Volume 58, Issue 10 pp. 1175-1183
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Evaluation of the body image of patients with facial palsy before and after the application of botulinum toxin

Viviane F. de Carvalho PhD, RN

Corresponding Author

Viviane F. de Carvalho PhD, RN

Nursing Postgraduate Program of Guarulhos University, Guarulhos, Brazil

Correspondence

Viviane Fernandes de Carvalho, phd, rn

Nursing Postgraduate Program of Guarulhos University

AntônioRibeiro de Moraes

264 – ap: 101-3

Guarulhos 02751-000

Brazil

E-mails: [email protected]; [email protected]

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Ana Paula S. Vieira MS, RN

Ana Paula S. Vieira MS, RN

Nursing Postgraduate Program of Guarulhos University, Guarulhos, Brazil

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Andre O. Paggiaro PhD, MD

Andre O. Paggiaro PhD, MD

Nursing Postgraduate Program of Guarulhos University, Guarulhos, Brazil

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Alessandra G. Salles PhD, MD

Alessandra G. Salles PhD, MD

Plastic Surgery Division, Hospital das Clínicas, Faculty of Medicine, University of São Paulo, Sao Paulo, Brazil

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Rolf Gemperli PhD, MD

Rolf Gemperli PhD, MD

Plastic Surgery Division, Hospital das Clínicas, Faculty of Medicine, University of São Paulo, Sao Paulo, Brazil

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First published: 25 March 2019
Citations: 15
Conflicts of interest: The authors have disclosed no financial relationships related to this article.

Abstract

Background

The face is responsible for nonverbal communication. Facial nerve paralysis, which is the weakness or paralysis of the nerve responsible for the innervation of the muscles that perform these movements, is a condition that can raise serious physical, psychological, social, professional, aesthetic, and functional disorders. The physical aspect has a disastrous effect on the patient's self-image and emotional state. This study aimed to evaluate the self-image of patients with facial paralysis through the Body Image Quality Life Index (BIQLI), pre- and postclinical treatment with botulinum toxin.

Method

A prospective, exploratory, comparative cohort was carried out, with quantitative analysis of the variables with 40 patients with facial paralysis treated by the Ambulatory of Plastic Surgery of Hospital das Clínicas, Faculty of Medicine, University of São Paulo. The Sociodemographic and clinical instrument and the BIQLI were applied. Descriptive statistics and statistical inference were used to perform the analyses.

Results

It was found that the majority of the paralysis occurred in female individuals (55%), with an average age of 47,875 (DP), single and married (38.88%), and with secondary education completed (16.66%).

Conclusion

The body image evaluation of patients with facial paralysis submitted to the botulinum toxin treatment showed an ability to identify the positive impact of therapy in the period between 15 and 180 days by the BIQLI.

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