Use of low level laser therapy (LLLT) as an adjunct in treatment with combined therapies in patients with Peripheral Facial Palsy (PFP) Case Report

Use of low level laser therapy (LLLT) as an adjunct in treatment with combined therapies in patients with Peripheral Facial Palsy (PFP)
Case Report

Main Article Content

Mildren Baeza Castillo
Rodrigo Quivira
Cristian Bersezio Miranda

Abstract

Peripheral Facial Palsy is a neurological disorder that has motor and sensory consequences and affects the facial nerve. It causes alterations in the action of the muscles of the face, in the secretion of saliva, tears, and in the sense of taste. The objective of this publication is to report a case in which a treatment with minimally invasive combined therapies was performed together with the use of low-level laser therapy, in a 52-yearold female patient. With relevant medical history, referred for aesthetic evaluation and with unresolved moderate facial paralysis. She was subjected to laser therapy with wavelength (808 nm) and an energy of 3 Joules per session on the affected side, supplemented with Botulinum Toxin Type A, on the healthy side. The treatment of peripheral facial paralysis with minimally invasive combined therapies has proven to be a useful therapeutic tool for facial sequelae. In turn, low-level laser photobiomodulation therapy is promising as an adjunct in the nerve repair process, which would allow functional recovery of the facial nerve in the medium and long term.

References

Allen D, Dunn L. (2008) Aciclovir o valaciclovir para la parálisis de Bell (parálisis facial idiopática) (Revisión Cochrane traducida). En: La Biblioteca Cochrane Plus. Número 2. Oxford: Update Software Ltd. Disponible en: http: //www.update-software.com. (Traducida de The Cochrane Library, 2008 Issue 2. Chichester, UK: John Wiley & Sons, Ltd.).pdf

Amid, R., Kadkhodazadeh, M., Ahsaie, M. G., & Hakakzadeh, A. (2014). Effect of low level laser therapy on proliferation and differentiation of the cells contributing in bone regeneration. Journal of lasers in medical sciences, 5(4), 163–170.

Beurskens CH, Heymans PG.(2006) Mime therapy improves facial symmetry in people with long-term facial nerve paresis: a randomised controlled trial. Aust J Physiother. [serie en internet] [citada 24 Nov 2010]; 52(3):177-83.

Beurskens CH, Heymans PG.(2003) Positive effects of mime therapy on sequelae of facial paralysis: stiffness, lip mobility, and social and physical aspects of facial disability. Otol Neurotol. [serie en internet] [citada 24 Nov 2010];(; 24(4):677-81.

De Diego-Sastre JI, Prim-Espada MP, Fernández-García F.(2005). Epidemiología de la parálisis facial de Bell. Rev Neurol; 41 (5): 287-290.

Finsterer J.(2008).Management of peripheral facial nerve palsy. Eur Arch Otorhinolaryngol. [serie en internet] [citada 24 Nov 2010]; 265(7):743-52.

Hosseinpour, S., Fekrazad, R., Arany, P. R., & Ye, Q. (2019). Molecular impacts of photobiomodulation on bone regeneration: a systematic review. Progress in biophysics and molecular biology, 149, 147-159.

James, J.A.; Russel, W.R – Bell’s palsy: aetiology clinical couse and treatment. Lancet 2: 519. 1951.

Jabor MA, Gianoli G. Management of Bell’s palsy. J La State Med Soc. [serie en internet] 1996 Jul [citada 24 Nov 2010]; 148(7):279-83.

Jackson CG, Von Doersten PG. The facial nerve. Current trends in diagnosis, treatment, and rehabilitation. Med Clin North Am. 1999 Jan [citada 24 Nov 2010]; 83(1):179-95, x.

Karu, T. I. (1988) Molecular Mechanism of the therapeutic effect of low intensivety laser radiation. Laser in Life Science 2(1), 53 74.

Martin Cordero J M (2008) Agentes Físicos Terapéuticos. La Habana. Ed: Ciencias Médicas.

Mohammed IF, Al-Mustawfi N, Kaka LN. Promotion of regenerative processes in injured peripheral nerve induced by low-level laser therapy. Photomed Laser Surg. 2007 Apr; 25(2): 107-11.pdf

Mester, E., Mester, A. F. and Mester, A (1985). The biomedical effects of laser application. Lasers in Surgery and Medicine 5, 31 39.

Olson, J. (1981). Laser action spectrum of reduced excitability in nerve cells. Brain Research 204, 436-440.

Rochkind S, Leider-Trejo L, Nissan M, Shamir MH, Kharenko O, Alon M. (2007) Efficacy of 780-nm laser phototherapy on peripheral nerve regeneration after neurotube reconstruction procedure (double-blind randomized study). Photomed Laser Surg. [serie en internet] [citada 24 Nov 2010];25(3):137-43.

Weintraub MI, Herrmann DN, Smith AG, Backonja MM, Cole SP.(2009) Pulsed electromagnetic fields to reduce diabetic neuropathic pain and stimulate neuronal repair: a randomized controlled trial.90(7):1102-9.PMID: 19577022.pfd