Clinical study of facial nerve Palsy -The causes and outcome at tertiary care centre (original) (raw)
Related papers
Aetiological Profile of Facial Nerve Palsy Seen in Nigerian Tertiary Hospital
International Journal of Innovative Research in Medical Science
Background/Aim: Facial nerve palsy may cause facial asymmetry, functional and cosmetic impairment, and therefore imposes great psychological and social problems on the individual with the condition. The aim of this paper was to highlight the aetiological profile of facial nerve palsy (FNP) in two tertiary institutions in Ekiti, southwest, Nigeria. Methods: This was a retrospective review of patients with facial nerve palsy seen and treated at Ear, Nose & Throat (ENT) clinic. All folders and registers of patients diagnosed with facial nerve palsy from January 2010 to December 2019 in the central, ENT and Dental medical records departments were retrieved and reviewed. The information extracted included the socio-demographic characteristics of the patients, clinical presentation, type and aetiology of FNP, side affected, diagnosis/impression, nature of impairment, type of lesion, onset of the disease, treatment and outcome. Results: Of 76 patients analysed, 48(63.2%) were males and 28(...
Study of Various Causes of Facial Palsy and Its Management Protocol
Journal of Evolution of medical and Dental Sciences, 2015
Facial palsy is generally due to a congenital or acquired cause. It is often associated with severe disfigurement, emotional disturbance and anxiety. The causes for facial palsy vary in different age groups. In neonates and infants, the facial palsy is often associated with birth injuries or developmental anomalies of the ear. 1 In adults and older age group, infective conditions like cholesteatoma, tuberculous otitis media, encephalitis and neoplastic condition like glomus jugular tumour and facial nerve tumours are observed as a cause for facial palsy. Recovery from facial nerve palsy depends on the cause. Reasonably good recovery is seen in Bell's palsy after medical treatment. Similar results are obtained in chronic suppurative otitis media associated with granulation tissue after surgical intervention.
Iatrogenic facial nerve palsy: lessons to learn
Singapore medical journal, 2009
This study aims to review the management and discuss the outcome of patients with iatrogenic facial nerve palsy. 11 patients with iatrogenic facial nerve palsy (FNP) were evaluated retrospectively in a tertiary centre between June 1995 and September 2008. All the cases were referred from other centres. Ten patients had iatrogenic immediate FNP secondary to mastoidectomy and one had FNP secondary to superficial parotidectomy. Of the ten cases, three had concomitant profound sensorineural hearing loss and one had concomitant labyrinthine fistula. Ten patients underwent facial nerve exploration and one patient was managed conservatively. The second genu was the commonest site of injury (60 percent). Facial nerve recoveries were achieved to Grade I House Brackmann classification in five cases, Grade II in two cases and Grade III in two cases postoperatively. One case defaulted follow-up. One patient, managed conservatively, recovered to FNP Grade II after five months post-injury. Mistak...
Prevalence of facial nerve palsy in the neuro-medicine private clinic
Romanian Journal of Neurology, 2023
Disorders of the facial nerve result from injury to the nerve that regulates facial movement and expression. Viral infections, strokes, inflammation, trauma, surgeries, tumors or others can all cause paralysis or weakness of the face [1,2]. Bell's palsy is the most prevalent defect in the lower motor of the facial nerve [3]. Bell's palsy, also known as Idiopathic Peripheral Facial Palsy, is a facial paralysis that is caused by a malfunction of the Cranial Nerve VII, the Facial Nerve [4]. In the UK, the yearly incidence of Bell's palsy currently stands at 37.7 per 100,000 people [5]. Comparatively, it is around 23 per 100,000 persons annually in the US [6]. Between 11.5 to 40.2 incidences of Bell's palsy are reported worldwide for every 100,000 individuals [7]. It is critical to determine if the facial nerve paralysis is central or peripheral. Central lesions cause paralysis of the lower face only, sparing the forehead; however, clinicians must ensure that they ask about the duration and nature of symptoms in their history, including the presence of associated symptoms such as hyperacusis, posterior auricular pain, taste, and lacrimal changes. All patients who come with facial palsy require a comprehensive cranial nerve evaluation, as well as ophthalmic, otologic, and oral tests [8]. The impact of DM is explained by the peripheral circulatory dysfunction associated with diabetes that
Surgical management of facial nerve palsy: our experience
International Journal of Otorhinolaryngology and Head and Neck Surgery, 2017
This prospective cross sectional study was carried out in patients presenting with facial nerve palsy in civil hospital, Ahmedabad, over a period of three years from May 2013 to May 2016. The data collected was tabulated and subjected to statistical analysis using SPSS software. Sample Sample size was of 50 patients. All those who fit the inclusion criteria and gave consent for the study were included.
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...
Facial nerve palsy: Analysis of cases reported in children in a suburban hospital in Nigeria
Nigerian Journal of Clinical Practice, 2014
The study describes the epidemiology, treatment, and treatment outcomes of the 10 cases of facial nerve palsy seen in children managed at the Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife over a 10 year period. It also compares findings with report from developed countries. Methodology: This was a retrospective cohort review of pediatric cases of facial nerve palsy encountered in all the clinics run by specialists in the above named hospital. A diagnosis of facial palsy was based on International Classification of Diseases, Ninth Revision, Clinical Modification codes. Information retrieved from the case note included sex, age, number of days with lesion prior to presentation in the clinic, diagnosis, treatment, treatment outcome, and referral clinic. Findings: Only 10 cases of facial nerve palsy were diagnosed in the institution during the study period. Prevalence of facial nerve palsy in this hospital was 0.01%. The lesion more commonly affected males and the right side of the face. All cases were associated with infections: Mainly mumps (70% of cases). Case management include the use of steroids and eye pads for cases that presented within 7 days; and steroids, eye pad, and physical therapy for cases that presented later. All cases of facial nerve palsy associated with mumps and malaria infection fully recovered. The two cases of facial nerve palsy associated with otitis media only partially recovered. Conclusion: Facial nerve palsy in pediatric patients is more commonly associated with mumps in the study environment. Successes are recorded with steroid therapy.
Patients’ Profile Regarding Physiatric Management of Facial Palsy in a Tertiary Care Hospital
Journal of Bangladesh College of Physicians and Surgeons, 2018
Introduction: Facial palsy is commonly treated by various physical therapy strategies and devices, but there are many questions about the profile of patients with facial nerve palsy. The aim of the study was to outline profile of patients with facial palsy receiving Physiatric management.Materials and Methods: A retrospective hospital recordsbased study was carried out at the department of Physical Medicine and Rehabilitation (PMR) in National Institute of Neurosciences and Hospital (NINS&H), Dhaka for the period of two year from 1st July 2013 to 30th June 2015.Results: Total 5240 patients were studied, of which 58.87% were male and 41.13% were female. Maximum patients Journal of Bangladesh College of Physicians and Surgeons Vol. 36, No. 1, January 2018 (26.58%) belong to 31-40 years of age. Maximum patients (72.36%) came from Dhaka city and most of the studied patients were housewife (31.68%). Largest disease group was Bell’s palsy (56.2%). Regarding disease pattern, 61.18% of pati...
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.
JMS SKIMS
BACKGROUND: Bell's palsy is an acute weakness of seventh cranial nerve leading to loss of movement on one side of the face. It usually recovers of its own without treatment in most of the patients but not all. Physical therapy in the form of electrotherapy, massage and facial exercises is used as adjuvant to hasten recovery. OBJECTIVES: To analyze the role of physiotherapy in the form of electrotherapy in patients with peripheral facial paralysis attending multispecialty hospital in Kashmir. METHODS: A prospective study was carried out on 50 patients of facial nerve paralysis attending OPD between Jan 2009 and Jan 2010. All of the patients were subjected to medical treatment. The patients were put to Physical Therapy in the form of electrotherapy followed by facial exercises. All patients received electrotherapy to the paralyzed facial muscles for a period of 2 weeks but some were given extended doses for 4 weeks. 20 patients presented for the treatment in the first week, 12 in ...