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Bell’s palsy is the common name for the inflammation of the cranial nerve VII. The peculiar geniculate ganglion inflammation is idiopathic and causes hemifacial paralysis. Patients who suffer from this paralysis may have their symptoms dissipate between 3 weeks and 3 months. For certain patients whose facial paralysis persist, botulinum toxin type- A might be an efficient treatment. Depending on the severity of the muscular palsy, different treatments can be offered including surgery, steroid, and anti-viral treatment as well as Botox. This review article’s purpose is to dive into the possible correlation of viral pathogens with the activation of the facial nerve inflammation, and how patients with Bell’s palsy can benefit from Botox type-A as treatment.

Purpose: The aim of the study is intended to investigate the etiology and clinical features of children with idiopathic peripheral facial palsy (IPFP) and to identify probable prognostic factors. It is also intended to investigate corticosteroid therapy and compare its efficacy. Materials and Methods: A total of 80 patients with newly diagnosed IPFP were included in the study. Demographic, clinical features and laboratory findings including age, gender, House Brackmann Facial Nerve Grading System (HBGS) grade at admission and follow-up, and the dosage and onset of steroid treatment were reviewed. We assigned our patients to 3 groups: Group 1: Patients given 1 mg/kg oral steroid treatment (1 mg/kg/day oral prednisolone). Group 2: Patients given 2 mg/kg oral steroid treatment (2 mg/kg/day oral prednisolone), and Group 3: Patients who did not receive oral steroid treatment. Results: A total of 80 children (41 girls and 39 boys) with a median age of 11 years were included in the study. The complete recovery was detected in %78,8(n:63) with IPFP. Of all patients, 78.8% (n=63) showed complete recovery. Admission after more than 24 hours was found to reduce the likelihood of ER by 10 times (1/0.10), while patients with HBGS grade of 5 were found to be 33.3 times (1/0.03) less likely to achieve ER than patients with HBGS grades of 2 to 3. Finally, steroid treatment at 2 mg/kg/d increased the probability of early recovery by 8.38 times. Conclusion: The prognosis of IPFP in children was very good. The prognostic factors affecting the early recovery were being HBGS grade 2 or 3 on the 21th day and receiving steroid treatment in the first 24 hours and 2 mg/kg/d dose.

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Aim:The aim of our study was to investigate whether systemic microvascular function affects the development and prognosis of Bell’s palsy (BP) or not.Methods:Sixty patients, who were admitted to our hospital between June 2017 and May 2018 and diagnosed with BP, were included as the BP group, and 60 healthy volunteers who came to the hospital for health screening, were included as the control group in our study. The BP group was examined 3 months after the treatment and were divided into two groups according to the House-Brackmann Grading system. Capillary density (CD) and post-occlusive reactive hyperemia (PORH) values were measured by performing videocapillaroscopic examination through the nail fold for microvascular function, and statistical analysis was carried out among the groups.Results:The video-capillary results revealed that there was no significant difference in CD and PORH values (p>0.05). In the complete recovery and incomplete recovery group, the CD and PORH values were not significantly different (p>0.05).Conclusion:To the best of our knowledge, our study is the first study conducted in the literature. Even though the role of specific mechanisms in BP has not been fully understood, there was no significant difference between the BP patients and the healthy subjects and between the recovery and incomplete recovery groups with the capillaroscopic examination. It has been thought that the CD and PORH values were normal in the BP patients and that a microvascular mechanism was not a possible factor for the development and prognosis.

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.

Background: We aimed to analyze the etiologic and post-treatment recovery rates of patients with peripheral facial paralysis and their association with comorbid diseases. Materials and Methods: This study was applied to Harran University Ear Nose and Throat Diseases Clinic with facial asymmetry, eye closure, facial numbness, etc. The files of the patients who applied with complaints were examined. The files of a total of 300 patients were reviewed retrospectively. From the files of all patients; Examination findings, accompanying comorbid diseases, House-Brakcman staging and etiologies before and after treatment were recorded. Patients with peripheral facial paralysis developed within the last 1 month were included in the study. Patients with facial parylysis that developed for more than 1 month, patients who did not attend the controls regularly, and patients with central facial paralysis were excluded from the study. Results: A total of 261 patients were included in the study. 124 of the patients were female (47.5%) and 137 were male (52.5%). The youngest age among the patients was 6 months, and the oldest age was 86. The average age of the patients was 28.2. The number of patients with comorbid disease was 61 (33.4%). The most common of these were Diabetes Mellitus with 19.2% (n: 50), then Hypertension with 3.1% (n: 8) and diseases that we classified as the other group with 1.1% (n: 3). When we look at the etiological results of the patients, the most common cause was Bell Palsy with 93.1% (n: 243) followed by 3.1% (n: 8) acute otitis, 1.5% (n: 4) Rumsay Hunt Syndrome, 1%. Was iatrogenic, with 5 (n: 4) trauma and 0.8% (n: 2). According to House-Brackman staging of our patients, the most common presentation stage was 46.7% (n: 122) grade 3. Then it was grade 4 with 37.9% (n: 99), grade 2 with 6.5% (n: 17) and grade 5 with 5.0% (n: 13). Grade 2 was 47.9% (n: 127) according to House-Brackman staging, which was the most common after treatment. It was then grade 1 with 39.8% (n: 104). Conclusions: Peripheralfacialparalysisshowsbetterprogression in patientswithoutearlyonset of treatmentandcomorbiddisease. DiabetesMellitus is themostcommonchronicdiseaseaffectingtheprogression of peripheralfacialparalysis. [ABSTRACT FROM AUTHOR]

Copyright of Van Tip Dergisi is the property of Yuzuncu Yil University, Faculty of Medicine and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Bell's palsy is considered as a disease of exclusion. It is a form of lower motor neuron paralysis affecting the facial muscles. Rapid onset of paralysis causes panic to the patients. For speedy recovery, correct diagnosis and early treatment are crucial. Here a case of Bell's palsy is reported and the literature on Bell's palsy is reviewed. [Cukurova Med J 2014; 39(3.000): 581-588]

The aim of the study was to compare the prognostic value of the electrodiagnostic tests which have been used for prediction about prognosis of Bell's palsy. 40 patients followed up at Gülhane Military Academy Otolaryngology Department between 2008 and 2011 because of Bell's palsy were included in the study. Data were analyzed retrospectively. House-Brackmann classification was used for facial nerve functions. All patients were performed Nerve Excitability Test, Maximal Stimulation Test, Nerve Latency Test and Electromyography between 7th and 21th days of palsy. Patients were followed up for 4 months and eventually facial nerve motor function improvements were determined as complete (House-Brackmann class 1) recovery and incomplete (House-Brackmann class 2 or more) recovery. At the first visit facial nerve functions were detected class 2 in 2 patients, class 3 in 12 patients, class 4 in 12 patients, class 5 in 11 patients and class 6 in 3 patients. At the last visit 30 out of patients improved complete and 10 patients improved incomplete recovery. Electromyography and Maximal Stimulation Tests were superior tests for prediction of prognosis of the facial palsy according to other electrodiagnostic tests. Although Electromyography and Maximal Stimulation Test are more useful tests, also other tests can provide additional information us for prediction of prognosis. [ABSTRACT FROM AUTHOR]