Colesteatoma causando paralisia facial
Autor(a) principal: | |
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Data de Publicação: | 2003 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Institucional da UNIFESP |
Texto Completo: | http://dx.doi.org/10.1590/S0034-72992003000500011 http://repositorio.unifesp.br/handle/11600/1889 |
Resumo: | Facial paralysis caused by cholesteatoma is uncommon. The portions most frequently involved are horizontal (tympanic) and second genu segments. When cholesteatomas extend over the anterior epitympanic space, the facial nerve is placed in jeopardy in the region of the geniculate ganglion. The aetiology can be related to compression of the nerve followed by impairment of its blood supply or production of neurotoxic substances secreted from either the cholesteatoma matrix or bacteria enclosed in the tumor. AIM: To evaluate the incidence, clinical features and treatment of the facial palsy due cholesteatoma. STUDY DESIGN: Clinical retrospective. MATERIAL AND METHOD: Retrospective study of 10 cases of facial paralysis due cholesteatoma selected through a survey of 206 decompressions of the facial nerve due various aetiologies realized in the last 10 years in UNIFESP-EPM. RESULTS: The incidence of facial paralysis due cholesteatoma in this study was 4,85%, with female predominance (60%). The average age of the patients was 39 years. The duration and severity of the facial palsy associated with the extension of lesion were important for the functional recovery of the facial nerve. CONCLUSION: Early surgical approach is necessary in these cases to improve the nerve function more adequately. When disruption or intense fibrous replacement occurs in the facial nerve, nerve grafting (greater auricular/sural nerves) and/or hypoglossal facial anastomosis may be suggested. |
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Colesteatoma causando paralisia facialCholesteatoma causing facial paralysischolesteatomafacial nervefacial palsycolesteatomanervo facialparalisia facialFacial paralysis caused by cholesteatoma is uncommon. The portions most frequently involved are horizontal (tympanic) and second genu segments. When cholesteatomas extend over the anterior epitympanic space, the facial nerve is placed in jeopardy in the region of the geniculate ganglion. The aetiology can be related to compression of the nerve followed by impairment of its blood supply or production of neurotoxic substances secreted from either the cholesteatoma matrix or bacteria enclosed in the tumor. AIM: To evaluate the incidence, clinical features and treatment of the facial palsy due cholesteatoma. STUDY DESIGN: Clinical retrospective. MATERIAL AND METHOD: Retrospective study of 10 cases of facial paralysis due cholesteatoma selected through a survey of 206 decompressions of the facial nerve due various aetiologies realized in the last 10 years in UNIFESP-EPM. RESULTS: The incidence of facial paralysis due cholesteatoma in this study was 4,85%, with female predominance (60%). The average age of the patients was 39 years. The duration and severity of the facial palsy associated with the extension of lesion were important for the functional recovery of the facial nerve. CONCLUSION: Early surgical approach is necessary in these cases to improve the nerve function more adequately. When disruption or intense fibrous replacement occurs in the facial nerve, nerve grafting (greater auricular/sural nerves) and/or hypoglossal facial anastomosis may be suggested.A paralisia facial causada pelo colesteatoma é pouco freqüente. As porções do nervo mais acometidas são a timpânica e a região do 2º joelho. Nos casos de disseminação da lesão colesteatomatosa para o epitímpano anterior, o gânglio geniculado é o segmento do nervo facial mais sujeito à injúria. A etiopatogenia pode estar ligada à compressão do nervo pelo colesteatoma seguida de diminuição do seu suprimento vascular como também pela possível ação de substâncias neurotóxicas produzidas pela matriz do tumor ou pelas bactérias nele contidas. OBJETIVO: Avaliar a incidência, as características clínicas e o tratamento da paralisia facial decorrente da lesão colesteatomatosa. FORMA DE ESTUDO: Clínico retrospectivo. MATERIAL E MÉTODO: Estudo retrospectivo envolvendo dez casos de paralisia facial por colesteatoma selecionados através de levantamento de 206 descompressões do nervo facial com diferentes etiologias, realizadas na UNIFESP-EPM nos últimos dez anos. RESULTADOS: A incidência de paralisia facial por colesteatoma neste estudo foi de 4,85%,com predominância do sexo feminino (60%). A idade média dos pacientes foi de 39 anos. A duração e o grau da paralisia (inicial) juntamente com a extensão da lesão foram importantes em relação à recuperação funcional do nervo facial. CONCLUSÃO: O tratamento cirúrgico precoce é fundamental para que ocorra um resultado funcional mais adequado. Nos casos de ruptura ou intensa fibrose do tecido nervoso, o enxerto de nervo (auricular magno/sural) e/ou a anastomose hipoglosso-facial podem ser sugeridas.Universidade Federal de São Paulo (UNIFESP) Escola Paulista de MedicinaUNIFESP, EPMSciELOABORL-CCF Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-FacialUniversidade Federal de São Paulo (UNIFESP)Testa, Jose Ricardo Gurgel [UNIFESP]Vicente, Andy De Oliveira [UNIFESP]Abreu, Carlos E.c. [UNIFESP]Benbassat, Simone F. [UNIFESP]Antunes, Marcos L. [UNIFESP]Barros, Flávia A.2015-06-14T13:30:10Z2015-06-14T13:30:10Z2003-10-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion657-662application/pdfhttp://dx.doi.org/10.1590/S0034-72992003000500011Revista Brasileira de Otorrinolaringologia. ABORL-CCF Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial, v. 69, n. 5, p. 657-662, 2003.10.1590/S0034-72992003000500011S0034-72992003000500011.pdf0034-7299S0034-72992003000500011http://repositorio.unifesp.br/handle/11600/1889porRevista Brasileira de Otorrinolaringologiainfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-08-05T18:58:24Zoai:repositorio.unifesp.br/:11600/1889Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-08-05T18:58:24Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
dc.title.none.fl_str_mv |
Colesteatoma causando paralisia facial Cholesteatoma causing facial paralysis |
title |
Colesteatoma causando paralisia facial |
spellingShingle |
Colesteatoma causando paralisia facial Testa, Jose Ricardo Gurgel [UNIFESP] cholesteatoma facial nerve facial palsy colesteatoma nervo facial paralisia facial |
title_short |
Colesteatoma causando paralisia facial |
title_full |
Colesteatoma causando paralisia facial |
title_fullStr |
Colesteatoma causando paralisia facial |
title_full_unstemmed |
Colesteatoma causando paralisia facial |
title_sort |
Colesteatoma causando paralisia facial |
author |
Testa, Jose Ricardo Gurgel [UNIFESP] |
author_facet |
Testa, Jose Ricardo Gurgel [UNIFESP] Vicente, Andy De Oliveira [UNIFESP] Abreu, Carlos E.c. [UNIFESP] Benbassat, Simone F. [UNIFESP] Antunes, Marcos L. [UNIFESP] Barros, Flávia A. |
author_role |
author |
author2 |
Vicente, Andy De Oliveira [UNIFESP] Abreu, Carlos E.c. [UNIFESP] Benbassat, Simone F. [UNIFESP] Antunes, Marcos L. [UNIFESP] Barros, Flávia A. |
author2_role |
author author author author author |
dc.contributor.none.fl_str_mv |
Universidade Federal de São Paulo (UNIFESP) |
dc.contributor.author.fl_str_mv |
Testa, Jose Ricardo Gurgel [UNIFESP] Vicente, Andy De Oliveira [UNIFESP] Abreu, Carlos E.c. [UNIFESP] Benbassat, Simone F. [UNIFESP] Antunes, Marcos L. [UNIFESP] Barros, Flávia A. |
dc.subject.por.fl_str_mv |
cholesteatoma facial nerve facial palsy colesteatoma nervo facial paralisia facial |
topic |
cholesteatoma facial nerve facial palsy colesteatoma nervo facial paralisia facial |
description |
Facial paralysis caused by cholesteatoma is uncommon. The portions most frequently involved are horizontal (tympanic) and second genu segments. When cholesteatomas extend over the anterior epitympanic space, the facial nerve is placed in jeopardy in the region of the geniculate ganglion. The aetiology can be related to compression of the nerve followed by impairment of its blood supply or production of neurotoxic substances secreted from either the cholesteatoma matrix or bacteria enclosed in the tumor. AIM: To evaluate the incidence, clinical features and treatment of the facial palsy due cholesteatoma. STUDY DESIGN: Clinical retrospective. MATERIAL AND METHOD: Retrospective study of 10 cases of facial paralysis due cholesteatoma selected through a survey of 206 decompressions of the facial nerve due various aetiologies realized in the last 10 years in UNIFESP-EPM. RESULTS: The incidence of facial paralysis due cholesteatoma in this study was 4,85%, with female predominance (60%). The average age of the patients was 39 years. The duration and severity of the facial palsy associated with the extension of lesion were important for the functional recovery of the facial nerve. CONCLUSION: Early surgical approach is necessary in these cases to improve the nerve function more adequately. When disruption or intense fibrous replacement occurs in the facial nerve, nerve grafting (greater auricular/sural nerves) and/or hypoglossal facial anastomosis may be suggested. |
publishDate |
2003 |
dc.date.none.fl_str_mv |
2003-10-01 2015-06-14T13:30:10Z 2015-06-14T13:30:10Z |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1590/S0034-72992003000500011 Revista Brasileira de Otorrinolaringologia. ABORL-CCF Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial, v. 69, n. 5, p. 657-662, 2003. 10.1590/S0034-72992003000500011 S0034-72992003000500011.pdf 0034-7299 S0034-72992003000500011 http://repositorio.unifesp.br/handle/11600/1889 |
url |
http://dx.doi.org/10.1590/S0034-72992003000500011 http://repositorio.unifesp.br/handle/11600/1889 |
identifier_str_mv |
Revista Brasileira de Otorrinolaringologia. ABORL-CCF Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial, v. 69, n. 5, p. 657-662, 2003. 10.1590/S0034-72992003000500011 S0034-72992003000500011.pdf 0034-7299 S0034-72992003000500011 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
Revista Brasileira de Otorrinolaringologia |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
657-662 application/pdf |
dc.publisher.none.fl_str_mv |
ABORL-CCF Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial |
publisher.none.fl_str_mv |
ABORL-CCF Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UNIFESP instname:Universidade Federal de São Paulo (UNIFESP) instacron:UNIFESP |
instname_str |
Universidade Federal de São Paulo (UNIFESP) |
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UNIFESP |
institution |
UNIFESP |
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Repositório Institucional da UNIFESP |
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Repositório Institucional da UNIFESP |
repository.name.fl_str_mv |
Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP) |
repository.mail.fl_str_mv |
biblioteca.csp@unifesp.br |
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1814268294161498112 |