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Objective: To determine the relationship between disease stage, hospital admission time, and vitamin D levels in patients with Idiopathic Facial Paralysis (Bell's palsy). Materials and Methods: The hospital registry system was scanned retrospectively and 52 patients diagnosed with idiopathic facial paralysis were included in the study. A control group was formed with 50 participants matched in terms of age and gender. Disease stage was determined according to the House-Brackmann Scale. Clinical and demographic data, vitamin D levels, and disease stages of the patients were recorded. Disease stage, duration of admission, and vitamin D levels were compared among patients. The patients and the control group were compared in terms of vitamin D levels. Results: There was no statistically significant difference between the groups in terms of age and gender. The mean Vitamin D level of the idiopathic facial paralysis group was found to be lower than the control group. There was a statistically significant difference between the duration of admission and the disease stage. The duration of admission for patients with stage 2 was found to be higher than those with stage 5-6. When analyzed in terms of Vitamin D, it was observed that the average Vitamin D level of Grade 2 was statistically significantly higher than Grade 4 and 5-6, also, it was observed that the mean Vitamin D level of Grade 3 was statistically significantly higher than Grade 5-6. Conclusion: According to our study results, we determined that vitamin D levels may be associated with development of the disease and disease prognosis. Also, we found that increased disease severity significantly shortened the duration of admission.

Amaç: Bu çalışma Bell paralizisi sekeli olan hastaların akupunktur tedavisi öncesinde ve sonrasındaki klinik ve morfometrik farklılıkları değerlendirmek ve fasiyal hareketlerdeki iyileşmeyi belirlemek için yapılmıştır. Gereç ve Yöntem: Bu çalışmaya Bell paralizisi sekeli olan 40 hasta (20 akupunktur grubu-20 kontrol grubu) dahil edildi. Akupunktur grubu Bell paralizisi sekeli olan ve akupunktur tedavisi (12 seans) alacak olan hastalardan oluşturuldu. Kontrol grubu ise Bell paralizisi sekeli olan ve bekletilecek olan hastalardan oluşturuldu. Tüm hastaların detaylı tıbbi öyküleri alındı. Morfometrik ölçümler dinlenme ve gülümseme pozisyonlarında yüzlerin hem etkilenmiş hem de etkilenmemiş taraflarındaki belirlenmiş anatomik noktalara göre uygulandı. Çalışmanın sonunda klinik değerlendirmeler ve morfometrik ölçümler tekrarlandı ve sonuçlar istatistiksel olarak analiz edildi.Bulgular: Akupunktur grubu hastalarının baş ağrısı semptomlarında klinik değerlendirmeler açısından anlamlı farklılık gözlendi. Akupunktur grubunda, dinlenme ve gülümseme pozisyonlarında etkilenmiş tarafın tedavi öncesi ve sonrası değerlerinde istatistiksel olarak anlamlı farklılık vardı. Ayrıca akupunktur grubundaki hastaların yüzün etkilenmiş taraflarındaki klinik semptomlarda ve fasiyal hareketlerde önemli değişiklikler vardı.Sonuç: Akupunktur tedavisinin Bell paralizisi sekelindeki fasiyal hareketlerin değişiminde özellikle de klinik ve morfometrik açıdan önemli terapötik etkiye sahip olduğu düşünülebilir.

Purpose: The aim of present study was to evaluate clinical and morphometric differences and to determine the improvement in facial movements in pre- and postacupuncture treatments of patients with Bell’s palsy sequelae. Materials and Methods: A total of 40 patients with Bell’s palsy sequeale (20 acupuncture group-20 control group) were included in this study. The acupuncture group consisted of Bell’s palsy sequelae and scheduled for acupuncture theraphy (12 sessions). The control group consisted of Bell’s palsy sequelae, being kept on the waiting list. The deatiled medical histories were obtained from all patients. Morphometric measurements were performed based on determined anatomical points on both affected and unaffected sides of the faces in resting and smiling positions. At the end of the study clinical evaluations and morphometric measurements were repeated and results were analyzed statistically. Results: The significant difference was observed in the headache symptoms of the acupuncture group patients in terms of clinical evaluations. In acupuncture group, there was statistically significant difference in pre- and posttreatment values of the affected side in the resting and smiling positions. There were significant changes in clinical symptoms and facial movements in the affected side of the face in the acupuncture group patients. Conclusion: Acupuncture therapy may be considered to have a significant therapeutic effect on changes in facial movements especially in clinical and morphometric aspects of Bell’s palsy sequelae. [ABSTRACT FROM AUTHOR]