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.The objective of this work is to study the prevalence and the management of Bell’s palsy in the Sudan. A descreptive retrospective cross-sectional study was carried at Khartoum Teaching Dental Hospital, Khartoum General Teaching Hospital.In the retrospective, the records and files of 698 patients with Bell’s palsy, were reviewed in relation to age, gender, site, risk factors, season, and type of treatment.In addition, 48 patients with Bell’s palsy were evaluated using the House–Brackman scale in relation to the above-mentioned variables.Therefore, a total number of 746 cases were studied. Fifty five percent of them were females and the remaining 45% were males, around 38% of them were in the age group 21-40 year. Fifty seven percent of the patients were affected on the right side of the face. Winter was the commonest season of onset where 53.5% of the cases occurred. Steroids are the commonly prescribed drugs in majority of the cases, accounting for 47.3%.Study Design:The study is a retrospective cross sectional hospital based study. The study was carried out in Khartoum Teaching Dental Hospital and in the Physiotherapy Department of Khartoum Teaching General hospital.The files and records of the patients with Bell’s palsy in Khartoum Teaching Dental Hospital in the years 1/1/2004 -31/12/2008, and Khartoum Teaching General Hospital (physiotherapy department) in the years 2007- July 2009 (total number 746).Results:A total number of 746 cases were studied . Fifty five percent of them were females and the remaining 45% were male. Around 38% of them were in the group 21-40 year. Fifty seven percent of the patients were affected on the right side of the face. Winter was the commonest season of the onset where 53.5% of the cases occurred.Conclusion:The study showed predominance of females. A peak incidence was seen in the age group 21-40 years. A predilection was found for the right side of face.
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. e 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 patients. e study type is an analytical prospectivebased study. e study was carried out at Khartoum Teaching Dental Hospital, Khartoum General Teaching Hospital. In this prospective of the study, 48 patients with Bell's palsy were evaluated using the House-Brackman scale in relation to the above mentioned variables. Results. e study showed 18 patients (37.5%) were grade II, and 24 patients (50%) had postauricular pain before and during the attack. By the end of the study period, 40 patients recovered completely (83.3%), and 8 (16.7%) patients did not recover completely, 5 (10.4%) patients complained of hearing changes during the attack, and 13 (27.1) patients gave a history of exposure to cold before the attack. Conclusion. Based on our prospective study, we conclude that the percentage of complete recovery decreases with increased severity of the attack at onset. We failed to demonstrate any relation between postauricular pain and prognosis of Bell's palsy. e percentage of taste changes in our study is low in comparison with those obtained in the literature. In addition, all the patients showed complete regain of taste sensation. e percentage of patients with hearing changes in our study is high compared with some studies. In literature, we have no explanation for that, and it may be related to severity of the attack. In the present study, we found a strong association between exposure to cold and development of Bell's palsy. As the number of patients in our study is small and there is a limited period of follow-up, the study may not reflect the real situation; therefore, we need a large population-based study.
Seropositivity for H. pylori IgG was associated with LBW.
Inborn errors of metabolism (IEMs) are inherited biochemical/metabolic disorders that are commonly present in the immediate neonatal period. The aim of this retrospective study was to determine the incidence and distribution of IEMs in newborn infants delivered in our hospital and to evaluate its outcome. A total of 16 494 (99.9%) newborn infants were screened for IEMs. We found 29 newborn infants diagnosed with IEMs, representing an incidence of 1 per ~569 live births and a cumulative incidence of 176 per 100 000 live births of the IEM-positive newborn infants. We detected 11 different types of IEMs, and the top 6 categories were endocrinopathies followed by carbohydrates disorders, vitamin-responsive disorders, organic acid defects, and ketogenesis and ketolysis defects. This study does reflect upon the importance of educating the general population about the perils of Consanguineous Marriages (CMs) in order to reduce related disorders significantly, especially in families who have a history of IEMs.
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