Guía para el diagnóstico y tratamiento de la parálisis facial periférica idiopática
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La parálisis facial periférica idiopática ocupa el mayor porcentaje de todas las causas de parálisis facial, lo que representa aproximadamente el 60%-75%. Esta resulta de una alteración completa o parcial de los movimientos musculares de la hemicara afectada, como su nombre lo indica, su causa es desconocida, pero se han generado varias teorías y su diagnóstico es por exclusión. Se produce un déficit facial del tipo de motoneurona inferior, unilateral, de aparición rápida. Sin embargo, los pacientes pueden tener otros síntomas como hiperacusia, disgeusia, dolor facial y epífora. El diagnóstico diferencial de la parálisis facial es extenso y se puede dividir en amplias categorías como congénita, cerebrovascular, infecciosa, neoplásica, inflamatoria o autoinmune y traumática.
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Saborío Cervantes IE, Villalobos Bonilla D, Bolaños Parajeles C. Abordaje de la parálisis de Bell: diagnóstico y tratamiento. Revista Médica Sinergia. 2019;4(6):81–9. doi: 10.31434/rms.v4i6.247
Zhang W, Xu L, Luo T, Wu F, Zhao B, Li X. The etiology of Bell’s palsy: a review. J Neurol. 2020;267(7):1896-1905. doi: 10.1007/ s00415-019-09282-4
Sweeney K. Evaluation and management of Bell’s Palsy. . Grand Rounds Presentation, UTMB. 2002.
Vakharia K, Vakharia K. Bell’s Palsy. Facial Plast Surg Clin North Am. 2016;24(1):1-10. doi: 10.1016/j.fsc.2015.08.001
Hohman MH, Hadlock TA. Etiology, diagnosis, and management of facial palsy: 2000 patients at a facial nerve center. In: Laryngoscope. John Wiley and Sons Inc.; 2014.
Lassaletta L, Morales-Puebla JM, Altuna X, Arbizu Á, Arístegui M, Batuecas Á, et al. Facial paralysis: Clinical practice guideline of the Spanish Society of Otolaryngology. Acta Otorrinolaringol Esp (Engl Ed). 2020;71(2):99-118. English, Spanish. doi: 10.1016/j. otorri.2018.12.004
Fieux M, Franco-Vidal V, Devic P, Bricaire F, Charpiot A, Darrouzet V, et al. Management of acute Bell’s palsy. Eur Ann Otorhinolaryngol Head Neck Dis. 2020;137(6):483-488. doi: 10.1016/j.anorl.2020.06.004
Fattah AY, Gurusinghe ADR, Gavilan J, Hadlock TA, Marcus JR, Marres H, et al. Facial nerve grading instruments: systematic review of the literature and suggestion for uniformity. Plast Reconstr Surg. 2015;135(2):569-579. doi: 10.1097/PRS.0000000000000905
Pauna HF, Silva VAR, Lavinsky J, Hyppolito MA, Vianna MF, Gouveia MCL, et al. Task force of the Brazilian Society of Otology - evaluation and management of peripheral facial palsy. Braz J Otorhinolaryngol. 2024;90(3):101374. doi: 10.1016/j.bjorl.2023.101374
Urban E, Volk GF, Geißler K, Thielker J, Dittberner A, Klingner C, et al. Prognostic factors for the outcome of Bells’ palsy: A cohort register-based study. Clin Otolaryngol. 2020;45(5):754-761. doi: 10.1111/coa.13571
Mancini P, De Seta D, Prosperini L, Nicastri M, Gabriele M, Ceccanti M, et al. Prognostic factors of Bell’s palsy: multivariate analysis of electrophysiological findings. Laryngoscope. 2014;124(11):2598-605. doi: 10.1002/lary.24764
Petrides GA, Hayler R, Lee JW, Jankelowitz S, Low TH. Electromyography in the prognostication of recovery in patients with acute peripheral facial nerve palsy: A systematic review. Clin Otolaryngol. 2023;48(4):563-575. doi: 10.1111/coa.14072
de Almeida JR, Guyatt GH, Sud S, Dorion J, Hill MD, Kolber MR, et al. Management of Bell palsy: clinical practice guideline. CMAJ. 2014;186(12):917-22. doi: 10.1503/cmaj.131801
Kazemian E, Schaffer HM, Wozniak A, Leonetti JP. Economic Impact of Diagnostic Imaging in the Workup of Uncomplicated Bell’s Palsy. J Neurol Surg B Skull Base. 2021;83(3):323-327. doi: 10.1055/s-0040-1722231
Madhok VB, Gagyor I, Daly F, Somasundara D, Sullivan M, Gammie F, et al. Corticosteroids for Bell’s palsy (idiopathic facial paralysis). Cochrane Database Syst Rev. 2016;7(7):CD001942. doi: 10.1002/14651858.CD001942.pub5
Fujiwara T, Namekawa M, Kuriyama A, Tamaki H. High-dose Corticosteroids for Adult Bell’s Palsy: Systematic Review and Metaanalysis. Otol Neurotol. 2019;40(8):1101-1108. doi: 10.1097/MAO.0000000000002317
Gagyor I, Madhok VB, Daly F, Sullivan F. Antiviral treatment for Bell’s palsy (idiopathic facial paralysis). Cochrane Database Syst Rev. 2019;9(9):CD001869. doi: 10.1002/14651858.CD001869.pub9
Fujiwara T, Iwata S, Hosokawa Y, Mitani S. Intratympanic corticosteroid for Bell’s palsy and Ramsay Hunt syndrome: Systematic review and meta-analysis. Auris Nasus Larynx. 2022;49(4):599-605. doi: 10.1016/j.anl.2021.12.005
de Almeida JR, Al Khabori M, Guyatt GH, Witterick IJ, Lin VY, Nedzelski JM, et al. Combined corticosteroid and antiviral treatment for Bell palsy: a systematic review and meta-analysis. JAMA. 2009;302(9):985-93. doi: 10.1001/jama.2009.1243
Li P, Qiu T, Qin C. Efficacy of Acupuncture for Bell’s Palsy: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. PLoS One. 2015;10(5):e0121880. doi: 10.1371/journal.pone.0121880
Singh S, Das AV, Ali MH. Ocular involvement in facial nerve paralysis: risk factors for severe visual impairment and ocular surface exposure in 1870 patients. Orbit. 2023;42(3):256-261. doi: 10.1080/01676830.2022.2090013
Teixeira LJ, Valbuza JS, Prado GF. Physical therapy for Bells palsy (idiopathic facial paralysis). Cochrane Database Syst Rev. 2011;(12):CD006283. doi: 10.1002/14651858.CD006283.pub3
Khan AJ, Szczepura A, Palmer S, Bark C, Neville C, Thomson D, et al. Physical therapy for facial nerve paralysis (Bell’s palsy): An updated and extended systematic review of the evidence for facial exercise therapy. Clin Rehabil. 2022;36(11):1424-1449. doi: 10.1177/02692155221110727
Zhou Y, Dong X, Xing Y, Wang R, Yang S, Han Y, et al. Effects of electroacupuncture therapy on intractable facial paralysis: A systematic review and meta-analysis. PLoS One. 2023;18(7):e0288606. doi: 10.1371/journal.pone.0288606
Casazza GC, Schwartz SR, Gurgel RK. Systematic Review of Facial Nerve Outcomes After Middle Fossa Decompression and Transmastoid Decompression for Bell’s Palsy With Complete Facial Paralysis. Otol Neurotol. 2018;39(10):1311-1318. doi: 10.1097/ MAO.0000000000001979
Andresen NS, Sun DQ, Hansen MR. Facial nerve decompression. Curr Opin Otolaryngol Head Neck Surg. 2018;26(5):280-285. doi: 10.1097/MOO.0000000000000478
Kanerva M, Jones S, Pitkaranta A. Ramsay Hunt syndrome: characteristics and patient self-assessed long-term facial palsy outcome. Eur Arch Otorhinolaryngol. 2020;277(4):1235-1245. doi: 10.1007/s00405-020-05817-y
van Oorschot D, Vroling H, Bunge E, Diaz-Decaro J, Curran D, Yawn B. A systematic literature review of herpes zoster incidence worldwide. Hum Vaccin Immunother. 2021;17(6):1714-1732. doi: 10.1080/21645515.2020.1847582
Patil A, Goldust M, Wollina U. Herpes zoster: A Review of Clinical Manifestations and Management. Viruses. 2022;14(2):192. doi: 10.3390/v14020192
Kremer H, Kuyt LP, van den Helm B, van Reen M, Leunissen JA, Hamel BC, et al. Localization of a gene for Möbius syndrome to chromosome 3q by linkage analysis in a Dutch family. Hum Mol Genet. 1996;5(9):1367-71. doi: 10.1093/hmg/5.9.1367
Verzijl HT, van der Zwaag B, Lammens M, ten Donkelaar HJ, Padberg GW. The neuropathology of hereditary congenital facial palsy vs Möbius syndrome. Neurology. 2005;64(4):649-53. doi: 10.1212/01.WNL.0000151848.65094.55
Verzijl HT, van den Helm B, Veldman B, Hamel BC, Kuyt LP, Padberg GW, et al. A second gene for autosomal dominant Mobius syndrome is localized to chromosome 10q, in a Dutch family. Am J Hum Genet. 1999;65(3):752-6. doi: 10.1086/302539
Jankauskiene A, Azukaitis K. Congenital unilateral facial nerve palsy as an unusual presentation of BOR syndrome. Eur J Pediatr. 2013;172(2):273-5. doi: 10.1007/s00431-012-1795-4
Traboulsi EI. Congenital cranial dysinnervation disorders and more. J AAPOS. 2007;11(3):215-7. doi: 10.1016/j.jaapos.2007.04.007
Jones H, Hintze J, Slattery F, Gendre A. Bells palsy in pregnancy: A scoping review of risk factors, treatment and outcomes. Laryngoscope Investig Otolaryngol. 2023;8(5):1376-1383. doi: 10.1002/lio2.1136
Wohrer D, Moulding T, Titomanlio L, Lenglart L. Acute Facial Nerve Palsy in Children: Gold Standard Management. Children (Basel). 2022;9(2):273. doi: 10.3390/children9020273
Domeshek LF, Zuker RM, Borschel GH. Management of Bilateral Facial Palsy. Otolaryngol Clin North Am. 2018;51(6):1213-1226. doi: 10.1016/j.otc.2018.07.014
Swami H, Dutta A, Nambiar S. Recurrent Bells Palsy. Med J Armed Forces India. 2010;66(1):95-6. doi: 10.1016/S0377- 1237(10)80115-7
Munjal M, Badyal HL, Mehndiratta A, Munjal S, Bharadwaj I, Kalra S, et al. Role of topodiagnostic tests in evaluation of facial nerve palsy in head injury. Int J Otorhinolaryngol Head Neck Surg. 2020;6(10):1874-7.
Vajpayee D, Mallick A, Mishra AK. Post Temporal Bone Fracture Facial Paralysis: Strategies in Decision Making and Analysis of Efficacy of Surgical Treatment. Indian J Otolaryngol Head Neck Surg. 2018;70(4):566-571. doi: 10.1007/s12070-018-1371-y
Seo HW, Ryu S, Lee SH, Chung JH. Diabetes Mellitus and Acute Facial Palsy: A Nationwide Population-Based Study. Neuroepidemiology. 2024;58(1):37-46. doi: 10.1159/000534760
Alam D, Islam MR, Habib R, Hossen Khan MS, Binte Rouf RS. Management of adult diabetic patients of Bells palsy with and without steroid: experience from a tertiary care hospital. Bangladesh Crit Care J. 2022;10(1), 33–37. doi: 10.3329/bccj.v10i1.59201
Demir D, Genc S, Guven M, Yilmaz MS, Kara A, Erkorkmaz Intratympanic Steroid Treatment of Bells Palsy in Patients with Comorbid Disease: A Preliminary Report. J Int Adv Otol. 2020;16(1):47-52. doi: 10.5152/iao.2019.5415.
Casano K, Giangrosso G, Mankekar G, Sevy A, Mehta R, Arriaga M. Additional Benefits of Facial Nerve Monitoring during Otologic Surgery. Otolaryngol Head Neck Surg. 2020;163(3):572-576. doi: 10.1177/0194599820915458