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Background:
Bell's palsy is an acute idiopathic facial nerve paralysis of sudden onset. It is the most common cause of lower motor neuron facial nerve paralysis with an annual incidence of 15-30 per 100,000 population. The objective of this work is to study the grade of the attack and the associated symptoms of Bell's palsy in a group of Sudanese...
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Context 1
... the present study, we failed to demonstrate any relation between the postauricular pain and the prognosis of Bell's palsy in our patients, as 95.9% of them showed complete recovery, as shown in Table 3. e remaining 4.1% did not recover from the paralysis until the end of the threemonth follow-up. Table 4, 10.4% of our patients had an associated hearing changes, which appeared to be high when compared to 5.4% reported by El Ebiary from Egypt (sample size: 580 patients) [12]. We have no explanation for that but may be related to the severity of the attack at onset. ...Similar publications
Aim: Bell's palsy is a form of deficiency in the face and paralysis related to peripheral- nerve dysfunction. Our study investigates the role of the inflammatory values in predicting Bell’s palsy prognosis. Methods: A total of 58 Bell’s palsy ≥ III patients, according to the House Brackman classification, on the first presentation were taken as the...
Patient: Male, 45-year-old
Final Diagnosis: Salmonella dublin pericarditis
Symptoms: Chest pain • shortness of breath
Clinical Procedure: —
Specialty: Cardiology
Objective
Rare disease
Background
Salmonella infections manifest typically as self-limiting gastroenteritis after the consumption of contaminated food. Extra-intestinal manifestations of...
Purpose
To evaluate the effectiveness and safety of electroacupuncture (EA) using intermittent wave stimulation in enhancing facial symmetry and nerve function in chronic Bell’s palsy patients.
Methods
A 6-week assessor-blinded, randomized trial followed by an 18-week observational period was conducted. Sixty individuals with chronic Bell's palsy,...
Background:
To investigate the prognostic value of a three-dimensional dynamic quantitative analysis system to measure facial motion (3D ASFM) in acute facial palsy patients and compare it with subjective grading methods and electroneurography.
Methods:
We continuously recruited 37 patients with acute (< 1 month) Bell's palsy. An integrated eval...
To investigate the correlation between the serum albumin level and the prognosis of patients with Bell's palsy.
We retrospectively analyzed the clinical records of 311 inpatients with Bell's palsy (BP) in our hospital between September 2018 and October 2019. The patients were divided into 2 groups: the recovered group (with the House-Brackmann grad...
Citations
... In our study, out of 11, 92% of clinical features were reported in mouth, followed by 86% in eyes, 34% in face and 9% in forehead. This result was similar with the study carried by Mustafa Ahmed Hassan et al., 14 Several diagnostic criteria were used to monitor symptoms of Bell's palsy. This study was mainly assessed using House-Brackmann scoring system. ...
Introduction: Bell’s palsy is the most common acute peripheral mononeuropathy, which leads to the partial or complete inability to voluntary movement of the facial muscles on the affected side of the face. The study aimed to evaluate the objective assessment of the Bell’s palsy with House-Brackmann score. Methods: This Observational, Prospective study was to be conducted at tertiary care hospital among from June 2022 to September 2022 on 11 patients diagnosed with Bell’s Palsy. A patient’s history includes age, sex, and clinical features. Assessments include facial nerve grading system such as House-Brackmann score, which was used to grade the facial nerve severity. Results: Out of 11 patients, 7 patients of Bell’s Palsy (63%) were reported with Grade IV of House- Brackmann score. The remaining patients were scored under Grade III and Grade V. Patients of age group from 9 to 75 were taken. Among them, age group of 9-40 years were 45% and 40- 80 years were 55%. The result shows that Grade IV is predominant over others, male and elder patients are leading over female and middle- aged patients. 63.7% patient’s clinical features were come under Grade IV of House- Brackmann score. 27.2% of patients had an increased risk of hypertension, 18.1% had Diabetes Mellitus, 18.1% had past history of CVA, 9% had past history of Seizure, and known history of Bell ’s palsy. Conclusion: Using the House-Brackmann grading system, the severity of the patient presenting with Bell’s palsy could be reliably predicted.
... 3 8-10 12-16 There is no consensus on whether pain has prognostic significance or its aetiology. Some studies show no prognostic significance, [10][11][12] while others report more severe disease or higher rates of incomplete recovery in patients with pain. 3 8 9 13-16 Despite many studies evaluating pain in patients with Bell's palsy, none of them have been conducted exclusively in a paediatric population, or published age disaggregated data in studies with mixed populations of adults and children. 3 8-10 12-16 As part of a larger body of work to improve the care of children with Bell's palsy, we recently completed a randomised controlled trial (RCT) of prednisolone for the treatment of Bell's palsy. ...
Objective
To describe the prevalence and severity of pain experienced by children with Bell’s palsy over the first 6 months of illness and its association with the severity of facial paralysis.
Methods
This was a secondary analysis of data obtained in a phase III, triple-blinded, randomised, placebo-controlled trial of prednisolone for the treatment of Bell’s palsy in children aged 6 months to <18 years conducted between 13 October 2015 and 23 August 2020 in Australia and New Zealand. Children were recruited within 72 hours of symptom onset and pain was assessed using a child-rated visual analogue scale (VAS), a child-rated Faces Pain Score-Revised (FPS-R) and/or a parent-rated VAS at baseline, and at 1, 3 and 6 months until recovered, and are reported combined across treatment groups.
Results
Data were available for 169 of the 187 children randomised from at least one study time point. Overall, 37% (62/169) of children reported any pain at least at one time point. The frequency of any pain reported using the child-rated VAS, child-rated FPS-R and parent-rated VAS was higher at the baseline assessment (30%, 23% and 27%, respectively) compared with 1-month (4%, 0% and 4%, respectively) and subsequent follow-up assessments. At all time points, the median pain score on all three scales was 0 (no pain).
Conclusions
Pain in children with Bell’s palsy was infrequent and primarily occurred early in the disease course and in more severe disease. The intensity of pain, if it occurs, is very low throughout the clinical course of disease.
Trial registration number
ACTRN12615000563561.
... Central facial palsy adalah gejala awal yang umumnya terjadi pada pasien pasca stroke dan cedera neurologis lainnya. Peripheral facial palsy yang belum diketahui penyebabnya (idiopatik) disebut Bell's palsy, merupakan penyebab paling umum yaitu sekitar 75% dari facial palsy (Vaughan et al., 2020;Hassan et al., 2020). ...
Latar Belakang : Facial palsy adalah suatu kondisi neurologis yang memengaruhi fungsi motorik wajah ditandai dengan asimetri dan kelemahan otot sebagian atau seluruh wajah sehingga menurunkan kemampuan fungsional wajah. Mirror therapy exercise merupakan suatu latihan berupa senam wajah dengan meggunakan cermin atau software untuk menghasilkan umpan balik visual dari bagian tubuh yang terkena lesi dan menghasilkan gerakan di sisi tubuh yang terkena. Tujuan : Untuk mengetahui efektivitas mirror therapy exercise terhadap kemampuan fungsional wajah penderita facial palsy melalui kajian literatur. Metode Penelitian : Jenis penelitian ini deskriptif dengan desain studi literatur. Literatur 10 tahun terakhir dikumpulkan dari 16 search engine dengan menggunakan teknik PICOS. Selanjutnya diseleksi awal dan metodologi, lalu dimasukan ke aplikasi Mendeley untuk literatur terduplikasi. Literatur yang eligible diekstraksi dengan filterisasi metode CONSORT. Hasil : Berdasarkan7 literatur yang eligible, mirror therapy exercise dengan kombinasi ataupun modifikasi efektif dalam meningkatkan kemampuan fungsional wajah penderita facial palsy. Kesimpulan : Berdasarkan kajian literatur, mirror therapy exercise dapat digunakan untuk meningkatkan kemampuan fungsional wajah penderita facial palsy.
... Other diseases of the central or peripheral nervous system. [34] Procedure All patients signed written consent before included in the study. Sunnybrook Facial Grading System was used as an independent outcome measure. ...
OBJECTIVES: Bell's palsy is a condition of unilateral facial paralysis with the recovery rate varying from person to person. Various factors influence the prognosis of Bell's palsy subjects. Hence, the aim of this research was to examine the relationship between recovery of Bell's palsy and demographic, anthropometric, and the presence of comorbid diseases.
METHOD
OlOGY: A correlation study was conducted on a total of 70 (both male and female) subjects. Independent outcome measures were age, gender, side, height, weight, body mass index, presence of diabetes, hypertension, and dyslipidemia. Dependent outcome measure was Sunnybrook Facial Grading System which grades the recovery following Bell's palsy. Outcome measures were taken at baseline, after 20 days, and after 1 month.
RESULTS: Statistical analysis indicates that age, weight, diabetes, hypertension, and dyslipidemia have a significant correlation with recovery in Bell's palsy patients.
CONCLUSION: The positive correlation between weight and recovery indicated that low weight leads to delayed recovery. A negative correlation of recovery with age, diabetes, hypertension, and dyslipidemia indicates that increased age leads to delayed or incomplete recovery and the presence of comorbid diseases leads to delayed/incomplete recovery.
... Since the 40,000 vaccine arm participants were followed for a median of 2 months, the combined safety population receiving vaccine across the two trials represents roughly 6700 person-years of observation time for an expected incidence of Bell's palsy of one to two cases, in line with the single observed case in the combined placebo arms. Therefore, the observed incidence of Bell's palsy in the vaccine arms is between 3.5 and 7 times higher than would be expected in the general population [5,6]. ...
... The pathogenesis of RAP in these patients is not entirely clear [1]. With regard to the fact that while some studies suggest worse outcomes for patients with IBP [12][13][14], on the other hand, other studies have yielded different results [15][16][17][18], entailing the need for defining clearly and precisely whether it is a positive or a negative prognostic factor. RAP occurs in over 50% of patients, of whom one half had it before the onset of paralysis while the second half had it only after the onset of paralysis due to negligence of preexisting paralysis [1,12,15]. ...
... With regard to the fact that while some studies suggest worse outcomes for patients with IBP [12][13][14], on the other hand, other studies have yielded different results [15][16][17][18], entailing the need for defining clearly and precisely whether it is a positive or a negative prognostic factor. RAP occurs in over 50% of patients, of whom one half had it before the onset of paralysis while the second half had it only after the onset of paralysis due to negligence of preexisting paralysis [1,12,15]. On the account of the presence of the phenomena of central sensitization and areas of referred pain [19], as well as the fact that some studies found that nerve damage can affect the opposite side of the body [20,21], the pain threshold was also examined in the RAR of the opposite side. ...
... RAP in patients with IBP has also been described by other studies [12,15,19]. Findings of this study are in accordance with the results reported by the other authors [12,15]. ...
Background and objectives: Non-motor symptoms in the form of increased sensitivity are often associated with the onset of idiopathic Bell’s palsy (IBP). The aims were to determine whether the pain threshold in the retroauricular regions (RAR) in IBP patients and the time of its occurrence is related to IBP severity. Materials and Methods: The study was conducted among 220 respondents (142 IBP patients, 78 healthy subjects (HS)). The degree of IBP was graded using the House–Brackmann and Sunnybrook Grading Scales (II—mild dysfunction, VI—total paralysis), whereas the pain thresholds were measured using the digital pressure algometer. Results: We found no difference in the degree of the pain threshold between the right and left RAR in the HS group. IBP patients belonging to groups II, III, IV, and V had lower pain thresholds in both RARs than HS and IBP patients belonging to group VI. There was no difference in the degree of pain threshold in RAR between the affected and unaffected side in IBP patients. The incidence of retroauricular pain that precedes paralysis and ceases after its occurrence in groups II and III of IBP patients is noticeably lower and the incidence of retroauricular pain that occurred only after the onset of paralysis is more frequent. Also, we found that the incidence of retroauricular pain that precedes paralysis and ceases after its occurrence in groups V and VI of IBP patients was more frequent. Conclusions: The degree of pain threshold lowering in RAR (bilaterally) is inversely related to the severity of IBP. We suggest that the occurrence of retroauricular pain before the onset of facial weakness is associated with higher severity of IBP while the occurrence after the onset is associated with lower severity of IBP.
... A large number of neuromuscular disorders exist in the maxillofacial and oral regions including bell's palsy which is defined as a sudden occurrence of acute idiopathic peripheral facial nerve paralysis and accounts for about 75 percent of acute facial nerve paralysis [1][2][3][4]. The disability to achieve self-cleansing vestibular area and deviation the angle of mouth from the unhealthy side towards healthy side while talking, blowing, whistling, or laughing are features of facial muscles weakness [5]. ...
... Successful results of treatment are linked to early diagnosis [6]. However, the percentage of full recovery decreases with the onset attack's increased intensity [4]. Moreover, bell's palsy leads to parageusia, hyperacusis, disordered lacrimation, or salivation were explained in impaired oral hygiene maintenance [7]. ...
... 5 The worldwide annual incidence of Bell's palsy is 15-30 cases per 1,00,000 population. 6 Though the etiology and pathogenesis of Bell's palsy is mostly unknown, certain cases are usually preceded by mild infection having a suspected viral origin. Studies have shown that viruses such as herpes simplex, rubeola, rubella, mumps, reovirus, vaccinia, varicella zoster, poliovirus, Epstein Barr virus and influenza have been associated with Bell's palsy. ...
p class="abstract"> Background: COVID-19 is declared as a pandemic by WHO. Bell’s palsy is defined as isolated, sudden, peripheral facial paralysis of unknown etiology. Viral infections are capable of causing facial paralysis through infecting the motor neurons of brainstem, seventh nerve ganglia or through infections of supporting cells of the nerve, along with secondary inflammation and oedema, blocking the nerve function. Similarly, coronaviruses are known to have a neuroinvasive propensity.
Methods: Our study was aimed to report the increased number of cases of Bell’s palsy in the current COVID pandemic era and to hypothesize the probable role of coronavirus in the pathogenesis of Bell’s palsy. A total of 30 patients presenting with unilateral facial palsy in this COVID era were included in the study.
Results: This prospective analysis of Bell’s palsy cases showed 30 cases in the COVID pandemic era, where the total number of OPD patients were 3720. This shows a percentage of Bell’s palsy cases as 0.8 % when compared to 0.05% in the pre-covid time.
Conclusions: This study shows that there might be an effect of COVID-19 virus on the immune status of the individuals along with stress induced reactivation of underlying viral infection.
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Recurrent Bell’s palsy is experiencing more than 1 episode of Bell's palsy after recovering from the first one. Prevalence of Recurrent Bell's Palsy ranges from 2.6-15.2% although it is a rare occurrence. The study under observation was conducted to find out the prevalence of Recurrent Bell's Palsy in patients. Objective: To assess the prevalence of recurrent Bell's palsy. Methods: A convenience sampling method was used to perform an observational cross-sectional analytical survey based on inclusion and exclusion criteria. Data were collected by using questionnaire after informed consent and was analyzed using SPSS version 26.0. Results: It was concluded that mean age of Recurrent Bell’s palsy patients was 40.8 years. Male and female both genders were involved. Most common Bell's palsy-related predisposing factors were hypertension, Diabetes, old age, and Pregnancy respectively. More cases were reported in winter season than summers in recurrent Bell’s palsy patients. Conclusions: The prevalence of RBP is 4.2% and most commonly associated risk factors are Hypertension, Diabetes, Positive family history and pregnancy.
Bell’s palsy merupakan gangguan saraf akut pada wajah dengan ciri kelemahan wajah unilateral dan tanpa penyebab pasti. Kelemahan wajah dapat berupa berkurangnya kerutan dahi, sulit menutup mata, kelemahan sudut bibir, hilangnya sensasi pengecapan, dan gejala lainnya berdasarkan cabang saraf wajah yang terkena. Diagnosis melalui anamnesis dan pemeriksaan klinis. Pemeriksaan penunjang untuk menilai faktor risiko dan menyingkirkan diagnosis lain. Pengobatan dapat secara non-farmakologis dan farmakologis. Bell’s palsy is an acute facial nerve disorder with unilateral facial weakness without definite cause. The disease may manifest as diminished forehead wrinkles, difficulty to close lid, weakness at the corner of the lips, loss of taste sensation, and other symptoms based on affected facial nerve branch. Diagnosis can be made through anamnesis and clinical examination. Additional examinations can evaluate risk factors and eliminate other diseases. Treatment can be non-pharmacological and pharmacological.
