) [3]

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Summary

Introduction

Facial paralysis (PF) can be central or peripheral. Central PF is an injury to the seventh cranial nerve (Facial Nerve), which occurs in its intracranial path and can be caused by stroke, tumors, HIV, diabetes, etc. Unilateral peripheral PF is an injury that occurs below the facial nerve nucleus in the brain stem and compromises all facial mimic movements on that side. The trunks of the motor fibers pass through the parotid gland reaching the face, where they give two main branches: the facial and cervico facial branches, which branch out in a fan to innervate the cutaneous muscles of the face and neck. TREATMENT OF TRAUMATIC FACIAL PARALYSIS WITH MECHANICAL STIMULUS – HYPERBOLOID: CASE REPORT. The treatment of traumatic peripheral facial paralysis is through an anastomosis surgical maneuver, transposition of the anterior temporal muscle, grafts, physiotherapy and speech therapy and botulinum toxin on the healthy side. The technique used in the case described was idealized by Afrânio Pereira Cheida [1], a dental surgeon from the city of Santa Bárbara d'Oeste – SP- Brazil

Clinical case report
Discussion
Exercise protocol
Conclusions
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