Steroids and Idiopathic Facial Paralysis

Abstract

The face proclaims to the world an individual's identity and as such is the most conspicuous part of his anatomy. No wonder, then, that idiopathic facial paralysis is a frightening experience for the patient. Ever since it was first noted, all manners of measures have been used to bring about early and full recovery. Unfortunately, none of these treatments is effective. Following Rothendler's case description in 1951, a multitude of papers have appeared, evaluating the effectiveness of steroids in idiopathic facial paralysis. This article evaluates 92 of these papers. Only a few properly controlled, randomized prospective studies were available. Their main conclusion was that steroid treatment was not more beneficial than conventional treatment. But several less valid prospective and retrospective studies have suggested that steroid treatment is beneficial. The definitive, statistically valid study of the benefits of steroids in treating has yet to be performed. Until then steroid treatment of this condition will continue to be controversial.

Peripheral Facial Palsy in Children: A Cerebrospinal Fluid Study

“…Acute peripheral palsy in children creates fear and anxiety in both them and their parents. One conclusion from the present study is that after an ophthalmological inspec- Reference values (7,9) In adult patients with total peripheral facial palsy steroids have been shown to be useful (6,19). In children there is a conservative attitude towards steroids in general.…”

Corticosteroid Treatment for Idiopathic Facial Nerve Paralysis: A Meta‐analysis

“…Several papers have reviewed the available literature to clarify the overall effectiveness of steroid therapy, 33–35 but the controversy still remains. Reasons why the data are inconclusive range from poor study design to inadequate trial size.…”

Idiopathic facial nerve palsy

“…The outcome does not appear to be influenced by treatment with short course-high dose steroids (cf. Stankiewicz, 1983) and it still remains to be seen whether surgical decompression of the facial nerve is able to offer any advantage (cf. Adour and Diamond, 1982) especially in the older patient who remains at greater risk.…”