Moebius syndrome - improving outcome with combined state-of-the-art surgical and rehabilitation treatments

Detalhes bibliográficos
Autor(a) principal: Castro, João Paulo
Data de Publicação: 2021
Outros Autores: Vouga, Luís Afonso, Jorge, Inês Santos, Cunha, Maria Paz, Amorim, Rosa, Palhau, Lurdes
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://doi.org/10.25753/BirthGrowthMJ.v30.i2.18911
Resumo: Moebius Syndrome (MBS) is a rare disorder, characterized by congenital, non-progressive facial palsy and other cranial and limb defects. A typical “mask-like” appearance, drooling, and indistinct speech comprise the dominant features. Treatment focuses on correcting deformities and enhancing functionality. Surgical free functional muscle transfer (FFMT) is the gold standard for facial reanimation. A comprehensive rehabilitation program addressing motor, cognitive, and social impairment is paramount, despite the scarcity of knowledge regarding MBS rehabilitation, especially concerning central nervous system reorganization. A six-year-old boy with MBS received treatment in our Department since the age of four months, including speech, physical, and occupational therapy. Recently, he underwent facial reanimation surgery. The authors believe that rehabilitation improved the patient’s outcome by enhancing cortical representation before and neuroplasticity after surgery. Coordination of both interventions seems pivotal to fully address MBS.
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spelling Moebius syndrome - improving outcome with combined state-of-the-art surgical and rehabilitation treatmentsSíndrome de moebius – melhorar o prognóstico com tratamentos cirúrgicos e de reabilitação de pontaCase ReportsMoebius Syndrome (MBS) is a rare disorder, characterized by congenital, non-progressive facial palsy and other cranial and limb defects. A typical “mask-like” appearance, drooling, and indistinct speech comprise the dominant features. Treatment focuses on correcting deformities and enhancing functionality. Surgical free functional muscle transfer (FFMT) is the gold standard for facial reanimation. A comprehensive rehabilitation program addressing motor, cognitive, and social impairment is paramount, despite the scarcity of knowledge regarding MBS rehabilitation, especially concerning central nervous system reorganization. A six-year-old boy with MBS received treatment in our Department since the age of four months, including speech, physical, and occupational therapy. Recently, he underwent facial reanimation surgery. The authors believe that rehabilitation improved the patient’s outcome by enhancing cortical representation before and neuroplasticity after surgery. Coordination of both interventions seems pivotal to fully address MBS.A síndrome de Moebius (MBS) é rara e caracteriza-se por paralisia facial e outros defeitos congénitos não-progressivos do crânio e membros. O fácies inexpressivo, a sialorreia abundante e o discurso ininteligível constituem as características dominantes. O tratamento visa corrigir deformidades e otimizar a função. A transferência de enxerto muscular funcional (FFMT) é o gold standard na cirurgia de reanimação facial. Um programa de reabilitação abrangente dirigido às limitações motoras, cognitivas e funcionais também é fundamental, apesar da escassez de conhecimento acerca da reabilitação na MBS, sobretudo no que diz respeito à reorganização do sistema nervoso central. Um rapaz de seis anos com MBS recebeu tratamento no nosso Departamento desde os quatro meses, incluindo terapia da fala, fisioterapia e terapia ocupacional. Recentemente, foi submetido a cirurgia de reanimação facial noutra instituição. Os autores acreditam que a reabilitação melhorou o resultado final, ao potenciar a representação cortical antes e a neuroplasticidade após a cirurgia. A coordenação entre ambas as intervenções parece essencial para o tratamento holístico do MBS.Centro Hospitalar Universitário do Porto2021-06-30T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://doi.org/10.25753/BirthGrowthMJ.v30.i2.18911eng2183-9417Castro, João PauloVouga, Luís AfonsoJorge, Inês SantosCunha, Maria PazAmorim, RosaPalhau, Lurdesinfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2022-09-21T14:55:37Zoai:ojs.revistas.rcaap.pt:article/18911Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T15:56:30.773257Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Moebius syndrome - improving outcome with combined state-of-the-art surgical and rehabilitation treatments
Síndrome de moebius – melhorar o prognóstico com tratamentos cirúrgicos e de reabilitação de ponta
title Moebius syndrome - improving outcome with combined state-of-the-art surgical and rehabilitation treatments
spellingShingle Moebius syndrome - improving outcome with combined state-of-the-art surgical and rehabilitation treatments
Castro, João Paulo
Case Reports
title_short Moebius syndrome - improving outcome with combined state-of-the-art surgical and rehabilitation treatments
title_full Moebius syndrome - improving outcome with combined state-of-the-art surgical and rehabilitation treatments
title_fullStr Moebius syndrome - improving outcome with combined state-of-the-art surgical and rehabilitation treatments
title_full_unstemmed Moebius syndrome - improving outcome with combined state-of-the-art surgical and rehabilitation treatments
title_sort Moebius syndrome - improving outcome with combined state-of-the-art surgical and rehabilitation treatments
author Castro, João Paulo
author_facet Castro, João Paulo
Vouga, Luís Afonso
Jorge, Inês Santos
Cunha, Maria Paz
Amorim, Rosa
Palhau, Lurdes
author_role author
author2 Vouga, Luís Afonso
Jorge, Inês Santos
Cunha, Maria Paz
Amorim, Rosa
Palhau, Lurdes
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Castro, João Paulo
Vouga, Luís Afonso
Jorge, Inês Santos
Cunha, Maria Paz
Amorim, Rosa
Palhau, Lurdes
dc.subject.por.fl_str_mv Case Reports
topic Case Reports
description Moebius Syndrome (MBS) is a rare disorder, characterized by congenital, non-progressive facial palsy and other cranial and limb defects. A typical “mask-like” appearance, drooling, and indistinct speech comprise the dominant features. Treatment focuses on correcting deformities and enhancing functionality. Surgical free functional muscle transfer (FFMT) is the gold standard for facial reanimation. A comprehensive rehabilitation program addressing motor, cognitive, and social impairment is paramount, despite the scarcity of knowledge regarding MBS rehabilitation, especially concerning central nervous system reorganization. A six-year-old boy with MBS received treatment in our Department since the age of four months, including speech, physical, and occupational therapy. Recently, he underwent facial reanimation surgery. The authors believe that rehabilitation improved the patient’s outcome by enhancing cortical representation before and neuroplasticity after surgery. Coordination of both interventions seems pivotal to fully address MBS.
publishDate 2021
dc.date.none.fl_str_mv 2021-06-30T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://doi.org/10.25753/BirthGrowthMJ.v30.i2.18911
url https://doi.org/10.25753/BirthGrowthMJ.v30.i2.18911
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 2183-9417
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Centro Hospitalar Universitário do Porto
publisher.none.fl_str_mv Centro Hospitalar Universitário do Porto
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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