A comparative study of age and degree of facial nerve recovery in patients with Bell's palsy (original) (raw)
Related papers
The European Research Journal, 2017
Objectives. The aim of this study was to analyse the clinical prognostic factors that are associated with treatment outcomes in patients with idiopathic peripheral facial nerve paralysis (PFNP). Methods. The study was performed retrospectively with 80 patients in a tertiary medical center. All of the patients were treated and followed for idiopathic PFNP (Bell's palsy). The patient charts were reviewed for patient demographics and characteristics. The comorbidities (hypertension, diabetes mellitus), the side, grade and duration of palsy, and the acoustic stapedius reflex were analyzed. Results. Forty-three male and 37 female patients were diagnosed with idiopathic PFNP. Sixty-seven of patients had complete, 13 patients had partial recovery. Of the partial recoveries, 12 patients had Grade 2 and one patient Grade 3 PFNP at the end of primary treatment. Patients tended to have incomplete recovery if they have a diagnosis of diabetes mellitus, but the difference between groups was not statistically significant (p=0.326). A positive stapedius reflex was associated with complete recovery (p=0.023). Patients had much more risk of incomplete recovery if age is more than 40 years (p=0.006). Conclusion. A detailed history and complete physical examination are very important in peripheral facial palsy. Co-morbid diseases and demographic features such as high blood pressure, diabetes mellitus and advanced age might influence the treatment outcomes.
The Medical journal of Malaysia
This is a retrospective study. The objective of this study is to review the factors influencing the outcome of treatment for the patients presented with idiopathic facial nerve paralysis. The demographic data, clinical presentation and management of 84 patients with idiopathic facial nerve paralysis (Bell's palsy) were collected from the medical record office, reviewed and analyzed from 2000 to 2005. Thirty-four (72.3%) out of 47 patients who were treated with oral prednisolone alone, fully recovered from Bell's palsy meanwhile 36 (97%) out of 37 patients who were treated with combination of oral prednisolone and acyclovir fully recovered. The difference was statistically significant. 42 (93.3%) out of 45 patients who presented within three days to our clinic, fully recovered while 28 (71.8%) out of 39 patients presented later then three days had full recovery from Bell's palsy. The difference was statistically significant. The outcome of full recovery is better with the...
Prognostic factors for recovery in Portuguese patients with Bell’s palsy
Neurological Research, 2016
Objective: The main aim of this study was to identify the prognostic factors that contribute to complete recovery at 6 weeks and 6 months in patients with Bell's palsy. Material and Methods: This is a prospective, longitudinal, and descriptive study that included 123 patients diagnosed with facial nerve palsy (FNP) at a hospital in Guimarães, Portugal. However, only 73 patients with Bell's palsy (BP) were included in the assessment of recovery at 6 weeks and 6 months. We analyzed the demographic and clinical characteristics of the patients, including sex, age, paralyzed side, occupation, previous and associated symptoms, seasonal occurrence, familial facial palsy, patient perception, intervention options, and baseline grade according to the House-Brackmann facial grading system (HB-FGS). Results: Of the 123 cases with FNP, 79 (64.2%) patients had BP. Age, sex, and baseline HB-FGS grades were significant predictors of complete recovery at 6 weeks. Patients with HB-FGS grade III or lower (6 weeks baseline) had significant recovery of function at 6 months. Conclusions: Baseline severity of BP, elderly patients, and male sex were early predictors of poor prognosis. Patients with mild and moderate dysfunction according to the HB-FGS achieved significant normal facial function at 6 months. Further prospective studies with longer observation periods and larger samples are needed to verify the results.
Rehabilitation of a Patient with Bell’s Palsy
Journal of Evolution of Medical and Dental Sciences
Facial nerve palsy is the disease of cranial nerve. From the total number of cases, 60 to 75 % of Bell's palsy cases are idiopathic form of facial palsy. Facial nerve palsy results in weakness of facial muscles, atrophy, asymmetry of face and also disturbs the quality of life. Bell’s palsy occurs in every class of population affecting people of all the age groups but the most common age group affected is 15 - 50 years with equal sex prediliction accounting 11 - 40 cases per 100,000. If facial palsy is not treated properly then it may result in variety of complications like motor synkinesis, dysarthria, contractures of facial muscles, and crocodile tear. Currently facial paralysis treatment consists of combination of pharmacological therapy, facial neuromuscular re-entrainment physiotherapy or surgical intervention by static and dynamic facial reanimation techniques. Physiotherapy treatment is effective for treating facial paralysis with minimal complications and can be individua...
Evaluation of Predictors of Recovery after Idiopathic Facial Palsy
Background: Despite Bell's palsy is not a life-threatening condition, it has a lot of psychological impact, up to now the exact underlying pathophysiology of bell's palsy is not fully understood, so we are trying to recognize the factors that affect its recovery. Methods: This prospective cohort study was executed on 60 patients with Bell's palsy who underwent complete blood count including calculation of neutrophil lymphocyte ratio, evaluation of severity using B-H scale and neurophysiological testing of the facial nerve with evaluation of motor amplitude and degeneration index of the nerve, then follow up was done after three months. Results: 18.3% of our patients had severe bell's palsy, the mean NLR in mild cases was 3.1 ± 0.17 versus 3.71 ± 0.36 for severe cases, high NLR and comorbid diabetes were found to be associated with increased severity of bell's palsy, old age and high NLR were associated with poor recovery after three months. Conclusion: Neutrophil lymphocyte ratio, old age, initial B-H scale, degeneration index and diabetes were found to possess a potent statistical value in predicting short term outcome of bell's palsy.
Clinical study of facial nerve Palsy -The causes and outcome at tertiary care centre
IP Innovative Publication Pvt. Ltd., 2017
Facial paralysis causes physical as well as functional deformities and psychological problems that may lead to social and professional impairment. The most frequent cause is idiopathic other being trauma, tumours, infections, neurological, congenital or iatrogenic. Objectives 1. To identify the etiological factors causing facial nerve palsy. 2. To compare the treatment modalities and recovery during follow up. Materials and Method: 100 patents who suffered from facial nerve palsy were analysed. Detailed history was taken. Patients were subject to complete E. N.T, head and neck examination. Necessary investigations were done to confirm the diagnosis. Patients were treated either medically or surgically and facial nerve function was graded again during follow up after 1 week, 1 month and 3 months. Results: The most common cause of facial nerve palsy is idiopathic (57%) followed by chronic suppurative otitis media (21%). Male preponderance was noted. At the end of three months 88% of patients recovered fully, 8% patients reduced to lower grades from presentation while 4% of patients did not recovered at all.
Effective Approach In Treatment Of Idiopathic Facial Palsy (Bell's Palsy)
International Journal of Health, Physical Education and Computer Science in Sports Volume No.27, 2017
Face Plays an important role in expressing human emotions, A frown donates disapproval and a smile indicates someone is pleased. These Facial expressions are maintained by facial muscles, which are controlled by 7th cranial Nerve known as facial Nerve/Nerve of Expression. These facial expressions are badly affected if the nerve at any level of its course is traumatized or compressed around its passage can lead to temporary partial weakness of facial muscles to permanent complete paralysis of muscles. This review article will focus on the brief explanation of Bell's palsy and its treatment approach in Medina Munawwarah Comprehensive Physical Rehabilitation Centre.
Bell?s palsy is defined as an idiopathic paresis or paralysis of the facial nerve. The name was ascribed to Sir Charles Bell, who in 1821, demonstrated the separation of the motor and sensory innervation of the face. The incidence ranges from 15 to 40 cases per 100,000, with an equal distribution between the sexes. There is no racial predilection and advancing age may be a risk factor, although this remains controversial. The disease involves the right and left nerves in equal proportions and is recurrent in approximately 10% of cases it occurs bilaterally less than 1% of the time. About 8% of patients report a positive family history of Bell?s palsy, with a higher incidence in those with bilateral disease
Bell's palsy: a summary of current evidence and referral algorithm
Family Practice, 2014
Spontaneous idiopathic facial nerve (Bell's) palsy leaves residual hemifacial weakness in 29% which is severe and disfiguring in over half of these cases. Acute medical management remains the best way to improve outcomes. Reconstructive surgery can improve long term disfigurement. However, acute and surgical options are time-dependent. As family practitioners see, on average, one case every 2 years, a summary of this condition based on common clinical questions may improve acute management and guide referral for those who need specialist input. We formulated a series of clinical questions likely to be of use to family practitioners on encountering this condition and sought evidence from the literature to answer them. The lifetime risk is 1 in 60, and is more common in pregnancy and diabetes mellitus. Patients often present with facial pain or paraesthesia, altered taste and intolerance to loud noise in addition to facial droop. It is probably caused by ischaemic compression of the facial nerve within the meatal segment of the facial canal probably as a result of viral inflammation. When given early, high dose corticosteroids can improve outcomes. Neither antiviral therapy nor other adjuvant therapies are supported by evidence. As the facial muscles remain viable re-innervation targets for up to 2 years, late referrals require more complex reconstructions. Early recognition, steroid therapy and early referral for facial reanimation (when the diagnosis is secure) are important features of good management when encountering these complex cases.