Parálisis facial de bell recurrente: Nuestra experiencia

Navarrete, M Lozano; Céspedes, Ricardo Piqueras; Mesa, María Asunción Lizarazu de; Grasa, J.; Perez, Mariangela; Raguer, Nuria; Fortuny, Patricia; Calderón, R.

doi:10.1016/s0001-6519(01)78266-0

Cited by 10 publications

(4 citation statements)

References 10 publications

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“…In the present study, 24 of 289 patients (7%) developed a second episode of facial palsy, a percentage that is in accordance with data present in the literature 9-17 . Although RBP has been associated with systemic comorbidities such as diabetes and hypertension 91022-25 , our results did not show such a correlation. Findings in the literature are often discordant as far as correlation of comorbidities with severity of outcomes, mainly due to composition and homogeneity of study groups, follow-up times and differences in classification of severity of palsy.…”

Section: Discussioncontrasting

confidence: 96%

“…The incidence of recurrence was higher in younger patients, with a poorer prognosis for palsies occurring on the same side of the primary episode. Similarly, Navarrete et al 22 found worse recovery in patients where recurrence occurred ipsilaterally to the primary episode. On the contrary, Cirpaciu and coauthors 13 did not find differences in the recurrence rate between RBP presenting in the ipsilateral or contralateral side respect to the primary BP.…”

Section: Discussionmentioning

confidence: 86%

“…Many studies have addressed the incidence of recurrence with respect to the side, ipsilateral or contralateral. Ralli et al 14 found an increased incidence in the contralateral side compared to the ipsilateral side, while Navarrete et al 22 found a major incidence on the right side, regardless if ipsilateral or contralateral. Almost all studies agree in judging ipsilateral RBP as being worst in terms of long-term prognosis.…”

Section: Discussionmentioning

confidence: 97%

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Recurrent Bell’s palsy: outcomes and correlation with clinical comorbidities

Mancini

Bottaro

Capitani

et al. 2019

Acta Otorhinolaryngol Ital

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SUMMARYRecurrent Bell’s palsy (RBP) has been reported to range from 2.6 to 15.2% of primary Bell’s palsy (BP) and has been associated with systemic comorbidities such as diabetes and hypertension. A retrospective analysis of patients affected by BP and RBP were performed to define the signs and symptoms associated with recurrence and the outcomes. Clinical and subjective characteristics of 341 patients affected by facial palsy were analysed. Facial function was assessed via House-Brackmann and Sunnybrook grading system. Characteristics of the palsy and systemic comorbidities (diabetes, hypertension, herpetic infections, autoimmunity disorders, audio-vestibular symptoms) were analysed in BP and RBP patients applying Fisher exact and the Mann-Whitney U tests, while time to recovery was explored with univariate and multivariate analysis. Twenty-four patients presented two or more episodes of facial palsy, representing a recurrence rate of 7%. Associated symptoms (e.g. retroauricular pain, taste disorder, dry eye etc.) were similar between BP and RBP patients. RBP occurred at older age than primary episode (p = 0.03). Recurrence was a risk factor for delayed recovery (p = 0.02), although final facial function was similar between the two groups. In conclusion, no significant differences were found between primary BP patients and RBP patients in terms of symptoms, palsy severity and presence of comorbidities. Delayed facial nerve function recovery in RBP did not affect the final outcome. Treatment of facial nerve recurrences must be the same of the primary episode, although the presence of prodromal symptoms may alert the patient and early corticosteroid treatment may be commenced even before the onset of paresis.

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Section: Discussioncontrasting

confidence: 96%

Section: Discussionmentioning

confidence: 86%

Section: Discussionmentioning

confidence: 97%

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Recurrent Bell’s palsy: outcomes and correlation with clinical comorbidities

Mancini

Bottaro

Capitani

et al. 2019

Acta Otorhinolaryngol Ital

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“…An immune mediated pathogenesis of recurrent facial palsy has been proposed in some studies [5]. Navarrete et al [6] proposed that in familial cases due to autosomal inheritance there are alterations in immune system that predispose them to inflammation of the facial nerve after a viral infection. Sertac et al [5] in their study of nine patients of recurrent facial palsy found that two patients had complete and four patients had oligosymptomatic form (presence of 2 symptoms) of Melkersson Rosenthal syndrome.…”

Section: Discussionmentioning

confidence: 99%