Facial palsy: Etiology, outcome and management in children

Jenke, Andreas; Stoek, Lisa-Marie; Zilbauer, Matthias; Wirth, Stéfan; Borusiak, Peter

doi:10.1016/j.ejpn.2010.11.004

Cited by 63 publications

(60 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In another retrospective study, the recovery rate within 3 weeks for children with BP was 68.8% whereas the complete recovery rate was high, 31 episodes (96.9%) had complete recovery within 32 episodes of BP in 29 children at the end of the 7 months from onset [7]. A recent study Jenke et al reported a 97% spontaneous complete recovery of their patients, even though only 3.7% had been treated with corticosteroids [8]. In spite of high complete recovery rate, children with complete facial palsy and absence of recovery within 3 weeks can be indicators of poor prognosis in patients with BP (4).…”

Section: Discussionmentioning

confidence: 93%

“…In contrast with adults, the natural course of BP in children is not well documented and there are still many unresolved issues regarding the treatment and prognosis. Even though the treatment and prognosis of BP differ among children and adults, there are only a few studies focused on children [6][7][8][9][10]. Furthermore to our knowledge, there is no study in the literature which evaluates the outcomes of physical therapy interventions solely in children with BP.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Clinical Features of Bell’s Palsy in Children and Outcomes of Physical Therapy: A Retrospective Study

Çubukçu

Yılmaz

Alkan

et al. 2013

ISRN Rehabilitation

View full text Add to dashboard Cite

The aim of this study was to describe clinical features of Bell's palsy (BP) in children and outcomes of physical therapy interventions. Medical records of 186 patients with diagnosis of BP were reviewed. The severity of facial nerve dysfunction was graded according to House Brackmann Facial Nerve Grading Scale (HB FGS). After one month, patients who had HB FGS grade three or more were included in a physical therapy programme consisting of superficial heat, massage, exercises, and electrical stimulation. Among 186 children with BP, 167 children had a severity of HB FGS grade three or more and 19 had the incomplete type at the time of the diagnosis. After one month follow-up, 144 patients fully recovered, 35 patients recovered partially, while 7 patients had no recovery. Patients who had not fully recovered one month after onset of paralysis were included in the physical therapy programme. There was statistically significant difference between pretreatment and posttreatment HB FGS scores in patients who had not fully recovered one month after onset of paralysis. We concluded that the prognosis of BP in children seems to be good with higher recovery rate and physical therapy programme might be an effective method to facilitate recovery in patients with poor prognosis.

show abstract

Section: Discussionmentioning

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Clinical Features of Bell’s Palsy in Children and Outcomes of Physical Therapy: A Retrospective Study

Çubukçu

Yılmaz

Alkan

et al. 2013

ISRN Rehabilitation

View full text Add to dashboard Cite

show abstract

“…We excluded papers investigating paediatric patients because there are different aetiologies in this patient group. Several studies reported that the cause of facial nerve paralysis was idiopathic in 16%‐50% of included children . In 21 of 25 cases, the cause of paediatric facial palsy was secondary to a specific aetiology or associated with a recognisable syndrome .…”

Section: Discussionmentioning

confidence: 99%

Recurrent Bell's palsy

Dong

Jung

et al. 2019

Clinical Otolaryngology

View full text Add to dashboard Cite

Objective Although recurrent facial palsy was first reported in 1871, the aetiology, definitions, classifications, pathogenesis, treatment options and prognosis have not been clearly determined. There have been no systematic reviews and meta‐analyses of recurrent Bell's palsy. The purpose of this study was to evaluate the clinical manifestations of recurrent Bell's palsy through a systematic review and meta‐analysis. Design The SCOPUS, PubMed, Cochrane Library and EBSCO databases were searched through 1 May 2018, using the search terms “recurrent Bell's palsy” and “recurrent facial palsy,” for studies involving patients with recurrent Bell's palsy. Reference lists of eligible studies were also reviewed. Results A search of titles and abstracts in these four databases identified 222 studies; of these, 27 studies, involving 1041 patients from 13 countries, were analysed. The mean percentage of patients who experienced recurrence of Bell's palsy ranged from 0.8% to 19.4%. Five studies that included 191 patients were included in the meta‐analysis. Conclusions Among patients previously affected by Bell's palsy, the mean incidence of recurrent Bell's palsy was 6.5%. Sidedness of recurrent disease, relative to the side of the original disease, had no effect on patient prognosis. Of all patients with Bell's palsy, 66.0% recovered completely, with the recovery rate lower in patients with recurrent than with primary Bell's palsy.

show abstract

“…Acute facial nerve paralysis in an infant is an uncommon clinical entity, and it is considered as a pediatric emergency. The incidence of facial nerve paralysis in children varies from 5 to 21:100,000/year [1]. The mean age of pediatric group lies between 5 and 11 years with no significance between male and female [4].…”

Section: Discussionmentioning

confidence: 99%

“…Bell's palsy is an acute unilateral idiopathic facial nerve paralysis. Although Bell's palsy can occur at any age group, individuals between 15 and 45 years are most commonly susceptible [1]. Facial nerve paralysis whether in child or adult, it results in weakness of facial musculature, impacting verbal communication, social interaction with respect to facial expression, oral competence, taste, and protection to the cornea and vision.…”

Section: Introductionmentioning

confidence: 99%

Bell’s Palsy Among Infants - Our Experiences in a Tertiary Care Hospital of Eastern India

Swain

Behera

Sahu

2017

Asian J Pharm Clin Res

View full text Add to dashboard Cite

Objective: To know and standardize the clinical diagnosis and management of Bell's palsy among infants from a tertiary care hospital of Eastern India. Methods:In this prospective study, we have documented detail clinical manifestation and management of infants of Bell's palsy from the pediatric age group. When an infant presents with facial nerve paralysis, a full clinical history and detailed examination were recommended for accurate diagnosis. Simultaneously, the parents were reassured, and the prognosis was explained to the parents. Oral steroids along with physiotherapy were started in the outdoor basis. Results:We diagnosed six infants of Bell's palsy in the age group of 5 months to 12 months. Among them, 4 females and rest 2 were males. These infants showed improvement with complete recovery in 83% of cases within 3 weeks, whereas partial recovery was seen in rest. Conclusion:In this study, we find out that oral steroids along with physiotherapy and eye care are effective for Bell's palsy in infants.

show abstract

Facial palsy: Etiology, outcome and management in children

Cited by 63 publications

References 24 publications

Clinical Features of Bell’s Palsy in Children and Outcomes of Physical Therapy: A Retrospective Study

Clinical Features of Bell’s Palsy in Children and Outcomes of Physical Therapy: A Retrospective Study

Recurrent Bell's palsy

Bell’s Palsy Among Infants - Our Experiences in a Tertiary Care Hospital of Eastern India

Contact Info

Product

Resources

About