Volume 26, Issue 123, May 2022

A case report on the perks of physiotherapy rehabilitation for restoring facial function following parotidectomy paralysis

Tasneem Mustafa Lakkadsha¹, Shubhangi Patil^2♦, Rupali Thorat², Shivani Satish Lalwani¹, Sakina Shoeb Hussain Saifee¹

¹Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Sawangi, Wardha, Maharashtra, India
²Department of community health physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Sawangi, Wardha, Maharashtra, India

^♦Corresponding author
Department of community health physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Sawangi, Wardha, Maharashtra, India

ABSTRACT

Bell's palsy and temporomandibular joint (TMJ) pain are uncommon post-parotidectomy, but they should be handled as soon as feasible to avoid lasting deformities and disability. The following case is of a patient who has experienced this event. On postoperative day 3, he presented to the physiotherapy department with symptoms of loss of function on the left side of the face along with discomfort in the left TMJ while opening the mouth beyond a certain point. He was evaluated using a variety of outcome measures when he first started his physiotherapy regimen; after a month, a follow-up was conducted, and all of the outcome measures were analyzed again, showing favorable changes. For the treatment of Bell’s palsy electrical stimulations is fairly common but, in this case, due to the financial situation of the patient it could not be given hence he was managed using conventional and traditional physiotherapy methods including strengthening, range of motion exercises with proprioceptive neuromuscular facilitation and roods which are not given much importance but have resulted extremely beneficial in this kind of situation. To conclude, a well-planned physiotherapy regimen can help a patient recover from Bell's palsy and TMJ pain caused postoperatively to a total parotidectomy through conventional and traditional physiotherapy methods and brings it back to normal functioning.

Keywords: Bell’s palsy, Parotidectomy, Physiotherapy, Facial PNF

Medical Science, 2022, 26, ms170e2207

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DOI: https://doi.org/10.54905/disssi/v26i123/ms170e2207

Published: 11 May 2022