Recurrent Bell's palsy

Dong, Seok Ho; Jung, Ah Ra; Jung, Junyang; Jung, Su Young; Byun, Jae-Yong; Park, Moon Suh; Kim, Sang Hoon; Yeo, Seung Geun

doi:10.1111/coa.13293

Cited by 25 publications

(14 citation statements)

References 43 publications

(123 reference statements)

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“…There has been considerable disagreement regarding the factors associated with the incidence of Bell's palsy, including age, sex, season, pregnancy, and diabetes 2,3,6,7 . The mean recurrence rate of 6.5% is based on reports from single‐center retrospective studies 8 . Little is known about the factors associated with recurrent Bell's palsy.…”

Section: Introductionmentioning

confidence: 99%

Epidemiological trends of Bell's palsy treated with steroids in Korea between 2008 and 2018

Lee

Kim

2021

Muscle and Nerve

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Introduction: Contemporary epidemiological data on Bell's palsy are crucial to clarify disease burden and improve management strategies. We aimed to examine the epidemiology of, and factors associated with, Bell's palsy treated with steroids in Korea.Methods: Using the National Health Insurance claims data from 2008 to 2018, we determined the incidence, recurrence rate, and management trends of Bell's palsy treated with steroids. We defined Bell's palsy cases based on diagnostic codes and concurrent treatment with steroids.Results: The incidence of Bell's palsy showed an increasing trend (from 23.0 per 100 000 persons in 2008 to 30.8 per 100 000 persons in 2018). Age (60-69 y), sex (men), and month (January) were risk factors of Bell's palsy. The recurrence rate of Bell's palsy over the 11-y period was 1.5%. Male sex (hazard ratio [HR], 1.1; 95% confidence interval [CI], 1.0-1.2) and physiotherapy (HR, 0.9; 95% CI, 0.8-0.99) were independently associated with the recurrence of Bell's palsy. During the study period, the use of electrodiagnostic testing steadily increased, whereas that of physiotherapy steadily decreased, and antiviral therapy fluctuated,.Discussion: The incidence and recurrence rates presented in this study are comparable with those reported in earlier studies that included patients with Bell's palsy, regardless of the use of steroids, and documented an increase in the burden of Bell's palsy. Further randomized controlled trials are required to ascertain the long-term effects of physiotherapy on recurrent Bell's palsy.

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Section: Introductionmentioning

confidence: 99%

Epidemiological trends of Bell's palsy treated with steroids in Korea between 2008 and 2018

Lee

Kim

2021

Muscle and Nerve

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“…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). However, there is a lot of disparity reported in the prognosis of recurrent Bell's palsy.…”

Section: Discussionmentioning

confidence: 99%

“…The mean incidence of recurrent Bell's palsy, i.e. in patients who were affected previously as well, is 6.5% (Dong et al, 2019). It was irst reported in 1871 but its etiology, pathogenesis, management and prognosis are still not clearly reported (Dong et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

“…in patients who were affected previously as well, is 6.5% (Dong et al, 2019). It was irst reported in 1871 but its etiology, pathogenesis, management and prognosis are still not clearly reported (Dong et al, 2019). The exact cause of recurrent idiopathic Bell's palsy in an individual is not well studied, although some studies have reported its association with malignant hypertension, diabetes, autoimmune disease and pregnancy (Scola et al, 2004).…”

Section: Introductionmentioning

confidence: 99%

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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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“…A ocorrência de um novo episódio de PFP, nos casos de PB, varia de 0,8 a 19,4% sem diferença entre os sexos (Dong et al, 2019), no qual adultos e crianças têm as mesmas chances para novos quadros (Cirpaciu, Goanta e Cirpaciu, 2014 (Owusu, Stewart, Boahene, 2018).…”

Section: Paralisia Facial Periférica (Pfp)unclassified

Desempenho da mímica facial e qualidade de vida na fase aguda da paralisia facial periférica

Vilela¹

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Vilela, M. Facial mimicry performance and quality of life in the acute phase of peripheral facial paralysis [dissertacion]. Ribeirão Preto: University of São Paulo, School of Medicine of Ribeirão Preto; 2019.Introduction: Peripheral facial paralysis (PFP) is the most common cranial neuropathy, which the facial nerve responsible for facial mime loses its function.Therefore, it is understood the importance of investigating the psychological impact that it causes in the patients of this pathology and the damages regarding the muscular function to aid in the diagnosis and prognosis. Objectives:To analyze the performance of facial mimicry in PFP compared to healthy control subjects and their relation with quality of life (QOL) and severity of motor impairment. Methods: This research was a cross-sectional observational study in which patients with unilateral acquired PFP in the acute phase, between 18 and 59 years old (GPFP) and healthy control subjects (CG) at the same age group. A total of 236 subjects with facial paralysis were screened, and of these, 35 subjects with Bell's palsy comprised the GPFP, the mean age was 34.2 years (± 13.6) and 28 subjects with GC with a mean age of 33.9 years (± 13.1). Patients with PFP were classified according to the degree of motor engagement of House and Brackmann. The Facial Disability Index -FDI (physical and social), related to QOL, the Facial Mimicry Mobility Assessment (FMMA) and the Three-Dimensional Analysis (3D) of the Facial Movement were investigated. The non-parametric Mann Whitney test was used in the comparison between the groups for the FDI, FMMA and 3D analysis.Spearman's correlation test analyzed the relationship between the PFP grade and the other variables. Results: Regarding FDI, the GPFP has significantly lower scores than the CG for both subscripts: physical (P <0,0001) and social (P <0,0141). Women with PFP appear to suffer more socially than men (P = 0,046). The overall values of facial mimicry generated by the FMMA were also lower in the GPFP compared to the CG (P <0,0001), as well as in the individual comparison of each muscle (P <0,0001). The 3D analysis showed significantly higher asymmetry indexes in GPFP (P <0,0001). There was a correlation between the degree of PFP and QOL for physical (ρ = -0,40, P <0,01); between the increase in age and worsening of QOL for physical (ρ = -0,45, P <0,005).The FMMA showed correlation with the degree (ρ = -0,65, P <0,0001) and with the QOL for physical (ρ = 0,56, P = 0,0004). Regarding the 3D analysis, all the facial mimicry tests searched correlated with the degree of the PFP, except for the lip protrusion test and the tests of surprise, open smile and closed smile were correlated with the QOL. Conclusions: Patients with PFP have a deficit in muscle function when compared to healthy control group in relation to facial capacity related to QOL, facial mimicry and facial asymmetry differences, with women suffering more in the social context in relation to QOL. The physical capacity related to QOL was influenced by PFP sev...

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Recurrent Bell's palsy

Cited by 25 publications

References 43 publications

Epidemiological trends of Bell's palsy treated with steroids in Korea between 2008 and 2018

Epidemiological trends of Bell's palsy treated with steroids in Korea between 2008 and 2018

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

Desempenho da mímica facial e qualidade de vida na fase aguda da paralisia facial periférica

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