Evaluation of Factors Associated With Favorable Outcomes in Adults With Bell Palsy

Yoo, Myung Chul; Soh, Yunsoo; Chon, Jinmann; Lee, Jong Ha; Jung, Junyang; Kim, Sung Su; You, Myung‐Won; Byun, Jae Yong; Kim, Sang Hoon

doi:10.1001/jamaoto.2019.4312

Cited by 59 publications

(65 citation statements)

References 53 publications

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“…The full recovery rate of females (72%) was similar to that of males (69%) [2]. Yoo et al showed that gender was not associated with a favorable outcome (OR, 1.04; 95% CI, 0.78 to 1.38) [12]. This finding was compatible with our study results showing that sex did not influence the final outcome or recovery time.…”

Section: Discussionsupporting

confidence: 91%

“…Peitersen showed that children (aged ≤ 14 years) had the most favorable prognosis, while older patients (aged > 60 years) had the worst outcomes [2]. Yoo et al reported that age younger than 40 years was associated with a favorable outcome [12]. In our study, age less than 60 years was not associated with favorable outcomes.…”

Section: Discussioncontrasting

confidence: 41%

“…In contrast, Lee et al showed that the final recovery rate of Bell’s palsy was influenced by accompanying hypertension [ 3 ]. Yoo et al further investigated whether controlled hypertension was associated with a good outcome [ 12 ]. The prognostic value in the presence of hypertension seems to be controversial.…”

Section: Discussionmentioning

confidence: 99%

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Reappraisal of the Prognostic Factors of Outcome and Recovery Time in Patients with Idiopathic Bell’s Palsy: A Retrospective Single-Center Analysis

Peng

Chen

Liao

et al. 2021

JPM

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Study Objectives: This retrospective study investigated prognostic factors and recovery time in patients with Bell’s palsy after different doses and durations of oral glucocorticoid treatments. Subjects and Methods: A total of 396 patients initially diagnosed with Bell’s palsy that had visited the Department of Neurology of Chang Gung Memorial Hospital, Taoyuan, a tertiary referral medical center in Taiwan, between January 2014 and December 2018 were included. Medical records, facial electroneurography (fENoG), and blink reflex (BR) tests were reviewed and analyzed. A favorable outcome was defined as patients who improved to grade ≤ II, and an unfavorable outcome was defined as patients who improved to grade ≥ III in 6 months according to the House–Brackmann (HB) grading system. Results: The rate of favorable outcomes was 89.4% (354 of 396 patients) at the 6-month follow-up. A favorable outcome (HB less than grade II) was associated with a delayed BR (odds ratio, OR, 5.38; 95% CI, 1.82 to 15.90) and fENoG values (the lesion side/the healthy side) over 33% (OR, 6.67; 95% CI, 3.02 to 14.71). The recovery time was significantly shorter for those with a delayed BR than for those with an absent BR and shorter for those with good fENoG values (>33%) than for those with poor values (≤33%). However, treatment without or with different doses and durations of oral glucocorticoid did not influence the final outcome or recovery time in this study. Conclusions: The fENoG and BR tests were significant and highly valuable examinations for predicting the final outcome. Moreover, age younger than 60 years, a delayed BR, and fENoG values > 33% were associated with shorter recovery times.

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Section: Discussionsupporting

confidence: 91%

Section: Discussioncontrasting

confidence: 41%

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Reappraisal of the Prognostic Factors of Outcome and Recovery Time in Patients with Idiopathic Bell’s Palsy: A Retrospective Single-Center Analysis

Peng

Chen

Liao

et al. 2021

JPM

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“…Therefore, the time to complete recovery and the effect of treatment are of great concern to patients. [ 26 ] With the introduction of KT, there is an effective method for the rehabilitation of PFP, its mechanism of action is as follows:…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of Kinesio taping on peripheral facial paralysis

et al. 2020

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“…Viral infections may also directly affect patients` facial nerve and thus lead to facial palsy. Viral cause in Bell`s palsy, if be treated promptly, higher number of patients will have their facial palsies, get dissolved freely [14]. Suggestions of bilateral facial palsy with the level of socioeconomic status, personal habits, mental status and poor hygiene have been considered [15] .Not all facial palsies respond to reanimation surgery, unless are highly chosen based on surgeons' decision for possible better results.…”

Section: Introductionmentioning

confidence: 99%

Facial Palsy and Contemporary Reanimation Surgery: A Short Review

Shemshadi

2020

Int. Ann. Sci.

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The primary purpose of this mini-review article is to introduce modern issues of reanimation surgeries in patients with facial palsies. Modern methods of reanimation surgeries are discussed for mentioning patients` benefits, and their more satisfactions and hopeful horizons for the future of such cases with facial palsies. Facial paralysis, associated to implementing new reanimation surgery techniques, is presenting new advanced methods of facial nerve palsy reforms, through reanimation surgeries. Facial palsy, which occur by a diversity of reasons, need to be evaluated for their etiologies and prepare a proper surgical plan for their reconstructions. Stroke, trauma, congenital, neoplasia, neurological, immunological, viral infections, and psychological reasons, are some potential causes of patients with facial palsies. Brief reviews were done, based on recent evidences` results in reanimation surgery practices. Due to any of above cited reasons, patients with facial palsies get physically and mentally disturbed and are willing to search ways, for solving their facial distressing problems. Consequently, mentioned patients are eagerly searching means to receive new available promotions to improve their facial palsies. In concluding, patients who undergo reanimation surgeries, if good results of their operations obtained, they will be motivated in gaining self-confidence, self-care, self-respect and therefore getting a cumulative their effective social bond, and raising their quality of life, after reanimation operations.

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Evaluation of Factors Associated With Favorable Outcomes in Adults With Bell Palsy

Abstract: Identification of the factors associated with improved facial nerve function after treatment of Bell palsy is important to provide patients with early and effective treatment. OBJECTIVE To identify factors that are associated with improved treatment outcomes in patients with Bell palsy.

Cited by 59 publications

References 53 publications

Reappraisal of the Prognostic Factors of Outcome and Recovery Time in Patients with Idiopathic Bell’s Palsy: A Retrospective Single-Center Analysis

Reappraisal of the Prognostic Factors of Outcome and Recovery Time in Patients with Idiopathic Bell’s Palsy: A Retrospective Single-Center Analysis

Effectiveness of Kinesio taping on peripheral facial paralysis

Facial Palsy and Contemporary Reanimation Surgery: A Short Review

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