Bell’s palsy in children

Singhi, Pratibha; Jain, Vivek

doi:10.1016/s1071-9091(03)00077-9

Cited by 60 publications

(76 citation statements)

References 52 publications

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“…The mean age of pediatric group lies between 5 and 11 years with no significance between male and female [4]. Among patients with facial paralysis, Bell's palsy is the most common cause (42%), followed by trauma (21%), infection (13%), congenital (8%), and neoplasm (2%) [5]. The most common etiology of unilateral facial nerve paralysis is Bell's palsy, also known as idiopathic facial nerve palsy.…”

Section: Discussionmentioning

confidence: 99%

“…Uncomplicated Bell's palsy may not require further investigation in children. However, further testing is advised when infant presents with complete paralysis or showing no signs of recovery within 3 weeks of onset [5]. Topodiagnostic tests such as Schirmer's tear test and stapedial reflex test and evaluation of salivation are performed to find the location of nerve injury.…”

Section: Swain Et Almentioning

confidence: 99%

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Bell’s Palsy Among Infants - Our Experiences in a Tertiary Care Hospital of Eastern India

Swain

Behera

Sahu

2017

Asian J Pharm Clin Res

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Objective: To know and standardize the clinical diagnosis and management of Bell's palsy among infants from a tertiary care hospital of Eastern India. Methods:In this prospective study, we have documented detail clinical manifestation and management of infants of Bell's palsy from the pediatric age group. When an infant presents with facial nerve paralysis, a full clinical history and detailed examination were recommended for accurate diagnosis. Simultaneously, the parents were reassured, and the prognosis was explained to the parents. Oral steroids along with physiotherapy were started in the outdoor basis. Results:We diagnosed six infants of Bell's palsy in the age group of 5 months to 12 months. Among them, 4 females and rest 2 were males. These infants showed improvement with complete recovery in 83% of cases within 3 weeks, whereas partial recovery was seen in rest. Conclusion:In this study, we find out that oral steroids along with physiotherapy and eye care are effective for Bell's palsy in infants.

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Section: Discussionmentioning

confidence: 99%

Section: Swain Et Almentioning

confidence: 99%

Bell’s Palsy Among Infants - Our Experiences in a Tertiary Care Hospital of Eastern India

Swain

Behera

Sahu

2017

Asian J Pharm Clin Res

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“…It's presumably due to an inflammatory reaction in or around the facial nerve near the stylomastoid foramen when the acupuncture initiated within three days' post-onset, 100% of the patients were cured or there was marked improvement [5]. The demyelination triggered by viral infection may be responsible [6]. Early diagnosis and treatment within three days of the onset of the paralysis are necessary for maximal efficacy of combined acyclovir and prednisolone therapy for Bell's palsy [7].…”

Section: Introductionmentioning

confidence: 99%

Chinese Acupuncture in Treatment of Bell’s Palsy Clinical Study

Mujlli¹,

Alkubaty²

2017

OALib

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Objective: To observe the therapeutic effects of acupuncture for treatment of different stages of Acute Bell's palsy, and its relationship to age and sex. Patients and Methods: 152 patients of Bell's palsy, were acute cases in different grade of paralysis. Following up with combined drugs and acupuncture therapy for one month, which were diagnosed clinically and proved by electromyography EMG, these cases of acute Bell's palsy were collected from Apr. 2016 to Feb. 2017 in Thamar governorate 100 km south to Sana'a capital city of Yemen. These cases were divided in to three groups, according to HousBrackmann grading system, HBGS: 1-marked improvement (very good) when patients improved completely within two weeks; 2-mild improvement (good) when patients improved within one months; 3-resistant in which there is no improvement within one months. EMG was used in diagnosis various stages of peripheral facial paralysis, evaluation of prognosis and guidance in clinical treatment with combined drugs and Chinese acupuncture for one month of clinical follow up. Statistical significance was assessed by P-values for Chi square test analysis by Epi info statistical analysis of single and stratified tables. Results: During the study period 152 patients were diagnosed as acute Bell's palsy. Of these 81 (53%) cases were females and 71 (47%) were males. The improvement of acute facial paralysis was related to patients' ages which were divided as three groups: 1 -29 y, 30 -59 y, more than 60 years old. The results shows that the younger age group have a better chance to improve; 1 st group 61 (40.5%), 2 nd group 48 (31.5%) and 3 rd group 43 (28%). Conclusion: The electro-acupuncture in treatment of acute stage peripheral facial paralysis is effective and the improvement in the young age group shows very good improvement than old age.

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“…Chez l'enfant comme chez l'adulte, il s'agit de la cause la plus fréquente de paralysie faciale périphérique (PFP) [1] dont le diagnostic ne peut être porté que par élimination. Chez l'enfant, le taux de récupéra-tion spontanée dépasse les 90 % [2,3]. En l'absence de récu-pération, le patient garde une asymétrie faciale avec un risque de séquelles lourdes à type de contracture et de syncinésies.…”

Section: Introductionunclassified

“…Cependant, ils nécessi-tent un patient coopérant et sont de réalisation difficile chez l'enfant. Ils sont indiqués dans les formes graves avec absence d'ébauche de récupération ou lorsqu'une chirurgie de décom-pression faciale est envisagée[2,12]. La prise en charge de la PFI repose sur l'administration précoce d'une corticothérapie, à forte dose et de courte durée, et d'antiviraux.…”

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