Fotobiomodulación como terapia coadyuvante para la parálisis de Bell: una serie de casos
DOI:
https://doi.org/10.20453/reh.v34i3.5837Palabras clave:
terapia por drogas adjuvante, parálisis de Bell, terapia por luz de baja intensidadResumen
Este estudio evaluó la eficacia de la terapia por luz de baja intensidad (LLLT, por sus siglas en inglés) en el tratamiento de tres pacientes con parálisis de Bell (BP) y revisó la literatura relacionada. Un caso involucró a una mujer de 52 años con BP grado V, quien, después de recibir terapia con medicamentos y siete sesiones de LLLT (780 nm; 70 mW; E = 9 J), mejoró al grado II en 21 días. Otro caso, un hombre de 37 años, previamente no receptivo a tratamientos, se sometió a 24 sesiones de LLLT, pasando del grado V al II en 4 meses. Finalmente, un hombre de 40 años tratado con medicamentos y 8 sesiones de LLLT mejoró del grado V al I en 1,5 meses. En esencia, la LLLT mejoró significativamente las funciones faciales, la estética y el bienestar general de los pacientes en un corto período de tiempo.
Descargas
Citas
Zhao H, Zhang X, Tang Y, Jin Z, Wang X, Li S. Bell's palsy: clinical analysis of 372 cases and review of related literature. Eur Neurol [Internet]. 2017; 77(3-4): 168-172. Available from: https://doi.org/10.1159/000455073
House JW, Brackmann DE. Facial nerve grading system. Otolaryngol Head Neck Surg [Internet]. 1985; 93(2): 146-147. Available from: https://doi.org/10.1177/019459988509300202
Kandakurti PK, Shanmugam S, Basha SA, Amaravadi SK, Suganthirababu P, Gopal K, et al. The effectiveness of low-level laser therapy combined with facial expression exercises in patients with moderate-to-severe Bell's palsy: a study protocol for a randomised controlled trial. Int J Surg Protoc [Internet]. 2020; 24: 39-44. Available from: https://doi.org/10.1016/j.isjp.2020.11.001
Poloni MM, Marques NP, Ribeiro Junior NV, Sperandio FF, Hanemann JA, De Carli ML. Bell’s palsy treated with photobiomodulation in an adolescent: rare case report and review of the published literature. Int J Paediatr Dent [Internet]. 2018; 28(6): 658-662. Available from: https://doi.org/10.1111/ipd.12424
Javaherian M, Attarbashi Moghaddam B, Bashardoust Tajali S, Dabbaghipour N. Efficacy of low-level laser therapy on management of Bell's palsy: a systematic review. Lasers Med Sci [Internet]. 2020; 35(6): 1245-1252. Available from: https://doi.org/10.1007/s10103-020-02996-2
Ladalardo TC, Brugnera A Jr, Takamoto M, Pinheiro AL, Campos RA, Garrini AE, et al. Functional and electrophysiological evaluation of the effect of laser therapy in the treatment of peripheral facial paralysis. Lasers Dent VII [Internet]. 2001; 4249: 134-138. Available from: https://doi.org/10.1117/12.424489
Marques AM, Soares LG, Marques RC, Pinheiro AL, Dent M. Laser phototherapy as modality of clinical treatment in Bell’s palsy. Am Inst Phys [Internet]. 2011; 1364(1): 66-69. Available from: https://doi.org/10.1063/1.3626914
Fontana CR, Bagnato VS. Low-level laser therapy in pediatric bell’s palsy: case report in a 3-year old child. J Altern Complement Med [Internet]. 2013; 19(4): 376-382. Available from: https://doi.org/10.1089/acm.2011.0531
Rubis LM. Chiropractic management of Bell palsy with low level laser and manipulation: a case report. J Chiropr Med [Internet]. 2013; 12(4): 288-291. Available from: https://doi.org/10.1016/j.jcm.2013.10.001
Tanganeli JP, De Oliveira SS, Da Silva T, Fernandes KP, Motta LJ, Bussadori SK. Complete and fast recovery from idiopathic facial paralysis using laser-photobiomodulation. Case Rep Dent [Internet]. 2020; 2020(1): 9867693. Available from: https://doi.org/10.1155/2020/9867693
Panhóca VH, Nogueira MS, Bagnato VS. Laser and vacuum therapy for treatment of facial nerve palsies [Internet]. In: Wong BJ, Ilgner JF, editors. Imaging, Therapeutics, and Advanced Technology in Head and Neck Surgery and Otolaryngology. SPIE Digital Library; 2022. pp. 39-48. Available from: https://doi.org/10.1117/12.2610150
Gjurin SZ, Pang J, Vrčkovnik M, Hanna R. Efficacy of 1064 nm photobiomodulation dosimetry delivered with a collimated flat-top handpiece in the management of peripheral facial paralysis in patients unresponsive to standard treatment care: a case series. J Clin Med [Internet]. 2023; 12(19): 6294. Available from: https://doi.org/10.3390/jcm12196294
Nadhreen AA, Alamoudi NM, Elkhodary HM. Low‑level laser therapy in dentistry: extra‑oral applications. Niger J Clin Pract [Internet]. 2019; 22(10): 1313-1318. Available from: https://doi.org/10.4103/njcp.njcp_53_19
Gazoni FM, Malezan WR, Santos FC. B complex vitamins for analgesic therapy. Rev Dor [Internet]. 2016; 17(1): 52-56. Available from: https://doi.org/10.5935/1806-0013.20160013
Ordahan B, Karahan AY. Role of low-level laser therapy added to facial expression exercises in patients with idiopathic facial (Bell’s) palsy. Lasers Med Sci [Internet]. 2017; 32(4): 931-936. Available from: https://doi.org/10.1007/s10103-017-2195-9
Magazi D, Longombenza B, Mda S, Van der Meyden K, Motshwane M, Nanjoh M, et al. HIV infection, seasonality and younger age predicting incident Bell’s palsy among black South Africans. BMC Neurol [Internet]. 2020; 20: 381. Available from: https://doi.org/10.1186/s12883-020-01965-0
Monini S, Lazzarino AI, Iacolucci C, Buffoni A, Barbara M. Epidemiology of Bell’s palsy in an Italian health district: incidence and case-control study. Acta Otorhinolaryngol Ital [Internet]. 2010; 30(4): 198. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3008145/
Zhang W, Xu L, Luo T, Wu F, Zhao B, Li X. The etiology of Bell's palsy: a review. J Neurol [Internet]. 2019; 267(7): 1896-1905. Available from: https://doi.org/10.1007/s00415-019-09282-4
Mancini P, Bottaro V, Capitani F, De Soccio G, Prosperini L, Restaino P, et al. Recurrent Bell’s palsy: outcomes and correlation with clinical comorbidities. Acta Otorhinolaryngol Ital [Internet]. 2019; 39(5): 316-321. Available from: https://doi.org/10.14639/0392-100x-2415
Descargas
Publicado
Cómo citar
Número
Sección
Licencia
Derechos de autor 2024 Mailon Cury Carneiro, Fernanda Leme Silva, Brena Rodrigues Manzano, Ludimila Lemes Moura, Dayanne Simões Ferreira Santos, Cássia Maria Fischer Rubira, Paulo Sérgio da Silva Santos
Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.
Los autores conservan los derechos de autor y ceden a la revista el derecho de primera publicación, con el trabajo registrado con la Licencia de Creative Commons, que permite a terceros utilizar lo publicado siempre que mencionen la autoría del trabajo, y a la primera publicación en esta revista.