The document discusses facial paralysis, including its definition, epidemiology, physiology, anatomy, types of lesions, clinical presentation, diagnosis, classification, complementary studies, and treatment. It notes that the incidence of facial paralysis is 20-30 per 100,000 people per year, 60-75% are peripheral palsies, and 90% of patients recover.

1. Paralisis facial
Federico Failach Navar r o
Residente en Medicina Inter na
Univer sidad del Sinú

2. DEFINICION
VII PAR
N ENGL J MED 351;13 WWW.NEJM.ORG SEPTEMBER 23, 2009; Am Fam Physician 2007;76:
997-1052; Otolaryngol Clin N Am 41 (2008) 619-632

3. EPIDEMIOLOGIA
 Incidencia de 20-30/100.000 H x año
 60-75% son paralisis perifericas
 masculino : femenino
 izquierdo : derecho
 edad media 40 años.
 90% de los pacientes se recuperan.
N ENGL J MED 351;13 WWW.NEJM.ORG SEPTEMBER 23, 2009; Am Fam Physician
2007;76: 997-1052; Otolaryngol Clin N Am 41 (2008) 619-632

4. FISIOLOGIA
 Función motora
 Función sensitiva
 Función sensorial
 Función secretora
N ENGL J MED 351;13 WWW.NEJM.ORG SEPTEMBER 23, 2009; Am Fam
Physician 2007;76: 997-1052; Otolaryngol Clin N Am 41 (2008) 619-632

5. ANATOMIA
N ENGL J MED 351;13 WWW.NEJM.ORG SEPTEMBER 23, 2009; Am Fam Physician 2007;76: 9971052; Otolaryngol Clin N Am 41 (2008) 619-632

6. TIPOS DE LESIONES
N ENGL J MED 351;13 WWW.NEJM.ORG SEPTEMBER 23, 2009; Am Fam Physician
2007;76: 997-1052; Otolaryngol Clin N Am 41 (2008) 619-632

7. CUADRO CLINICO
N ENGL J MED 351;13 WWW.NEJM.ORG SEPTEMBER 23, 2009; Am Fam Physician
2007;76: 997-1052; Otolaryngol Clin N Am 41 (2008) 619-632

8. CENTRAL O PERIFERICA
N ENGL J MED 351;13 WWW.NEJM.ORG SEPTEMBER 23, 2009; Am Fam Physician
2007;76: 997-1052; Otolaryngol Clin N Am 41 (2008) 619-632

9. DIAGNOSTICOS
DIFERENCIALES
N ENGL J MED 351;13 WWW.NEJM.ORG SEPTEMBER 23, 2009; Am Fam Physician
2007;76: 997-1052; Otolaryngol Clin N Am 41 (2008) 619-632

10. CLASIFICAR
N ENGL J MED 351;13 WWW.NEJM.ORG SEPTEMBER 23, 2009; Am Fam Physician
2007;76: 997-1052; Otolaryngol Clin N Am 41 (2008) 619-632

11. ESTUDIOS
COMPLEMENTARIOS
• Hemograma, glicemia, serologia HIV. otros
• Electromiografia facial
• Electroneurografia
• TAC craneo
• RNM con contraste.
N ENGL J MED 351;13 WWW.NEJM.ORG SEPTEMBER 23, 2009; Am Fam Physician
2007;76: 997-1052; Otolaryngol Clin N Am 41 (2008) 619-632

12. TRATAMIENTO
N ENGL J MED 351;13 WWW.NEJM.ORG SEPTEMBER 23, 2009; Am Fam
Physician 2007;76: 997-1052; Otolaryngol Clin N Am 41 (2008) 619-632