Clinical prognostic factors in patients with idiopathic peripheral facial nerve paralysis (Bell’s palsy)

Authors : Fatih Alper Akcan, Yusuf Dundar, Ahmet Uluat, Hakan Korkmaz, Ali Ozdek

Pages : 170-174

Doi:10.18621/eurj.293246

View : 19 | Download : 11

Publication Date : 2017-07-04

Article Type : Research Paper

Abstract :Objective.  The aim of this study was to analyse the clinical prognostic factors that are associated with treatment outcomes in patients with idiopathic peripheral facial nerve paralysis insert ignore into journalissuearticles values(PFNP);.  Methods.  The study was performed retrospectively with 80 patients in a tertiary medical center. All of the patients were treated and followed for idiopathic PFNP insert ignore into journalissuearticles values(Bell’s palsy);. The patient charts were reviewed for patient demographics and characteristics. The comorbidities insert ignore into journalissuearticles values(hypertension, diabetes mellitus);, the side, grade and duration of palsy, and the acoustic stapedius reflex were analysed.  Results.  Forty-three male and 37 female patients were diagnosed with idiopathic PFNP. Sixty-seven of patients had complete, 13 patients had partial recovery. Of the partial recoveries, 12 patients had Grade 2 and one patient Grade 3 PFNP at the end of primary treatment. Patients tended to have incomplete recovery if they have a diagnosis of diabetes mellitus, but the difference between groups was not statistically significant insert ignore into journalissuearticles values( p =0.326);. A positive stapedius reflex was associated with complete recovery insert ignore into journalissuearticles values( p =0.023);. Patients had much more risk of incomplete recovery if age is more than 40 years insert ignore into journalissuearticles values( p =0.006);.  Conclusion.  A detailed history and complete physical examination are very important in peripheral facial palsy. Co-morbid diseases and demographic features such as high blood pressure, diabetes mellitus and advanced age might influence the treatment outcomes.
Keywords : Facial paralysis, Bells palsy, seventh nerve paralysis, risk factors, prognosis