Peripheral Facial Palsy and Mimicry after Rehabilitation

Abstract

Introduction: Peripheral facial palsy is relatively frequent in Department of Physical Medicine and Rehabilitation. Many studies show a benefice of rehabilitation in patients with Peripheral facial palsy. In Senegal, which a developing country with little materials and human means, our aim of study was to determine in those conditions, the contribution of the rehabilitation in the management of peripheral facial palsy. Methodology:A through a retrospective study on 1 year, 5 months, all patients followed for classical rehabilitation of peripheral facial paralysis in the Department of Physical Medicine, Fann National Teaching Hospital in Dakar, Senegal have been listed and the socio-demographic characteristics, the severity of the deficit according to the classification of Brack man and House, headquarters of the deficit and the etiology was noted. Patients, whose records have been enlisted, were summoned in February 2017 for an appreciation of the evolution of the facial paralysis and the felt functional gene.Results: Fifty-four(54) records of patients were enrolled. The sex ratio (H/F) was 1.25 and the average age of 40,8. Bell's palsy(68,51.%), otitis(16,66%) was the most frequent etiologia. The motor deficit was grade II in 18.51%, III(37.2%), IV(23.25%), V(11.62%), VI(9.3%). After rehabilitation, facial paralysis was grade I in 6% of cases, II(63.6%), III(15%), IV(9%), V(6%). The most expressed functional gene was about food. The leak of the drinks and the food bowl out of the mouth has been reported in 37.20% of cases.