Facial nerve palsy might be observed for various reasons. The majority of facial paralysis appears as “idiopathic” or “Bell palsy”. Of the patients, approximately 80-85% experience spontaneous and complete recovery within the first three months in Bell’s palsy. However, it is an accepted fact that these patients should be diagnosed correctly and initiated treatment in the early period. The study aimed to make a retrospective analysis of the treatment modalities and results of patients diagnosed with Bell’s Palsy in a tertiary hospital clinic and discuss the subject in the light of current literature.
___
1. Chan JY, Byrne PJ. Management of facial paralysis in the 21st century. Facial Plastic Surgery. 2011;27:346-57.
2. Ho AL, Scott AM, Klassen AF, et al. Measuring quality of life and patient satisfaction in facial paralysis patients: a systematic review of patient-reported outcome measures. Plastic and reconstructive surgery. 2012;130:91-9.
3. Hadlock TA, Greenfield LJ, Wernick‐Robinson M, et al. Multimodality approach to management of the paralyzed face. Th e Laryngoscope. 2006;116:138-95.
4. Kang TS, Vrabec JT, Giddings N, et al. Facial nerve grading systems (1985-2002): beyond the House-Brackmann scale. Otology & neurotology. 2002;23:767-71.
5. Ronthal M, Shefner JM, Dashe JF. Bell’s palsy: Pathogenesis, clinical features, and diagnosis. 2009.
6. Adour KK. Current concepts in neurology: diagnosis and management of facial paralysis. N Engl J Med. 1982;307:348-51.
7. Peitersen E. Bell’s palsy: the spontaneous course of 2,500 peripheral facial nerve palsies of different etiologies. Acta Otolaryngol Suppl. 2002;549:4-30.
8. Madhok V, Falk G, Fahey T, Sullivan FM. Prescribe prednisolone alone for Bell’s palsy diagnosed within 72 hours of symptom onset. BMJ. 2009;6:338:b255.
9. Valença MM, Valença LP, Lima MC. Idiopathic facial paralysis (Bell’s palsy): a study of 180 patients. Arq Neuropsiquiatr. 2001;59:733-99.
10. Yanagihara N, Hyodo M. Association of diabetes mellitus and hypertension with Bell’s palsy and Ramsay Hunt syndrome. Ann Otol Rhinol Laryngol Suppl. 1988;137:5-7.
11. Katz A, Sergienko R, Dior U, Wiznitzer A, Kaplan DM, Sheiner E. Bell’s palsy during pregnancy: is it associated with adverse perinatal outcome? Laryngoscope. 2011;121:1395-8
12. Adour KK, Wingerd J. Idiopathic facial paralysis (Bell’s palsy): factors affecting severity and outcome in 446 patients. Neurology. 1974;24:1112-16.
13. Proctor B, Nager GT. The facial canal: normal anatomy, variations and anomalies. I. Normal anatomy of the facial canal. Ann Otol Rhinol Laryngol Suppl. 1982;97:33-44.
14. Demirci S, Kurt A, Tüzüner A, Samim AA, Caylan R. Bell paralizili hastalarda fasiyal kanal dehissans oranları. Tr-ENT. 2015;25: 87-91.
15. Al-Bishri A, Dahlin L, Sunzel B, Rosenquist J. Systemic betamethasone accelerates functional recovery after a crush injury to rat sciatic nerve. J Oral Maxillofac Surg. 2005;63:973-7.
16. Hato N, Yamada H, Kohno H, Matsumoto S. Valacyclovir and prednisolone treatment for Bell’s palsy: a multicenter, randomized, placebo-controlled study. Otol Neurotol. 2007; 28:408–13.
17. Hato N, Sawai N, Teraoka M, Wakisaka H, Takahashi H, Hinohira Y, Gyo K. Valacyclovir for the treatment of Bell’s palsy. Expert Opin Pharmacother. 2008;9:2531-6.
18. Gagyor I, Madhok VB, Daly F, Somasundara D, Sullivan M, Gammie F, et al. Antiviral treatment of Bell’s palsy (idiopathic facial paralysis). Cochrane Database Syst Rev. 2015;11:CD001869.
19. de Almeida JR, Al Khabori M, Guyatt GH, Witterick IJ, Lin VY, Nedzelski JM, et al. Combined corticosteroid and antiviral treatment for Bell palsy: a systematic review and metaanalysis. JAMA. 2009;302:985-93.
20. Gronseth GS, Paduga R. American Academy of Neurology Evidence-based guideline update: steroids and antivirals for Bell palsy: report of the Guideline Development Subcommittee of the American Academy of Neurology. Neurology. 2012;79:2209-13.
21. Lee HY, Byun JY, Park MS, Yeo SG. Steroid-antiviral treatment improves the recovery rate in patients with severe Bell’s palsy. Am J Med. 2013;126:336-41.
22. Devriese PP, Schumacher T, Scheide A, et al. Incidence, prognosis and recovery of Bell’s palsy. A survey of about 1000 patients (1974-1983) Clin Otolaryngol Allied Sci. 1990;15:15-27.
23. Gilden DH. Clinical practice. Bell’s Palsy. New Eng J Med. 2004;351:1323-34.
24. Fisch U. Surgery for Bell s palsy. Arch Otolaryngol .1981;107:177- 88.
25. Gantz BJ, Rubinstein JT, Gidley P, Woodworth GG. Surgical management of Bell’s palsy. Laryngoscope. 1999;109:1177-88.