Navarro-Martínez María, Rodríguez-Fernández Paula, Núñez-Rodríguez Sandra, González-Bernal Jerónimo Javier
Rehabilitation Service of Río Hortega University Hospital, 47012 Valladolid, Spain.
Faculty of Legal Sciences, Education, and Humanities, Universidad Europea de Madrid, Villaviciosa de Odón, 28670 Madrid, Spain.
Medicina (Kaunas). 2025 May 20;61(5):925. doi: 10.3390/medicina61050925.
: Peripheral facial paralysis (PFP) is a condition with diverse etiologies, requiring multidisciplinary management. This study aimed to describe the sociodemographic, clinical, and functional characteristics of patients with PFP treated at the Rehabilitation Service of the University Hospital of Burgos and to evaluate factors associated with the initial degree of impairment. : A descriptive, cross-sectional study was conducted on 45 patients referred to the Rehabilitation Service from July 2018 to July 2023. Inclusion criteria included first-time rehabilitation visits for PFP during the study period with signed informed consent. Patients with prior PFP on the affected side or severe comorbidities, such as stroke, were excluded. Data were collected from medical records and initial evaluations. The Sunnybrook Facial Grading System (SFGS) was used to assess impairment. : Idiopathic paralysis was the most common etiology, with a predominance in men (60.9%) and middle-aged or older adults. Otorhinolaryngology was the leading referral service, though primary care referrals were underrepresented. Delays in initiating rehabilitation were identified, especially in complex cases like acoustic neurinoma. The ANOVA test revealed no significant differences in functional assessments based on age, sex, or etiology, likely due to the limited sample size. : The study highlights the predominance of idiopathic etiology in PFP and the importance of otorhinolaryngology in referrals. Greater awareness in primary care and early identification are crucial. Future studies with larger samples are needed to evaluate predictors of impairment and optimize rehabilitation strategies.
周围性面瘫（PFP）是一种病因多样的疾病，需要多学科管理。本研究旨在描述在布尔戈斯大学医院康复科接受治疗的PFP患者的社会人口学、临床和功能特征，并评估与初始损伤程度相关的因素。：对2018年7月至2023年7月转诊至康复科的45例患者进行了一项描述性横断面研究。纳入标准包括在研究期间因PFP首次进行康复就诊并签署知情同意书。排除患侧既往有PFP或患有严重合并症（如中风）的患者。数据从病历和初始评估中收集。采用桑尼布鲁克面部分级系统（SFGS）评估损伤情况。：特发性面瘫是最常见的病因，男性（60.9%）以及中年或老年成年人占多数。耳鼻喉科是主要的转诊科室，不过初级保健转诊的比例较低。发现康复启动存在延迟，尤其是在听神经瘤等复杂病例中。方差分析显示，基于年龄、性别或病因的功能评估无显著差异，这可能是由于样本量有限。：该研究强调了特发性病因在PFP中的主导地位以及耳鼻喉科在转诊中的重要性。提高初级保健意识和早期识别至关重要。需要开展更大样本量的未来研究来评估损伤的预测因素并优化康复策略。
