Cargando…
Recurrent Bell’s palsy: outcomes and correlation with clinical comorbidities
Recurrent 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 as...
Autores principales: | , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Pacini Editore Srl
2019
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6843582/ https://www.ncbi.nlm.nih.gov/pubmed/31708578 http://dx.doi.org/10.14639/0392-100X-2415 |
_version_ | 1783468249689620480 |
---|---|
author | MANCINI, P. BOTTARO, V. CAPITANI, F. DE SOCCIO, G. PROSPERINI, L. RESTAINO, P. DE VINCENTIIS, M. GRECO, A. BERTOLI, G.A. DE SETA, D. |
author_facet | MANCINI, P. BOTTARO, V. CAPITANI, F. DE SOCCIO, G. PROSPERINI, L. RESTAINO, P. DE VINCENTIIS, M. GRECO, A. BERTOLI, G.A. DE SETA, D. |
author_sort | MANCINI, P. |
collection | PubMed |
description | Recurrent 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. |
format | Online Article Text |
id | pubmed-6843582 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Pacini Editore Srl |
record_format | MEDLINE/PubMed |
spelling | pubmed-68435822019-11-18 Recurrent Bell’s palsy: outcomes and correlation with clinical comorbidities MANCINI, P. BOTTARO, V. CAPITANI, F. DE SOCCIO, G. PROSPERINI, L. RESTAINO, P. DE VINCENTIIS, M. GRECO, A. BERTOLI, G.A. DE SETA, D. Acta Otorhinolaryngol Ital Head and Neck Recurrent 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. Pacini Editore Srl 2019-10 /pmc/articles/PMC6843582/ /pubmed/31708578 http://dx.doi.org/10.14639/0392-100X-2415 Text en Società Italiana di Otorinolaringoiatria e Chirurgia Cervico-Facciale, Rome, Italy http://creativecommons.org/licenses/by-nc/4.0/ This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/. |
spellingShingle | Head and Neck MANCINI, P. BOTTARO, V. CAPITANI, F. DE SOCCIO, G. PROSPERINI, L. RESTAINO, P. DE VINCENTIIS, M. GRECO, A. BERTOLI, G.A. DE SETA, D. Recurrent Bell’s palsy: outcomes and correlation with clinical comorbidities |
title | Recurrent Bell’s palsy: outcomes and correlation with clinical comorbidities |
title_full | Recurrent Bell’s palsy: outcomes and correlation with clinical comorbidities |
title_fullStr | Recurrent Bell’s palsy: outcomes and correlation with clinical comorbidities |
title_full_unstemmed | Recurrent Bell’s palsy: outcomes and correlation with clinical comorbidities |
title_short | Recurrent Bell’s palsy: outcomes and correlation with clinical comorbidities |
title_sort | recurrent bell’s palsy: outcomes and correlation with clinical comorbidities |
topic | Head and Neck |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6843582/ https://www.ncbi.nlm.nih.gov/pubmed/31708578 http://dx.doi.org/10.14639/0392-100X-2415 |
work_keys_str_mv | AT mancinip recurrentbellspalsyoutcomesandcorrelationwithclinicalcomorbidities AT bottarov recurrentbellspalsyoutcomesandcorrelationwithclinicalcomorbidities AT capitanif recurrentbellspalsyoutcomesandcorrelationwithclinicalcomorbidities AT desocciog recurrentbellspalsyoutcomesandcorrelationwithclinicalcomorbidities AT prosperinil recurrentbellspalsyoutcomesandcorrelationwithclinicalcomorbidities AT restainop recurrentbellspalsyoutcomesandcorrelationwithclinicalcomorbidities AT devincentiism recurrentbellspalsyoutcomesandcorrelationwithclinicalcomorbidities AT grecoa recurrentbellspalsyoutcomesandcorrelationwithclinicalcomorbidities AT bertoliga recurrentbellspalsyoutcomesandcorrelationwithclinicalcomorbidities AT desetad recurrentbellspalsyoutcomesandcorrelationwithclinicalcomorbidities |