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Peripheral Facial Paralysis in People Living with Human Immunodeficiency Virus (HIV)

International Journal of Otolaryngology and Head & Neck Surgery 2024年第3期13卷 168-177页

作者： Lekassa Pierrette Andjock Nkouo Yves Christian Mouinga Abayi Alex Davy Assoumou Ada Prudence BiyeNgoghe Prudence Ngoma Manfoumbi Albert Brice Manfoumbi Manfoumbi Kévin Dimitri miloundja jerome Nzouba Léon ENT and CFS Department Omar Bongo Ondimba Army Instruction Hospital Libreville Gabon Department of Surgery and Surgical Specialties University of Health Sciences Owendo Gabon ENT and CFS Department Yaound&#233 General Hospital Yaound&#233 Cameroon Ophthalmology Department Omar Bongo Ondimba Army Instruction Hospital Libreville Gabon Ophthalmology Department Owendo University Hospital Center Libreville Gabon Internal Medicine Department Omar Bongo Ondimba Army Instruction Hospital Libreville Gabon

Introduction: Peripheral facial palsy (PFP) is a frequent reason for ENT consultations. It is a common complication of human immunodeficiency virus (HIV) infection. The aim of this study was to describe the diagnostic and therapeutic aspects and to establish the correlation between PFP and HIV in our context. Patients and Method: This was a retrospective descriptive study conducted in the ENT and CFS department of the HIAOBO, covering the medical records of patients hospitalized for taking a PFP on HIV terrain from January 1, 2016 to December 31, 2020. Results: The study involved 17 patients, 10 men (59%) and 7 women (41%), a sex ratio of 1.4. The average age was 39 years with the extremes of 11 and 69 years. Shopkeepers reported 9 cases (53%). The reason for consultation was facial asymmetry in 11 cases (100%). The delay in consultation during the first week was 82.4%. Clinical signs were unilateral facial asymmetry, the opening of the palpebral fissure and lacrimation. All patients received medical treatment for PFP and HIV. Evolution was favorable, with complete recovery and no sequelae in 82.4% of cases. Surgery was performed in one case. Conclusion: PFPs are common in HIV infection. Diagnosis is clinical and management is multidisciplinary. Progression depends on the length of time taken to treat the disease.

关键词： Peripheral Facial Paralysis HIV HIAOBO

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