Acta Scientific Medical Sciences (ASMS) (ISSN: 2582-0931)

Case Report Volume 4 Issue 1

Facial Palsy Secondary to Mandibular Condyle Fracture Surgery. A Physiotherapy Approach Case Report

Cristina Molas-Ferrer*

Physiotherapist, CRAFTA® Therapist and Master’s Student in Translational Physiotherapy Research at Escola Universitària Gimbernat (Universitat Autònoma De Barcelona), Sant Cugat, Spain

*Corresponding Author: Cristina Molas-Ferrer, Physiotherapist, CRAFTA® Therapist and Master’s Student in Translational Physiotherapy Research at Escola Universitària Gimbernat (Universitat Autònoma De Barcelona), Sant Cugat, Spain..

Received: November 22, 2019; Published: December 04, 2019

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Abstract

  There remains controversy of efficacy between surgical and nonsurgical management of mandibular condyle fracture. Generally, there is consensus in operating on significant dislocation and displacement cases. Even though different approaches have been studied to minimize the side effects, facial palsy frequently appears secondary to intervention, commonly diminishing by itself in a period of 6 months. Even though relatively short-term, how do we manage the patient during this period? Can physiotherapy help in recovery? The purpose of this case report is to present the clinical and photographic evaluation and management of a woman who suffered a facial trauma resulting in mandibular condyle fracture with angulation and luxation when the posterior surgery treatment results in a facial palsy. One-year follow-up results are also presented.

Keywords: Facial Palsy; Mandibular Fracture; Rehabilitation; Physical Therapy; Psychological Distress.

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References

  1. Karthik Ragupathy and i Pasupathy Sanjay. “Incidence, Aetiology and Pattern of Mandibular Fractures in Pondicherry”. Journal of Evolution of Medical and Dental Sciences 104 (2015): 16946-16950.
  2. Zachariades Nicholas., et al. “Fractures of the mandibular condyle: A review of 466 cases. Literature review, reflections on treatment and proposals”. Journal of Cranio-Maxillofacial Surgery7 (2006): 421-432.
  3. Rozeboom AVJ., et al. “Open treatment of condylar fractures via extraoral approaches: A review of complications”. Journal of Cranio-Maxillofacial Surgery 8 (2018): 1232-1240.
  4. Boffano Paolo., et al. “Current opinions on surgical treatment of fractures of the condylar head”. Craniomaxillofacial Trauma and Reconstruction 2 (2014): 092-100.
  5. Croce A., et al. “Transparotid approach for mandibular condylar neck and subcondylar fractures”. Acta Otorhinolaryngologica Italica 6 (2010): 303-309.
  6. T Kanno., et al. “Does a Retromandibular Transparotid Approach for the Open Treatment of Condylar Fractures Result in Facial Nerve Injury?” Journal of Oral and Maxillofacial Surgery 10 (2016): 2019-2032.
  7. Bruneau Stéphane., et al. “Facial Nerve Injury and Other Complications Following Retromandibular Subparotid Approach for the Management of Condylar Fractures”. Journal of Oral and Maxillofacial Surgery 4 (2018): 812-818.
  8. Moin Ayesha., et al. “Facial nerve injury in temporomandibular joint approache”. Annals of Maxillofacial Surgery 1 (2018): 51-55.
  9. Ravikumar Chandini and i Mimansa Bhoj. “Evaluation of postoperative complications of open reduction and internal fixation in the management of mandibular fractures: A retrospective study”. Indian Journal of Dental Research 1 (2019): 94-96.
  10. Reitzen Shari D., et al. “Significance and reliability of the House-Brackmann grading system for regional facial nerve function”. Otolaryngology - Head and Neck Surgery 2 (2009): 154-158.
  11. Baugh Reginald F., et al. “Clinical Practice Guideline: Bell’s Pals”. Otolaryngology-Head and Neck Surgery 149 (2013): S1-27.
  12. Rosenberg William and i Anna Donald. “Evidence based medicine: An Approach to clinical problem-solving”. BMJ (1995).
  13. Robinson Mara Wernick and i Jennifer Baiungo. “Facial Rehabilitation: Evaluation and Treatment Strategies for the Patient with Facial Palsy”. Otolaryngologic Clinics of North America 6 (2018): 1151-1167.
  14. Walker DTT., et al. “The psychosocial impact of facial palsy: Our experience in one hundred and twenty six patients”. Clinical Otolaryngology 6 (2012): 474-477.
  15. Butler., et al. “Facial palsy: What can the multidisciplinary team do?”. Journal of Multidisciplinary Healthcare 10 (2017): 377-381.
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Citation

Citation: Cristina Molas-Ferrer. "Facial Palsy Secondary to Mandibular Condyle Fracture Surgery. A Physiotherapy Approach Case Report”".Acta Scientific Medical Sciences 4.1 (2020): 09-13.



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