Achados fonoaudiológicos em pacientes submetidos a anastomose hipoglosso facial

• Autor(a) principal: Silva, Elisabete C. C. F. [UNIFESP]
• Data de Publicação: 2003
• Outros Autores: Testa, Jose Ricardo Gurgel [UNIFESP], Fukuda, Yotaka [UNIFESP]
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Institucional da UNIFESP
• Texto Completo: http://dx.doi.org/10.1590/S0034-72992003000300013; http://repositorio.unifesp.br/handle/11600/1768
• topic: peripheral facial paralysis; facial hypoglosal anastomosis; chew; swallowing; speech; dysphage; paralisia facial periférica; anastomose hipoglosso-facial; mastigação; deglutição; fala; disfagia

The hypoglossal-facial anastomosis (HFA) have been related in patients with facial nerve lesion where proximal segment more other surgical produceres had been faited or had not been possible success. AIM: The objective of the present research is to verify the evidence of mobility in the phonoarticulate organs, speech function, chew and swallowing in patients sujected to HFA. STUDY DESIGN: Clinical prospective. MATERIAL AND METHOD: Eight patients with peripheral facial paralysis (PFP) were evaluated and subjected to HFA at UNIFESP/EPM in the period from 1989 to 2000, with 6 females and 2 males, aged between 21 and 71 years with an average of 50 years. Of these, 5 after exeresis of Acoustic Neurinoma, 1 after exeresis of Fibrosarcoma, 1 after a gunshot wound and 1 after idiopathic peripheral facial paralysis of poor evolution. In the phonoaudiological evaluation, the protocol used involved identification data; classification of the facial nerve; treatments carried out; facial symmetry in repose and on voluntary movement; synhinesis of the eyes, mouth, nose and cheeks; phonoarticulate and tongue disorders; changes in chew and of the palate and a questionary concerning the appearence of the respective disturbances. RESULTS: The degree of pos anastomosis and reabilitation ranged to the eyes between II and V and to the mouth between III and V (House & Brakemann, 1985). We came to the conclusion that the recover was satisfactory and important but patients'recover expectation were inferior. There have been noted: articulatory imprecision chewing disfunction, deficit sphincteral function of oral muscles and disphage.