Prospective Observational Study Of Bell’s Palsy
Prospective Observational Study of Bell’s Palsy
DOI:
https://doi.org/10.70284/njirm.v4i2.2169Keywords:
Bell's palsy, Facialn Nerve, TreatmentAbstract
Bell's palsy is mot common type of facial weakness. Sex of patients and side of diseases do not alter the prognosis. Method: Most of the patients present with complaint of facial weakness or asymmetry followed by dribbling of saliva and improper eye closure. Fewer patients present with altered taste sensation.
Recurrence of disease is poor prognostic factor. Results: Partial paralysis, short duration and early starting treatment within 24 hours are associated with good prognosis. Flacid face, which means complete facial weakness has poor prognosis Topodiagnostic tests such as lacrimation test, salivary flow test, and taste sensation are not much valuable because many other factors take considerable part in the positive or negative result of this test. Steroids has definitely role in management. Conclusion: Bell's palsy can be best treated by a combination of steroids with other agents, like vasodilators, neurotonics, antiviral, although steroid alone may be satisfactory effective in treatment.
References
2. Jain V, Deshmukh A, Gollomp S, "Bilateral facial paralysis: case presentation and discussion of differential diagnosis". J Gen Intern Med 2006: 21 (7): C7–10.
3. Sullivan FM, Swan IR, Donnan PT et al. "Early treatment with prednisolone or acyclovir in Bell's palsy". N. Engl. J. Med. 357 2007: (16): 1598–607.
4. Adour K.K By F.M. Hilsinger, R.I. Kahn, Z.M. Sheldon, M.I. 1978, the true nature of Bell's palsy, analysis of 1000 concecutive patients, laryngoscopy 88, 787 – 801.
5. Tarek S. Shafshak. M.D., The possible contribution factors for the success of steroid therapy in Bell's Palsy, The journal of Laryngology and Otology, Nov. 1994.
6. Rengachary SS. Cranial nerve examination. In RH wilkin s, SS Rengachary, editors, Neurosurgery 2nd Ed. New York, MC, Graw Hill, 196 ; 67-86
7. Serafina Domica, A study of Bell;s Palsy, The internal Journal of Advanced Nursing practice, 1998, Vol. 2 No.1.
8. D.S. Sardana, A.K. Tewari, taste disturbances in head injury. Indian Journal of Otolaryngology, June – 1980, volume, -32. No. 2.
9. Tschiassny K. et. al, Eight syndromes of facial paralysis and their significance. Ann otol. Rhinol. Larynogol. 62 : 677, 1953.
10. D.S. Grewal, Bachi, T, hathiram, Rohan Walvekar, Alok V. Mohorikar, Minal shroffs, N.K. Bahal Surgical Decompression in Bell's palsy, Indian journal of Otolaryngology and Head & Neck surger, July – Sept. 2002. Vol. 54 No. 3.
11. Hsenry B. Cramer M.D., Jack M. Kartush. Testing the facial nerve function in theotofplaryngologic clinics of North America, , June -1991 Vol.- 24 Number -3.
12. Peirterson, E, The natural history of Bell's Palsy. American Journal of Otolaryngology, 1982; 4 : 107 : 111.
13. Brawn J. S, Bell's Palsy, a – 5 years review of 174, consecutive cases, an attempted double blind study,1982; Laryngoscope 92 : 1369 – 1373.
14. Wolf, S.M. Wagner, J.H. Davidson S. Forsy the A, treatment of Bell's Palsy with prednisolone, a prospective randomized study , neurology, 1978. 25 : 158 - 161
15. May, M. Wetter, R Hardin, W.B. Sullivan J. The use of steroids in Bell's Palsy. a prospective controlled study, Laryngoscope. 1976 ; 95 : 406 – 409.
16. Jalaludin M.A., Methyl cobalamin treatment of Bell's Palsy. Dept. of ototrinolargngolazy, fereculto of medicine, University of matuyer, Malaysia. Methods find Exp. Clin parmacol ( spain ) Oct. 1995, 17(8) p – 539 – 44.
17. House J.W. & Brackmann D.E., Facial nerve grading system. Otolaryngology Head Neck Surgery , 1985; 93 : 146 – 147.
18. Adour K.K., Ruboyiances J.M. Von – Doersten PG et. al. Bell's Palsy treatment double blind randomized controlled trial, Ann, Otol – Rhinol Laryngol 1996,105 ; 371 – 378.
