{"id":19520,"date":"2024-08-29T07:31:14","date_gmt":"2024-08-29T06:31:14","guid":{"rendered":"https:\/\/centrekine.com\/luxacion-temporomandibular-atm-sintomas-diagnostico-tratamientos\/"},"modified":"2025-01-27T10:18:55","modified_gmt":"2025-01-27T09:18:55","slug":"luxacio-temporomandibular-atm-simptomes-diagnostic-i-tractaments","status":"publish","type":"post","link":"https:\/\/centrekine.com\/ca\/luxacio-temporomandibular-atm-simptomes-diagnostic-i-tractaments\/","title":{"rendered":"Luxaci\u00f3 Temporomandibular (ATM): s\u00edmptomes, diagn\u00f2stic i tractaments"},"content":{"rendered":"<p><span style=\"font-weight: 400;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Les <\/span><\/span><\/span><b><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">articulacions temporomandibulars <\/span><\/span><\/b><span style=\"font-weight: 400;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">(ATM) s\u00f3n crucials per a funcions quotidianes com ara parlar i mastegar. Tot i aix\u00f2, problemes a l&#8217; <\/span><\/span><\/span><b><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">ATM <\/span><\/span><\/b><span style=\"font-weight: 400;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">poden causar des de dolor facial i limitaci\u00f3 de moviment fins a mals de cap freq\u00fcents. En aquest article del <\/span><\/span><\/span><a href=\"https:\/\/centrekine.com\/ca\/blog\/\"><span style=\"font-weight: 400;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">bloc<\/span><\/span><\/span><\/a><span style=\"font-weight: 400;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> , explicarem en detall la <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">luxaci\u00f3 temporomandibular (ATM)<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> i els tractaments especialitzats que oferim a <\/span><\/span><\/span><b><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Centre Kine <\/span><\/span><\/b><span style=\"font-weight: 400;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">per pal\u00b7liar aquest trastorn.<\/span><\/span><\/span><\/p>\n<h2><b><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Luxaci\u00f3 Temporomandibular: qu\u00e8 \u00e9s i com es pot tractar<\/span><\/span><\/b><\/h2>\n<p><span style=\"font-weight: 400;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Les <\/span><\/span><\/span><b><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">articulacions temporomandibulars <\/span><\/span><\/b><span style=\"font-weight: 400;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">s\u00f3n essencials per a la nostra capacitat de parlar i mastegar de manera eficient. Aquesta complexa estructura permet moviments tant de frontissa com lliscants, facilitant la interacci\u00f3 entre la mand\u00edbula i el crani.<\/span><\/span><\/span><\/p>\n<p><span style=\"font-weight: 400;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Tot i aix\u00f2, quan sorgeixen problemes en l&#8217;articulaci\u00f3 temporomandibular ( <\/span><\/span><\/span><b><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">ATM <\/span><\/span><\/b><span style=\"font-weight: 400;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">) i els m\u00fasculs circumdants, una s\u00e8rie de s\u00edmptomes poden manifestar-se:<\/span><\/span><\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Dolor muscular <\/span><\/span><\/b><span style=\"font-weight: 400;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">que s&#8217;est\u00e9n per la cara, la mand\u00edbula i\/o el coll.<\/span><\/span><\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Rigidesa als m\u00fasculs de la mand\u00edbula i coll.<\/span><\/span><\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Restricci\u00f3 o bloqueig del <\/span><\/span><\/span><b><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">moviment mandibular <\/span><\/span><\/b><span style=\"font-weight: 400;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">.<\/span><\/span><\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Espetecs dolorosos en obrir i\/o tancar la boca.<\/span><\/span><\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Canvis a l&#8217;alineaci\u00f3 de les dents superiors i inferiors.<\/span><\/span><\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Dolor a les orelles.<\/span><\/span><\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">El <\/span><\/span><\/span><b><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">dolor cr\u00f2nic <\/span><\/span><\/b><span style=\"font-weight: 400;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">(de m\u00e9s de 3 mesos de durada) pot tenir repercussions a llarg termini, com ara depressi\u00f3, ansietat i freq\u00fcents mals de cap.<\/span><\/span><\/span><\/p>\n<h2><b><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Causes del dolor articular a l&#8217;ATM:<\/span><\/span><\/b><\/h2>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Erosi\u00f3 o <\/span><\/span><\/span><b><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">despla\u00e7ament del disc <\/span><\/span><\/b><span style=\"font-weight: 400;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">: el <\/span><\/span><\/span><b><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">disc articular <\/span><\/span><\/b><span style=\"font-weight: 400;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">pot erosionar-se o sortir de la seva posici\u00f3 correcta, cosa que provoca una luxaci\u00f3 o subluxaci\u00f3.<\/span><\/span><\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Dany al cart\u00edlag per <\/span><\/span><\/span><b><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">artritis <\/span><\/span><\/b><span style=\"font-weight: 400;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">o traumatisme: l&#8217;articulaci\u00f3 es pot fer malb\u00e9 per aquests motius.\u00a0<\/span><\/span><\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">H\u00e0bits com el <\/span><\/span><\/span><a href=\"https:\/\/www.nidcr.nih.gov\/espanol\/temas-de-salud\/el-bruxismo#:~:text=El%20bruxismo%20es%20una%20afecci%C3%B3n,se%20est%C3%A1%20despierto%20o%20dormido.\" target=\"_blank\" rel=\"noopener\"><b><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">bruxisme<\/span><\/span><\/b><\/a><span style=\"font-weight: 400;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> : grinyolar les dents pot exercir pressi\u00f3 addicional sobre l&#8217;ATM, causant dolor i disfunci\u00f3.<\/span><\/span><\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">En alguns casos, el <\/span><\/span><\/span><a href=\"https:\/\/www.ortodonciaialonso.com\/blog\/quina-funcio-te-el-condil-mandibular\/\" target=\"_blank\" rel=\"noopener\"><b><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">c\u00f2ndil<\/span><\/span><\/b><\/a><span style=\"font-weight: 400;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> (part de la mand\u00edbula que s&#8217;articula amb el crani) es pot despla\u00e7ar de la seva posici\u00f3 normal, especialment en persones amb hiperlaxitud articular. Aquest despla\u00e7ament pot resultar en una luxaci\u00f3, on el c\u00f2ndil queda bloquejat i no pot tornar a la seva posici\u00f3 original, cosa que impedeix el tancament complet de la boca.\u00a0<\/span><\/span><\/span><\/p>\n<p><span style=\"font-weight: 400;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">En una subluxaci\u00f3, el c\u00f2ndil es despla\u00e7a en obrir la boca, per\u00f2 pot tornar al seu lloc en tancar-la.<\/span><\/span><\/span><\/p>\n<h2><b><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Tipus de subluxacions amb disc despla\u00e7at:<\/span><\/span><\/b><\/h2>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><i><span style=\"font-weight: 400;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Subluxaci\u00f3 amb reducci\u00f3<\/span><\/span><\/span><\/i><span style=\"font-weight: 400;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> . En aquest cas, el disc es despla\u00e7a durant el tancament de la boca, per\u00f2 pot tornar a la seva posici\u00f3 en obrir-la. Aix\u00f2 pot estar acompanyat d&#8217;un lleuger &#8221; <\/span><\/span><em><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">click<\/span><\/span><\/em><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> &#8221; en moure la mand\u00edbula.<\/span><\/span><\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><i><span style=\"font-weight: 400;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Subluxaci\u00f3 sense reducci\u00f3.<\/span><\/span><\/span><\/i><span style=\"font-weight: 400;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> En aquesta situaci\u00f3, el <\/span><\/span><\/span><b><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">c\u00f2ndil queda bloquejat <\/span><\/span><\/b><span style=\"font-weight: 400;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">i no pot tornar a la seva posici\u00f3 original, cosa que dificulta el moviment mandibular.<\/span><\/span><\/span><\/li>\n<\/ul>\n<h2><b><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Diagn\u00f2stic i tractament especialitzat a Centre Kine<\/span><\/span><\/b><\/h2>\n<p><span style=\"font-weight: 400;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Al <\/span><\/span><\/span><b><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Centre Kine <\/span><\/span><\/b><span style=\"font-weight: 400;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">, comptem amb terapeutes altament especialitzats en el <\/span><\/span><\/span><b><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">tractament de l&#8217;ATM <\/span><\/span><\/b><span style=\"font-weight: 400;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">. Realitzem una avaluaci\u00f3 completa que abasta des d&#8217;un examen manual fins a l&#8217;an\u00e0lisi del rang de moviment, tipus de mossegada i altres s\u00edmptomes com ara dolor i rigidesa.<\/span><\/span><\/span><\/p>\n<h3><b><i><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Quins tractaments apliquem a Centre Kine?<\/span><\/span><\/i><\/b><\/h3>\n<p><a href=\"https:\/\/centrekine.com\/tratamientos\/\"><span style=\"font-weight: 400;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Els nostres tractaments<\/span><\/span><\/span><\/a><span style=\"font-weight: 400;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> inclouen:<\/span><\/span><\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">T\u00e8cniques de <\/span><\/span><\/span><b><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">fisioter\u00e0pia <\/span><\/span><\/b><span style=\"font-weight: 400;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">per millorar la mobilitat articular<\/span><\/span><\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Correcci\u00f3 del despla\u00e7ament discal<\/span><\/span><\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">T\u00e8cnica miofascial<\/span><\/span><\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Relaxaci\u00f3 de la musculatura <\/span><\/span><\/b><span style=\"font-weight: 400;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">orofacial, oclusora i cervical.<\/span><\/span><\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Elongaci\u00f3 i flexibilitzaci\u00f3 dels teixits<\/span><\/span><\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/centrekine.com\/puncio-seca\/\"><b><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Punci\u00f3 seca<\/span><\/span><\/b><\/a><span style=\"font-weight: 400;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> de la musculatura implicada<\/span><\/span><\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/centrekine.com\/treatments1\/posturamezieres\/\"><b><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Higiene postural <\/span><\/span><\/b><span style=\"font-weight: 400;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">cervical<\/span><\/span><\/span><\/a><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">En resum, la <\/span><\/span><\/span><b><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">luxaci\u00f3 temporomandibular <\/span><\/span><\/b><span style=\"font-weight: 400;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">pot tenir un impacte significatiu a la qualitat de vida. A <\/span><\/span><\/span><a href=\"https:\/\/centrekine.com\/ca\/\"><span style=\"font-weight: 400;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Centre Kine<\/span><\/span><\/span><\/a><span style=\"font-weight: 400;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> entenem la import\u00e0ncia d&#8217;un enfocament hol\u00edstic i personalitzat per abordar aquest trastorn. Si experimentes s\u00edmptomes relacionats amb l&#8217; <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">ATM<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> , <\/span><\/span><\/span><a href=\"https:\/\/centrekine.com\/ca\/contacte\/\"><span style=\"font-weight: 400;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">contacta&#8217;ns<\/span><\/span><\/span><\/a><span style=\"font-weight: 400;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> avui mateix per obtenir m\u00e9s informaci\u00f3 o agendar una cita.\u00a0<\/span><\/span><\/span><\/p>\n<p><span style=\"font-weight: 400;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">\u00a1Recupera el teu benestar bucal i gaudeix d&#8217;una vida sense mol\u00e8sties!<\/span><\/span><\/span><\/p>\n<hr \/>\n<h3><b><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Bibliografia<\/span><\/span><\/b><\/h3>\n<ol>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Kapos FP, Expost FG, Oyarzo JF, Durham J. Temporomandibular dissorders: a review of current concepts in aetiology, diagnosis and management. Oral Surg. 2020 Nov;13(4):321-334. doi: 10.1111\/ors.12473. Epub 2020 Jan 25. PMID: 34853604; PMCID: PMC8631581.<\/span><\/span><\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Poluha RL, Canals GT, Costa IM, Grossmann E, Bonjardim LR, Conti PCR. Temporomandibular joint disc displacement with reduction: review of mechanisms and clinical presentation. J Appl Oral Sci. 2019 Feb 21;27:e20180433. doi: 10.1590\/1678-7757-2018-0433. Erratum in: J Appl Oral Sci. 2019 Apr 01;27:e2019er001. PMID: 30810641; PMCID: PMC6382319.<\/span><\/span><\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Prechel U, Ottl P, Ahlers OM, Neff A. Treatment of Temporomandibular Joint Dislocation. Dtsch Arztebl Int. 2018 Feb 2;115(5):59-64. doi: 10.3238\/arztebl.2018.0059. PMID: 29439762; PMCID: PMC5817180.<\/span><\/span><\/span><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Les articulacions temporomandibulars (ATM) s\u00f3n crucials per a funcions quotidianes com ara parlar i mastegar. Tot i aix\u00f2, problemes a l&#8217; ATM poden causar des de dolor facial i limitaci\u00f3 de moviment fins a mals de cap freq\u00fcents. En aquest article del bloc , explicarem en detall la luxaci\u00f3 temporomandibular (ATM) i els tractaments especialitzats [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":18842,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_joinchat":[],"footnotes":""},"categories":[1910],"tags":[1938,1939,1940,1941,1942,1916,1943,1944,1945,1946,1947],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.2 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Luxaci\u00f3 Temporomandibular (ATM): s\u00edmptomes, diagn\u00f2stic i tractaments - Centre Kine<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/centrekine.com\/ca\/luxacio-temporomandibular-atm-simptomes-diagnostic-i-tractaments\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Luxaci\u00f3 Temporomandibular (ATM): s\u00edmptomes, diagn\u00f2stic i tractaments - Centre Kine\" \/>\n<meta property=\"og:description\" content=\"Les articulacions temporomandibulars (ATM) s\u00f3n crucials per a funcions quotidianes com ara parlar i mastegar. Tot i aix\u00f2, problemes a l&#8217; ATM poden causar des de dolor facial i limitaci\u00f3 de moviment fins a mals de cap freq\u00fcents. 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