Medical Management of Acute Facial Paralysis

O, Teresa M.

doi:10.1016/j.otc.2018.07.004

Cited by 26 publications

(7 citation statements)

References 80 publications

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“…Various pieces of the literature suggest using 1–2 mg/kg of prednisolone for 5–10 days and then tapering the dose in the management of facial palsy of various causes, including Bell’s palsy. 13 In Bell’s palsy, acyclovir is used as an adjuvant drug in the dose of 1.6–3 g per day for 5–7 days. 13 However, a study done by K.J.…”

Section: Discussionmentioning

confidence: 99%

“… 13 In Bell’s palsy, acyclovir is used as an adjuvant drug in the dose of 1.6–3 g per day for 5–7 days. 13 However, a study done by K.J. Nam et al in patients with lower motor facial nerve palsy of various causes, namely, Bell’s palsy, Ramsay Hunt syndrome, or traumatic facial palsy, showed no significant difference in outcome among the high dose (methylprednisolone equivalence of 634.7 mg for 12 days), moderate dose (methylprednisolone of 496 mg for 12 days), and low dose (methylprednisolone of 344 mg for 10 days) 14 of steroid.…”

Section: Discussionmentioning

confidence: 99%

“…If there is no clinical improvement in 4 months or there is a recurrence of the symptoms, then comprehensive evaluation is required to rule out malignancy, autoimmune causes, congenital vascular disorders, and other systemic causes. 13 – 15 …”

Section: Discussionmentioning

confidence: 99%

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An unusual case of facial nerve palsy due to minor face trauma: A rare case report

Ghimire¹

2021

SAGE Open Medical Case Reports

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There can be various causes of facial palsy, and sometimes the cause remains unidentified (Bell’s palsy). Among the various causes of facial palsy, trauma is a major one. Depending on the severity of paralysis, traumatic facial palsy can be medically managed using corticosteroid and eye care or with surgical decompression. In selective cases with incomplete facial palsy, radio-imaging studies may not always be required. We present the case of a 13-year-old boy who presented to the primary-level hospital with a complaint of facial palsy following minor trauma to the face (slapped over the face by a friend). His Sunnybrook Score was 63/100. We managed him with prednisolone (1 mg/kg/day) for 2 weeks and then tapered, and with eye care with artificial tears for 6 weeks. There was a complete resolution of symptoms in 6 weeks. Incomplete facial paralysis due to trauma to the face can be managed medically with corticosteroids and proper eye care with artificial tears.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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An unusual case of facial nerve palsy due to minor face trauma: A rare case report

Ghimire¹

2021

SAGE Open Medical Case Reports

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“…En pacientes con presentaciones más leves, se utilizan glucocorticoides solos. La dosis recomendada para valacyclovir es de 1000mg TID por una semana y aciclovir 400mg 5 veces por día por 10 días (17). Hay que tener en cuenta que hasta un 30% de las parálisis por herpes zóster pueden presentarse sin vesículas (zóster sine herpete) por lo que, ante una supuesta parálisis de Bell con parálisis facial completa desde el inicio, acompañada de mucho dolor, estaría indicado el tratamiento con antivirales por la posibilidad de que se deba a un herpes zóster (18).…”

Section: Tratamientounclassified

Parálisis de Bell: Diagnóstico y Tratamiento

Redondo

Lizano

2021

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La parálisis de Bell es un síndrome con afectación del nervio facial, el cual se caracteriza por disfunción muscular de la cara, usualmente unilateral y de etiología idiopática o asociado al virus del Herpes simple de inicio agudo de menos de 72 horas. La parálisis de Bell representa 60-75% de las parálisis faciales unilaterales agudas, sin predilección por lateralidad. Se encuentran varios diagnósticos diferenciales como traumatismos craneoencefálicos, enfermedad de Lyme, virus del Herpes-Zoster, así como neoplasias y eventos cerebrovasculares. Tiene manifestaciones clínicas asociadas a afectación nerviosa muscular como dificultad para sonreír, fruncir el ceño, cerrar los ojos, elevar las cejas. Su diagnóstico es principalmente clínico y el manejo debe ser adecuado y de manera oportuna con corticoesteroides en los primeros 3 días desde su inicio, la terapia antiviral no se utiliza como monoterapia, sin embargo, se puede añadir si hay evidencia de afectación por virus del Herpes, la terapia física complementaria también se ha vuelto un factor clave en la recuperación de la función muscular. Los cuidados del ojo son muy importantes, ya que representan un riesgo de lesión en la córnea por cierre incompleto del párpado. El pronóstico es bueno ya que la mayoría de los pacientes tienen una remisión completa.

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“…Updated guidelines have confirmed steroids to be effective at increasing the possibility of complete facial functional recovery in acute FNP, while novel treatments such as nimodip-ine and mycophenolate mofetile are under study. Nonetheless, postoperative corticosteroid treatment for iatrogenic FNP is unadvised, although clear evidence is lacking [8][9][10][11].…”

Section: Introductionmentioning

confidence: 99%

Kabat Rehabilitation in Facial Nerve Palsy after Parotid Gland Tumor Surgery: A Case-Control Study

et al. 2022

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Temporary facial nerve palsy after parotid tumor surgery ranges from 14 to 65%, depending on surgery, tumor type, and subsite. The study aimed to evaluate the role of Kabat physical rehabilitation in the outcomes of patients affected by severe facial nerve palsy following parotid gland surgery. The results and clinical data of two groups, Kabat and non-Kabat (control), were statistically compared. Descriptive statistics, the multiple linear regression model, difference in difference approach, and the generalized linear model were used. F-Test, Chi-square test, McFadden R-squared, and adjusted R-squared were used to assess the significance. The results showed that the House–Brackmann (HB) stage of patients who had physiotherapy performed were lower than the control group. The decrease of HB staging in the Kabat group at 3 months was −0.71 on average, thus the probability of having a high HB stage decreased by about 13% using Kabat therapy. The results are statistically significant, and indicated that when the Kabat rehabilitation protocol is performed, mainly in the cases of a high-grade HB score, the patients showed a better and faster improvement in postoperative facial nerve palsy.

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Medical Management of Acute Facial Paralysis

Cited by 26 publications

References 80 publications

An unusual case of facial nerve palsy due to minor face trauma: A rare case report

An unusual case of facial nerve palsy due to minor face trauma: A rare case report

Parálisis de Bell: Diagnóstico y Tratamiento

Kabat Rehabilitation in Facial Nerve Palsy after Parotid Gland Tumor Surgery: A Case-Control Study

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