The use of face masks in patients with idiopathic peripheral facial palsy: a socially positive event in times of COVID-19?

Authors

  • Gabriela Flores-Mondragón Servicio de Farmacología del Ejercicio. División de Neurociencias Básicas.
  • Saúl Renán León-Hernández Unidad de Apoyo a la Investigación.
  • Edna Carrillo-Pacheco Rehabilitación de los Trastornos de la Audición y Equilibrio.
  • Norma Angélica Hernández-Campos Servicio de Farmacología del Ejercicio.
  • Osvaldo Ángeles Zavala Unidad de Apoyo a la Investigación. Escuela Nacional de Antropología e Historia (ENAH). México.
  • Marco Antonio Flores Mondragón Rehabilitación Laboral y Educativa.
  • Rogelio Paniagua Pérez Laboratorio de Bioquímica del Instituto Nacional de Rehabilitación «Luis Guillermo Ibarra Ibarra» (INR-LGII), Secretaría de Salud. CDMX, México.
  • Javier González Damián Hospital Regional Sur del ISSSTE. México.
  • Shendel Fernanda Galicia Fragoso Escuela Nacional de Antropología e Historia (ENAH). México.
  • Gabriel Vega Martínez Servicio de Farmacología del Ejercicio.
  • Carlos Francisco-Argüelles Servicio de Farmacología del Ejercicio.

DOI:

https://doi.org/10.35366/112698

Keywords:

idiopathic peripheral facial palsy, face masks, COVID-19 pandemic, stress, quality of life

Abstract

Introduction: the various impacts from psychological, social interaction, and quality of life perspective

in patients with idiopathic peripheral facial palsy (IPFP) have been studied since 1990. There are

reports on the generation of stress, anguish, anxiety, depression, and low self-esteem faced as a

social disability. Objective: to evaluate the socially positive effect of the use of face masks due to the

COVID-19 pandemic in patients with IPFP. Material and methods: 112 patients that participated

in 2015 in a study of angular facial asymmetry using photogrammetry (House-Brackmann or H-B

as reference). Two groups were formed: group A (n = 66) recruited in 2015-2016 (pre-COVID-19

pandemic) and group B (n = 46) recruited in 2020-2021 (during the pandemic). Group B with

mandatory use of face masks. IPFP with less than three months of evolution. Student’s t test was

applied for comparisons, Shapiro-Wilk for normality. Analysis of variance of two factors (group*H-B)

to compare the performance in each sphere of the index of functionality (physical and social),

p < 0.05. Results: the groups were comparable in age (p = 0.31), gender distribution (p = 0.11),

functional grades on the H-B scale (p = 0.74), and time of evolution of IPFP (p = 0.06). In social

function, the results were reverse: the cases of severe dysfunction in group B (during the pandemic)

had a higher average social functionality than group A (p = 0.05). In the cases of mild/moderate

dysfunction, the means of social function were very similar (p = 0.80). Conclusions: the daily

use of face masks in patients with IPFP could have a positive impact on their clinical evolution by

reducing stress and increasing their quality of life.

References

Díaz-Aristizabal U, Valdés-Vilches M, Fernández-

Ferreras TR, Calero-Muñoz E, Bienzobas-Allué E,

Moracén-Naranjo T. Correlations between impairment,

psychological distress, disability, and quality of life in

peripheral facial palsy. Neurologia (Engl Ed). 2019; 34

(7): 423-428.

Pichardo E, Tlapa A. Consideraciones acerca de

la parálisis facial: La importancia de los aspectos

psicológicos dentro del tratamiento [Tesis de

licenciatura]. México: Universidad Nacional Autónoma

de México; 1995.

Rodríguez-Rodríguez KV, Torres-Sánchez E,

Rodríguez-Ortiz MD. Efecto del estrés en las sincinesias

en pacientes con parálisis facial periférica idiopática

crónica. Revista Latinoamericana de Medicina

Conductual. 2016; 7 (1): 9-15.

Quesada P, López D, Quesada J. Parálisis facial

periférica, complicaciones y secuelas. LXI Congreso

Nacional de la Sociedad Española de Otorrinolaringología

y Patología Cérvico-Facial. Barcelona, España: MSD-

Ediciones Médicas; 2010.

Simón López MA, Amenedo Losada E. Manual de

psicología clínica. Ediciones Pirámide; 2001.

Liriano RYG, Magalhaes SLBd, Barros F, Testa JRG,

Fukuda Y. Relacao da presença de hiperacusia em

pacientes com paralisia facial periférica de Bell. Rev

Bras Otorrinolaringol. 2004; 70: 776-779.

Dong SH, Jung AR, Jung J, Jung SY, Byun JY, Park MS

et al. Recurrent Bell’s palsy. Clin Otolaryngol. 2019; 44

(3): 305-312.

Pereira VH, Campos I, Sousa N. The role of autonomic

nervous system in susceptibility and resilience to stress.

Curr Opin Behav Sci. 2017; 14: 102-107.

Kamatani M, Ito M, Miyazaki Y, Kawahara JI. Effects

of masks worn to protect against COVID-19 on the

perception of facial attractiveness. Iperception. 2021;

(3): 20416695211027920.

Flores-Mondragón G, Paredes-Espinoza MA,

Hernández-Campos NA, Sánchez-Chapul L, Paniagua-

Pérez R, Martínez-Canseco C. Facial anthropometry: a

tool for quantitative evaluation in patients with peripheral

facial paralysis. Int J Sci Eng Res. 2015; 6 (5): 1657.

Cardero EG, Infante-Cossio P, Domínguez AC, Feria

MA, Pérez JL. Índice de discapacidad facial (IDF):

adaptación al castellano, fiabilidad y validez. Med Oral

Patol Oral Cir Bucal. 2013; 18: 59-65.

Ozden F, Tumturk I, Sari Z. Psychometric properties of

the Facial Disability Index in patients with facial palsy: a

systematic review and meta-analysis. Neurol Sci. 2022;

(7): 4157-4165.

Carbon CC. Wearing face masks strongly confuses

counterparts in reading emotions. Front Psychol. 2020;

: 566886.

Pérez Chávez E, Gámez Martínez C, Guzmán González

JM, Escobar Rodríguez D, López Roldán VM, Montes

de Oca RD et al. Guía clínica para la rehabilitación del

paciente con parálisis facial periférica. Rev Med IMSS.

; 42 (5): 425-436.

Instituto Nacional de Rehabilitación. Programa de

ejercicios institucional. Mecanoterapia (Mesoterapia y

ejercicios terapéuticos). Instrucción de trabajo, versión

ISO 9001:2015.

Barry P, Mancini J, Alshukry A, Salburgo F, Lavieille JP,

Montava M. Validation of French versions of the Facial

Disability Index and the Facial Clinimetric Evaluation

Scale, specific quality of life scales for peripheral facial

palsy patients. Clin Otolaryngol. 2019; 44 (3): 313-322.

Published

2023-12-31

How to Cite

1.
Flores-Mondragón G, León-Hernández SR, Carrillo-Pacheco E, Hernández-Campos NA, Ángeles Zavala O, Flores Mondragón MA, et al. The use of face masks in patients with idiopathic peripheral facial palsy: a socially positive event in times of COVID-19?. InDiscap [Internet]. 2023 Dec. 31 [cited 2024 Nov. 14];9(3):129-35. Available from: https://dsm.inr.gob.mx/indiscap/index.php/INDISCAP/article/view/50

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