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Botulinum toxin and facial palsy. Our experience
Toxina botulínica y parálisis facial. Nuestra experiencia
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What have we learnt?" 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Our experience" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "277" "paginaFinal" => "281" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "María Luisa Navarrete Álvaro, Josefina Junyent, Luisa Torrent" "autores" => array:3 [ 0 => array:4 [ "nombre" => "María Luisa" "apellidos" => "Navarrete Álvaro" "email" => array:1 [ 0 => "mlna@telefonica.net" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Josefina" "apellidos" => "Junyent" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "Luisa" "apellidos" => "Torrent" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Servicio de Otorrinolaringología, Hospital Universitario Vall d’Hebron, Barcelona, Spain" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Rehabilitación, Hospital Universitario de Bellvitge, Barcelona, Spain" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Servicio de Rehabilitación, Hospital Universitario Vall d’Hebron, Barcelona, Spain" "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Toxina botulínica y parálisis facial. Nuestra experiencia" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2009-12-09" "fechaAceptado" => "2010-02-09" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec81413" "palabras" => array:4 [ 0 => "Facial palsy" 1 => "Rehabilitation treatment" 2 => "Synkinesis" 3 => "Botulinum toxin" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec81414" "palabras" => array:4 [ 0 => "Parálisis facial" 1 => "Sincinesias" 2 => "Tratamiento rehabilitador" 3 => "Toxina botulínica" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Introduction and objectives</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Therapeutic indication of peripheral facial paralysis depends on the degree of nerve injury. Severe facial palsy (electroneuronographic study less than or equal to 10%) leads to healing with sequelae. The sequelae of facial paralysis are contractures, hemifacial spasm and synkinesis. Our purpose was to demonstrate that these patients could benefit from rehabilitation treatment.</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">We present a study of 48 patients with severe peripheral facial paralysis. They were treated from the beginning of reinnervation with botulinum toxin and facial exercises according to the Wisconsin School.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">The subjective efficacy of rehabilitation is high.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Rehabilitation treatment can inform patients about their chances of recovery, give them control over and quality of facial expression and help to achieve greater facial symmetry. These factors provide better functionality and quality of life.</p>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Introducción y objetivos</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">La indicación terapéutica de la parálisis facial periférica depende del grado de lesión nerviosa. Una parálisis facial severa (electroneuronografía menor o igual al 10%) evoluciona hacia una curación con secuelas. Las secuelas de una parálisis facial son las contracturas, el espasmo hemifacial y las sincinesias. El propósito de este trabajo es demostrar que este tipo de pacientes puede beneficiarse de un tratamiento rehabilitador.</p> <span class="elsevierStyleSectionTitle">Métodos</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Presentamos un estudio con 48 pacientes afectos de parálisis facial periférica severa. Fueron tratados a partir del inicio de la reinervación motora facial mediante ejercicios faciales según la Escuela de Wisconsin y toxina botulínica.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">La eficacia subjetiva de la rehabilitación es alta.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">El tratamiento rehabilitador permite informar al paciente sobre sus posibilidades de recuperación, tener un control y calidad de la mímica facial, lograr una mayor simetría facial y con ello dar una mejor funcionalidad y calidad de vida.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:8 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Electrodiagnóstico de la parálisis facial periférica. Parálisis facial periférica. Ponencia Soc Esp de ORL y PCF" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "J.M. Fernández" 1 => "I. Serra" 2 => "L. García" 3 => "M. Ferrándiz" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:3 [ "fecha" => "1984" "editorial" => "Garsi S. A" "editorialLocalizacion" => "Madrid: Ed" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Rehabilitación en la parálisis facial periférica Parálisis facial periférica. Ponencia Soc Esp de ORL y PCF. ed" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "L. García" 1 => "J.R. Goig" 2 => "J. Plaja" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:3 [ "fecha" => "1984" "editorial" => "Garsi S.A" "editorialLocalizacion" => "Madrid: Ed" ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib3" "etiqueta" => "3." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Toxina botulínica en el tratamiento de la parálisis facial" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "L.E. Bermudez" 1 => "M. Mateus" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Rev Colombiana de Cir Plast y Reconst" "fecha" => "2000" "volumen" => "6" "paginaInicial" => "24" "paginaFinal" => "30" ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib4" "etiqueta" => "4." 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Rita" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Int Rehab Med" "fecha" => "1982" "volumen" => "4" "paginaInicial" => "67" "paginaFinal" => "74" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735735/0000006100000004/v1_201304231442/S2173573510700491/v1_201304231442/en/main.assets" "Apartado" => array:4 [ "identificador" => "5887" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Original Article" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735735/0000006100000004/v1_201304231442/S2173573510700491/v1_201304231442/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173573510700491?idApp=UINPBA00004N" ]
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