Article
Pediatrics
Danielle Guez-Barber, Sanjeev K. Swami, Jacqueline B. Harrison, Jennifer L. McGuire
Summary: This retrospective cohort study aimed to describe the etiology and clinical course of pediatric acute-onset unilateral peripheral facial palsy and to differentiate between Bell's palsy and Lyme-related facial palsy. The results showed that Bell's palsy and Lyme-related facial palsy were common causes of pediatric facial palsy in the Lyme-endemic region. Systemic prodrome and month of onset may help distinguish between the two conditions and guide antibiotic use. Early corticosteroid use did not affect facial strength recovery.
Article
Multidisciplinary Sciences
Akira Inagaki, Sachiyo Katsumi, Shinji Sekiya, Shingo Murakami
Summary: Early intervention with intratympanic steroid therapy (ITST) can improve facial nerve outcomes in Bell's palsy patients with poor electrodiagnostic test results, regardless of glucocorticoid doses administered, possibly due to the neuroprotective effect of ITST.
SCIENTIFIC REPORTS
(2021)
Article
Medicine, General & Internal
Aleksandar Kopitovic, Filip Katanic, Sandro Kalember, Svetlana Simic, Nina Vico, Slobodan Sekulic
Summary: This study found that the degree of pain threshold lowering in the Retroauricular regions (RAR) is inversely related to the severity of idiopathic Bell's palsy (IBP). The occurrence of Retroauricular pain before the onset of facial weakness in IBP patients may be associated with higher severity of IBP, while the occurrence after the onset of facial weakness is associated with lower severity of IBP.
MEDICINA-LITHUANIA
(2021)
Article
Clinical Neurology
Miriam Fritz-Weltin, Lisa Niedermeier, Estelle Frommherz, Nora Isenmann, Benedikt Csernalabics, Tobias Boettler, Christoph Neumann-Haefelin, Dominique Endres, Marcus Panning, Benjamin Berger
Summary: This retrospective study systematically screened 104 patients with Bell's palsy for acute HEV infection, but found no association between acute HEV infection and Bell's palsy. However, a high prevalence of anti-HEV IgG in Bell's palsy patients was observed, which increased with age.
EUROPEAN JOURNAL OF NEUROLOGY
(2022)
Review
Otorhinolaryngology
Shahad Hani Abdu, Abdulrahman Hameed Alsubhi, Anas Alzahrani, Abdulrahman Alshehri, Nada Al Taylouni, Almoaidbellah Rammal
Summary: This study aimed to assess the effectiveness and safety of Single-Dose Intravenous Methylprednisolone to Oral Prednisolone in treating Bell's palsy patients. The results showed that patients with Bell's palsy can fully recover to grade 1 in 1 month when IV methylprednisolone is used instead of oral prednisolone. However, there was no discernible difference between the two treatments at 3 months.
EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY
(2023)
Review
Medicine, General & Internal
Isabella Menchetti, Kerrie McAllister, David Walker, Peter T. Donnan
Summary: Currently, there is very low-certainty evidence from RCTs or quasi-RCTs on the surgery for early management of Bell's palsy, which is insufficient to determine whether surgical intervention is beneficial or harmful. Further research into the role of surgical intervention is unlikely to be performed, as spontaneous or medically supported recovery occurs in most cases.
COCHRANE DATABASE OF SYSTEMATIC REVIEWS
(2021)
Article
Medicine, General & Internal
Yong Kim, Seung Geun Yeo, Hwa Sung Rim, Jongha Lee, Dokyoung Kim, Sung Soo Kim, Dong Choon Park, Jae Yong Byun, Sang Hoon Kim
Summary: This study investigated the effects of facial nerve decompression in patients with severe Bell's palsy. The results showed that facial nerve decompression surgery did not significantly improve prognosis beyond conservative treatment.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Clinical Neurology
Eszter Varga, Ulambayar Battamir, Istvan Szegedi, Lilla Hudak, Nora Kovacs, Attila Csaba Nagy
Summary: This study explored the prevalence and possible risk factors associated with Bell's palsy recurrence. The results showed that 5.87% of the analyzed patients had recurrent paralysis, with a median time interval of 315 days between episodes. Hypertension was significantly associated with Bell's palsy recurrence. Seasonal distribution analysis also revealed a higher number of episodes in colder seasons, particularly in spring and winter.
FRONTIERS IN NEUROLOGY
(2023)
Article
Behavioral Sciences
Dilli Ram Kafle, Sanjeev Kumar Thakur
Summary: The study found that most patients with Bell's palsy had favorable outcomes, with factors such as younger age, lower initial H-B grade, lesser degree of amplitude reduction on the affected side, and absence of hypertension and diabetes influencing the outcome. Additionally, duration of the illness, side of the face affected, and gender did not have an impact on the three-month outcome.
BRAIN AND BEHAVIOR
(2021)
Article
Medicine, General & Internal
Myung Chul Yoo, Dong Choon Park, Jae Yong Byun, Seung Geun Yeo
Summary: A study was conducted to evaluate the prognosis of children with Bell's palsy, finding that a lower degree of initial facial nerve paralysis was a favorable prognostic factor for complete recovery.
JOURNAL OF CLINICAL MEDICINE
(2021)
Review
Immunology
Khaled Albakri, Abdulrhman Khaity, Hany Atwan, Othman Saleh, Momen Al-Hajali, Shirin Cadri, Rehab Adel Diab, Ebraheem Albazee, Ahmed Negida
Summary: A systematic review found that there is a small risk of Bell's palsy after COVID-19 vaccination, with a rate of 25.3 per million people. The majority of cases occurred after the first dose, particularly with Pfizer, AstraZeneca, and Sputnik V vaccines. Patients treated with corticosteroids, IVIG, and anti-viral drugs showed significant improvement. Overall, the benefits of vaccination outweigh the potential risks.
Article
Medicine, General & Internal
Bin-Yan Yu, Lu-Sha Cen, Ting Chen, Tian-Hong Yang
Summary: This case report described the first case of Bell's palsy following the administration of inactivated COVID-19 vaccine in China. Clinicians should be alert to the occurrence of Bell's palsy after COVID-19 vaccination, especially in patients with a history of Bell's palsy. The patient in this case had a favorable outcome after treatment and resolution within 54 days.
WORLD JOURNAL OF CLINICAL CASES
(2021)
Article
Medicine, General & Internal
George Psillas, Grigorios G. Dimas, Anastasia Sarafidou, Triantafyllos Didangelos, Vasilios Perifanis, Georgia Kaiafa, Daphne Mirkopoulou, Thomas Tegos, Christos Savopoulos, Jiannis Constantinidis
Summary: The study evaluated the effects of diabetes mellitus, hypertension and hypercholesterolemia on the clinical presentation and outcome of Bell's palsy. Patients with these comorbidities had more significant initial facial paralysis and poorer prognosis compared to those without. Higher glycosylated hemoglobin A1c levels were significantly correlated with unsatisfactory facial recovery in Bell's palsy patients.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Medicine, General & Internal
Myung Chul Yoo, Dong Choon Park, Seung Geun Yeo
Summary: This study investigated the recovery outcomes of Bell's palsy patients over six months and found an association between initial severity of facial weakness and favorable outcomes. Patients with initial House-Brackmann grades 3-4 had a higher rate of recovery compared to those with grades 5-6, with various clinical factors such as age, electromyography results, and treatment interventions influencing outcomes differently based on initial severity levels.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Otorhinolaryngology
Serkan Cayir, Cengizhan Kilicaslan
Summary: The study analyzed various hematological parameters in pediatric patients with Bell's palsy to determine the most valuable parameter as a prognostic marker. Findings suggest that high NLR and CAR values may be associated with poor prognosis in pediatric Bell's palsy patients, with CAR being a more valuable parameter than NLR in indicating poor prognosis.
EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY
(2021)