[Peripheral facial paralysis as asymmetry problem].
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Sagittal split ramus osteotomy creates an internal and an external valves. In an 18-year-old girl with class III dysmorphism, a bone spur on the internal valve compressed the facial nerve during the mandibular setback, leading to facial palsy after three days. We propose a surgical procedure and discuss short-term and long-term outcomes.
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INTRODUCTION: Facial nerve palsy is a frequent situation of varying etiology and the former concept of frozen facial nerves is progressively being abandoned. The HTLV-1 virus, endemic to some tropical areas, is one of the most recent causes discovered. OBSERVATIONS: We present two HTLV-1 seropositive patients of Caribbean origin who developed facial palsy and several complications related to this retrovirus. COMMENTS: When confronted with facial palsy, the presence of risk factors for HTLV-1 infection (particularly when native in high seroprevalence areas) must lead to serological examinations in the search for this retrovirus.
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