Prognosis of Idiopathic Bell's Palsy

Diamant, H; Ekstrand, Tom; Wiberg, A

doi:10.1001/archotol.1972.00770080667007

Cited by 21 publications

(5 citation statements)

References 6 publications

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“…Of the simpler tests, which can be managed by the E.N.T. specialist in his office, impairment of the stimulated salivary flow from the submandibular glands appears to offer a very reliable early prognosis in the individual patient (Diamant et al, 1972;May et al, 1976;Ekstrand, 1978). However, the test can not be relied upon for a prognosis in some instances, namely:…”

Section: Introductionmentioning

confidence: 99%

Bell's palsy—prognostic value of the stapedius reflex with contralateral stimulation

Ekstrand

Glitterstam

1979

J. Laryngol. Otol.

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Section: Introductionmentioning

confidence: 99%

Bell's palsy—prognostic value of the stapedius reflex with contralateral stimulation

Ekstrand

Glitterstam

1979

J. Laryngol. Otol.

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“…However, untreated and 30% of patients who have received an early treatment may progress towards a poor recovery, continuing facial asymmetry, psychological distress and facial pain (Peitersen, 2002;Neely et al, 1996). Factors involving poor prognosis are old age (De et al, 2005), combined disease like hypertensive or diabetes (Fujiwara et al, 2014), impaired taste (Diamant et al, 1972), pain beside earache and weakness of whole face (Adour and Wingerd, 1974). Approximately 2/3 of the Bell's palsy patients recover completely, whereas prognosis is lower in cases of recurrence as compared to primary Bell's palsy (Dong et al, 2019).…”

Section: Discussionmentioning

confidence: 99%

A Case Report of Recurrent unilateral Bell’s Palsy in young female

Aldossary

2020

ijrps

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Most facial palsies comprise of lower motor neuron type or Bell’s palsy. The mean incidence of recurrence of Bell’s palsy is 6.5% and can recur at any age. Although it was first reported in the year 1871, most of its etiology, pathology, management and progression are still neither fully described nor reported. We reported a case of Bell’s palsy in a young Saudi female who was presented with a unilateral recurrent episode of Bell’s palsy. Patient came to the emergency department with facial asymmetry, severe neck pain, loss of sensation on the left side of face and headache, while she was also not responding to oral medications. She was admitted to the hospital for an intravenous treatment and for further evaluation. Her serologic investigation was unremarkable. Similar episode had occurred five years ago as well, which was completely resolved after treatment. Her brain MRI localized T2 and T2 weighted sequence showed hyperintense lesion at the superior anterior aspect of left orbit and could represent lipoma versus hemangioma. Her presenting complaint responded well on IV treatment and patient was discharged on 11th day. She was also referred for plastic and neurosurgery services for the treatment of underlying cause. Recurrent Bell’s palsy is infrequent with etiology not fully elucidated. However, our case emphasizes that the timely medical treatment with regular follow-up is necessary for better prognosis and identification and treatment of underlying cause.

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“…Prognosis is excellent for those with less than full flaccid paralysis on presentation, for those whose facial function begins to recover within 4 weeks of symptom onset, and for those whose ENoG demonstrates less than 85% degeneration in the CMAP amplitude. [20][21][22][23] Poor prognostic factors include advanced age, 24 hypertension, 25 marked taste disturbances, 26 diabetes mellitus, 27 and pregnancy-associated BP. 28…”

Section: Prognostic Factorsmentioning

confidence: 99%

Contemporary Management of Bell Palsy

Jowett

Hadlock

2015

Facial plast Surg

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Bell palsy (BP) is the most common diagnosis in acute and chronic facial palsy. Although most patients fully recover, more than one-quarter will have residual dysfunction. Of these, nearly half will demonstrate severe limitations in facial expression. Though significant attention has been paid to acute management and prognosis, a paucity of literature exists addressing management of the long-term sequelae of BP. This article describes contemporary use of physical therapy, injectables, and static and dynamic surgical procedures in facial reanimation of acute and chronic BP.

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Prognosis of Idiopathic Bell's Palsy

Cited by 21 publications

References 6 publications

Bell's palsy—prognostic value of the stapedius reflex with contralateral stimulation

Bell's palsy—prognostic value of the stapedius reflex with contralateral stimulation

A Case Report of Recurrent unilateral Bell’s Palsy in young female

Contemporary Management of Bell Palsy

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