Bell's palsy: prognostic accuracy of case history, sialometry and taste impairment

Ekstrand, Tom

doi:10.1111/j.1365-2273.1979.tb01885.x

Cited by 21 publications

(6 citation statements)

References 24 publications

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“…Parasympathetic fibres originating from the superior salivary nucleus carried by the chorda tympani provide the innervation to the submandibular and sublingual glands. Few papers have studied the salivary flow in BP [ 14 , 23 ]. Ekstrand, over 239 patients affected by BP, found the sialometry to be a reliable prognostic examination to identify patients with good or poor facial outcomes at 12 months, when a powerful secretory stimulus is used.…”

Section: Discussionmentioning

confidence: 99%

Bell’s Palsy: Symptoms Preceding and Accompanying the Facial Paresis

Seta

Mancini

Minni

et al. 2014

The Scientific World Journal

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This individual prospective cohort study aims to report and analyze the symptoms preceding and accompanying the facial paresis in Bell's palsy (BP). Two hundred sixty-nine patients affected by BP with a maximum delay of 48 hours from the onset were enrolled in the study. The evolution of the facial paresis expressed as House-Brackmann grade in the first 10 days and its correlation with symptoms were analyzed. At the onset, 136 patients presented postauricular pain, 114 were affected by dry eye, and 94 reported dysgeusia. Dry mouth was present in 54 patients (19.7%), facial pain, hyperlacrimation, aural fullness, and hyperacusis represented a smaller percentage of the reported symptoms. After 10 days, 39.9% of the group had a severe paresis while 10.2% reached a complete recovery. Dry mouth at the onset was correlated with severe grade of palsy and was prognostic for poor recovery in the early period. These outcomes lead to the deduction that the nervus intermedius plays an important role in the presentation of the BP and it might be responsible for most of the accompanying symptomatology of the paresis. Our findings could be of important interest to early address a BP patient to further examinations and subsequent therapy.

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Section: Discussionmentioning

confidence: 99%

Bell’s Palsy: Symptoms Preceding and Accompanying the Facial Paresis

Seta

Mancini

Minni

et al. 2014

The Scientific World Journal

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“…Aside from assessing general taste dysfunction, the most common clinical use of electrogustometry is to assess taste function as a marker for the prognosis of Bell's and related palsies such as Ramsay Hunt syndrome, 8 , 112 , 113 although its general value in this regards has been questioned. 114 Electrogustometric thresholds have also been useful in assessing adverse effects of tonsillectomy, 8 chemotherapy for cancer, 115 and diabetes and its development, 116 as well as assessing the success of chorda tympani reconstruction surgery. 117 , 118 …”

Section: Introductionmentioning

confidence: 99%

Measurement of chemosensory function

Doty

2018

World j. otorhinolaryngol.-head neck surg.

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Although hundreds of thousands of patients seek medical help annually for disorders of taste and smell, relatively few medical practitioners quantitatively test their patients' chemosensory function, taking their complaints at face value. This is clearly not the approach paid to patients complaining of visual, hearing, or balance problems. Accurate chemosensory testing is essential to establish the nature, degree, and veracity of a patient's complaint, as well as to aid in counseling and in monitoring the effectiveness of treatment strategies and decisions. In many cases, patients perseverate on chemosensory loss that objective assessment demonstrates has resolved. In other cases, patients are malingering. Olfactory testing is critical for not only establishing the validity and degree of the chemosensory dysfunction, but for helping patients place their dysfunction into perspective relative to the function of their peer group. It is well established, for example, that olfactory dysfunction is the rule, rather than the exception, in members of the older population. Moreover, it is now apparent that such dysfunction can be an early sign of neurodegenerative diseases such as Alzheimer's and Parkinson's. Importantly, older anosmics are three times more likely to die over the course of an ensuring five-year period than their normosmic peers, a situation that may be averted in some cases by appropriate nutritional and safety counseling. This review provides the clinician, as well as the academic and industrial researcher, with an overview of the available means for accurately assessing smell and taste function, including up-to-date information and normative data for advances in this field.

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“…The questionnaire was based on previous findings and consisted of 4 sections: systemic symptoms, sensory changes, auricular symptoms, and eye symptoms. 2,3 The H-B grading scale was used to clinically assess the severity of Bell’s palsy. 7 The H-B grade was reported at initial presentation, 9 weeks after onset, and 6 months after onset.…”

Section: Methodsmentioning

confidence: 99%

“…1 Several previous studies have reported the preceding symptoms of Bell's palsy. 2,3 To date, however, very few studies have investigated the frequency of prodromal symptoms in Bell's palsy or the relationship between these symptoms and disease severity.…”

Section: Introductionmentioning

confidence: 99%

Association Between Clinical Symptoms, Electrodiagnostic Findings, Clinical Outcome, and Prodromal Symptoms in Patients With Bell’s Palsy

Chae

Yoo

Lee

et al. 2022

Ann Otol Rhinol Laryngol

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Objective: This study aimed to determine which prodromal symptoms frequently occur in patients with Bell’s palsy and evaluate the association between these symptoms and clinical severity of paresis or the severity of facial nerve injury. Materials and Methods: The study included 86 patients with Bell’s palsy between August 2018 and April 2020. Severity levels of Bell’s palsy and facial nerve damage were evaluated using the House-Brackmann (H-B) grading scale and electrodiagnostic study, respectively. Subsequently, a self-reported questionnaire on prodromal symptoms was administered. To assess the degree of recovery, the H-B grade was reported at 9 weeks and 6 months after the onset of paralysis. Results: The most common prodromal symptoms were postauricular pain, sensory decline in the tongue, headache on the affected side, myalgia, facial sensory decline on the affected side, taste impairment, and dry eye. Taste impairment was significantly correlated with severe facial paralysis reported at 9 weeks after onset ( P < .05) and was not related to the severity of paresis assessed at initial examination or 6 months after onset or on electrodiagnostic findings. Conclusions: The prodromal symptoms of Bell’s palsy were not associated with the severity of facial nerve injury in an electrodiagnostic study. Taste impairment was related to clinical severity of paralysis at subacute stage, 9 weeks after onset, but it was not associated with long-term prognosis.

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Bell's palsy: prognostic accuracy of case history, sialometry and taste impairment

Cited by 21 publications

References 24 publications

Bell’s Palsy: Symptoms Preceding and Accompanying the Facial Paresis

Bell’s Palsy: Symptoms Preceding and Accompanying the Facial Paresis

Measurement of chemosensory function

Association Between Clinical Symptoms, Electrodiagnostic Findings, Clinical Outcome, and Prodromal Symptoms in Patients With Bell’s Palsy

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