Enver Altaş, Togay Müderris, Fatih Yılmaz, Aynur Aliyeva, Taşkın Tokat, Abdulhalim Aysel, Özgür Özdemir Şimşek

Pediatric Bell’s palsy: prognostic factors and treatmentoutcomes

Background. Idiopathic facial paralysis or Bell’s palsy is the most common type of peripheral facial paralysis. Children with Bell’s palsy is an uneasy situation for the family and physician with questions about the etiology, treatment options and the healing process. Here, we aimed to compare the epidemiologic features and prognostic factors of patients with Bell’s palsy aged

PDF

___

1. Zandian A, Osiro S, Hudson R, et al. The neurologist’s dilemma: a comprehensive clinical review of Bell’s palsy, with emphasis on current management trends. Med Sci Monit 2014; 20: 83-90.
2. Taverner D, Kemble F, Cohen SB. Prognosis and treatment of idiopathic facial (Bell’s) palsy. Br Med J 1967; 4: 581-582.
3. Baugh RF, Basura GJ, Ishii LE, et al. Clinical practice guideline: Bell’s palsy. Otolaryngol Head Neck Surg 2013; 149 (Suppl 3): S1-S27.
4. 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.
5. Tiemstra JD, Khatkhate N. Bell’s palsy: diagnosis and management. Am Fam Physician 2007; 76: 997- 1002.
6. Stew B, Williams H. Modern management of facial palsy: a review of current literature. Br J Gen Pract 2013; 63: 109-110.
7. Goudakos JK, Markou KD. Corticosteroids vs corticosteroids plus antiviral agents in the treatment of Bell palsy: a systematic review and meta-analysis. Arch Otolaryngol Head Neck Surg 2009; 135: 558- 564.
8. House JW, Brackmann DE. Facial nerve grading system. Otolaryngol Head Neck Surg 1985; 93: 146- 147.
9. Cha CI, Hong CK, Park MS, Yeo SG. Comparison of facial nerve paralysis in adults and children. Yonsei Med J 2008; 49: 725-734.
10. May M, Klein SR. Differential diagnosis of facial nerve palsy. Otolaryngol Clin North Am 1991; 24: 613-645.
11. Özkale Y, Erol İ, Saygı S, Yılmaz İ. Overview of pediatric peripheral facial nerve paralysis: analysis of 40 patients. J Child Neurol 2015; 30: 193-199.
12. Shih WH, Tseng FY, Yeh TH, Hsu CJ, Chen YS. Outcomes of facial palsy in children. Acta Otolaryngol 2009; 129: 915-920.
13. Evans AK, Licameli G, Brietzke S, Whittemore K, Kenna M. Pediatric facial nerve paralysis: patients, management and outcomes. Int J Pediatr Otorhinolaryngol 2005; 69: 1521-1528.
14. Eidlitz-Markus T, Gilai A, Mimouni M, Shuper A. Recurrent facial nerve palsy in paediatric patients. Eur J Pediatr 2001; 160: 659-663.
15. Lunan R, Nagarajan L. Bell’spalsy: a guideline proposal following a review of practice. J Paediatr Child Health 2008; 44: 219-220.
16. Stew B, Williams H. Modern management of facial palsy: a review of current literature. Br J Gen Pract 2013; 63: 109-110.
17. Kasse CA, Cruz OL, Leonhardt FD, Testa JR, Ferri RG, Viertler EY. The value of prognostic clinical data in Bell’s palsy. Braz J Otorhinolaryngol 2005; 71: 454- 458.
18. Devriese PP, Schumacher T, Scheide A, de Jongh RH, Houtkooper JM. Incidence, prognosis and recovery of Bell’s palsy. A survey of about 1000 patients (1974- 1983). Clin Otolaryngol Allied Sci 1990; 15: 15-27.
19. Dhiravibulya K. Outcome of Bell’s palsy in children. J Med Assoc Thai 2002; 85: 334-339.
20. Chen WX, Wong V. Prognosis of Bell’s palsy in children-analysis of 29 cases. Brain Dev 2005; 27: 504-508.
21. Ogita S, Terada K, Niizuma T, Kosaka Y, Kataoka N. Characteristics of facial nerve palsy during childhood in Japan: frequency of varicella zoster virus association. Pediatr Int 2006; 48: 245-249.
22. Kang HM, Jung SY, Byun JY, Park MS, Yeo SG. Steroid plus antiviral treatment for Bell’s palsy. J Intern Med 2015; 277: 532-539.
23. Sullivan FM, Swan IR, Donnan PT, et al. Early treatment with prednisolone or acyclovir in Bell’s palsy. N Engl J Med 2007; 357: 1598-1607.
24. Pitaro J, Waissbluth S, Daniel SJ. Do children with Bell’s palsy benefit from steroid treatment? A systematic review. Int J Pediatr Otorhinolaryngol 2012; 76: 921-926.
25. Pavlou E, Gkampeta A, Arampatzi M. Facial nerve palsy in childhood. Brain Dev 2011; 33: 644-650.
26. Veillon F, Taboada LR, Eid MA, et al. Pathology of the facial nerve. Neuroimaging Clin N Am 2008; 18: 309-320.
27. Holland NJ, Weiner GM. Recent developments in Bell’s palsy. BMJ 2004; 329: 553-557.
28. Eryilmaz A, Basal Y, Tosun A, Kurt Omurlu I, Basak S. The neutrophil to lymphocyte ratios of our pediatric patients with Bell’s palsy. Int J Pediatr Otorhinolaryngol 2015; 79: 2374-2377.
29. Kiliçkaya MM, Tuz M, Yariktaş M, Yasan H, Aynalı G, Bagci Ö. The importance of the neutrophillymphocyte ratio in patients with idiopathic peripheral facial palsy. Int J Otolaryngol 2015; 2015: 981950.
30. Ozler GS, Gunak G. Neutrophil-lymphocyte ratio: a new predictive and prognostic factor in patients with Bell palsy. J Craniofac Surg 2014; 25: 944-945