Patients’ Profile Regarding Physiatric Management of Facial Palsy in a Tertiary Care Hospital (original) (raw)
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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.
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 ...
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(...
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.
Journal of Clinical Medicine
To determine treatment and outcome in a tertiary multidisciplinary facial nerve center, a retrospective observational study was performed of all patients referred between 2007 and 2018. Facial grading with the Stennert index, the Facial Clinimetric Evaluation (FaCE) scale, and the Facial Disability Index (FDI) were used for outcome evaluation; 1220 patients (58.4% female, median age: 50 years; chronic palsy: 42.8%) were included. Patients with acute and chronic facial palsy were treated in the center for a median of 3.6 months and 10.8 months, respectively. Dominant treatment in the acute phase was glucocorticoids ± acyclovir (47.2%), followed by a significant improvement of all outcome measures (p < 0.001). Facial EMG biofeedback training (21.3%) and botulinum toxin injections (11%) dominated the treatment in the chronic phase, all leading to highly significant improvements according to facial grading, FDI, and FaCE (p < 0.001). Upper eyelid weight (3.8%) and hypoglossal–faci...
BIRDEM Medical Journal
Background: Bell’s palsy (BP) is the most common cause of lower motor neuron type facial nerve palsy and is one of the most frequently encountered presentations in Neurology. Treatment with corticosteroid and antiviral drugs within 72 hours of onset of symptoms along with supportive treatment is encouraged for better outcome. Despite good prognosis, a significant portion of the patients with BP suffer from disfiguring facial appearance and other complications which remain as great concern of the patients. We aimed to evaluate the factors contributing to favorable outcome in adult with BP. Methods: Data of patients with BP [House-Brackmann (H-B) Grading III and above], who attended and were followed up at the Department of Neurology of BIRDEM General Hospital, Dhaka, Bangladesh between January 2017 and December 2020, were reviewed from hospital records and patients’ personal files. Total 56 adult patients with BP were recruited from hospital records according to eligibility criteria....
A retrospective study on management of bell\'s palsy in a tertiary care hospital
Panacea Journal of Medical Sciences
Bell's palsy is the most common facial nerve disorder. The clinical symptoms of Bell's palsy include facial muscle paralysis, difficulty in eating, drinking and talking. Bell's palsy management is still controversial. Many patients recover spontaneously; some require medicines like corticosteroids, antiviral drugs and other managements.To study the effectiveness of Bell's palsy management that has been followed in our institution.This analysis had carried out from June 2016 to June 2019at SRM Medical College Hospital and Research Institute, Chennai. Total of 30 patients with Bell's palsy who had admitted in the Department of Otorhinolaryngology had enrolled in this study. All the patients underwent thorough clinical examination and laboratory investigation, and the results were statistically analyzed and discussed.Out of 30 patients, 16(53%) patients were males, and 14(47%) patients were females. 53.3% of patients had onset of symptoms after 48 hours. There was a...
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
BMJ Open
IntroductionThe aim of the protocol is to present the methodology of a scoping review that aims to synthesise up-to-date evidence on the management and outcomes of facial nerve palsy in low-income and middle-income countries (LMICs).Methods and analysisThe scoping review will be conducted per the Arksey and O’Malley’s framework and the Joanna Briggs Institute Reviewers’ Manual. The scoping review question, eligibility criteria and search strategy will be developed in accordance to the Population, Concept, and Context strategy. The search will be conducted in electronic bibliographic databases (Medline (OVID), Embase, WHO Global Index Medicus, Cochrane Library, Global Health, African Journals Online). The review will synthesise and report the findings with descriptive statistics and a narrative description of both quantitative and qualitative evidence.Ethics and disseminationThis scoping review does not require ethical approval. This protocol will describe the proposed scoping review...
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