Pediatric Bell's palsy: prognostic factors and treatment outcomes
Background. Idiopathic facial paralysis or Bell`s palsy is the most common type of peripheral facial paralysis. Children with Bell`s palsy is an uneasy situation for the family and physician with questions about the etiology, treatment options and the healing process. Here, we aimed to compar...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Hacettepe University Institute of Child Health
2020-12-01
|
| Series: | The Turkish Journal of Pediatrics |
| Subjects: | |
| Online Access: | https://turkjpediatr.org/article/view/545 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850236911535259648 |
|---|---|
| author | Abdulhalim Aysel Togay Müderris Fatih Yılmaz Taşkın Tokat Aynur Aliyeva Özgür Özdemir Şimşek Enver Altaş |
| author_facet | Abdulhalim Aysel Togay Müderris Fatih Yılmaz Taşkın Tokat Aynur Aliyeva Özgür Özdemir Şimşek Enver Altaş |
| author_sort | Abdulhalim Aysel |
| collection | DOAJ |
| description |
Background. Idiopathic facial paralysis or Bell`s palsy is the most common type of peripheral facial paralysis. Children with Bell`s palsy is an uneasy situation for the family and physician with questions about the etiology, treatment options and the healing process. Here, we aimed to compare the epidemiologic features and prognostic factors of patients with Bell`s palsy aged < 18 years.
Methods. Records of patients with Bell`s palsy who were admitted to our clinic between January 2008 and December 2017 were evaluated.
Results. Forty-seven patients with Bell`s palsy were included to this study. The patients` ages varied between 7 and 17 (14.7±2.5) years. At the end of at least 6 months of follow-up, 32 (68.1%) of the patients presented with House Brackmann (HB) grade 1 facial paralysis, while 12 (25.5%) of them had grade 2 and 3 (6.4%) of them had grade 3 facial paralysis. Mean neutrophil-to-lymphocyte ratio (NLR) in patients with advanced grades (grade 4, 5, 6) was higher, compared to that of patients with grade 2 and 3 (4.10 ± 1.06 vs 1.34 ± 1.02 (p < 0.001).
Conclusions. In our study, the response rate to treatment was high. In differential diagnosis, congenital anomalies, malignancy, trauma, middle ear infection and surgery should be considered. In addition, NLR at admission can be considered as a prognostic factor.
|
| format | Article |
| id | doaj-art-1922bcca98a84a69882c784c8a95bffa |
| institution | OA Journals |
| issn | 0041-4301 2791-6421 |
| language | English |
| publishDate | 2020-12-01 |
| publisher | Hacettepe University Institute of Child Health |
| record_format | Article |
| series | The Turkish Journal of Pediatrics |
| spelling | doaj-art-1922bcca98a84a69882c784c8a95bffa2025-08-20T02:01:51ZengHacettepe University Institute of Child HealthThe Turkish Journal of Pediatrics0041-43012791-64212020-12-0162610.24953/turkjped.2020.06.014Pediatric Bell's palsy: prognostic factors and treatment outcomesAbdulhalim Aysel0Togay Müderris1Fatih Yılmaz2Taşkın Tokat3Aynur Aliyeva4Özgür Özdemir Şimşek5Enver Altaş6Department of Otorhinolaryngology, Head and Neck Surgery, Bozyaka Training and Research Hospital, University of Health Sciences, İzmir, Turkey.Department of Otorhinolaryngology and Head and Neck Surgery, Bakırçay University İzmir Çiğli Training and Research Hospital, İzmir, Turkey.Department of Otorhinolaryngology, Head and Neck Surgery, Bozyaka Training and Research Hospital, University of Health Sciences, İzmir, Turkey.Department of Otorhinolaryngology, Head and Neck Surgery, Bozyaka Training and Research Hospital, University of Health Sciences, İzmir, Turkey.Department of Otorhinolaryngology, Head and Neck Surgery, Bozyaka Training and Research Hospital, University of Health Sciences, İzmir, Turkey.Dr. Behçet Uz Children's Training and Research Hospital, University of Health Sciences, İzmir, Turkey.Department of Otorhinolaryngology, Head and Neck Surgery, Bozyaka Training and Research Hospital, University of Health Sciences, İzmir, Turkey. Background. Idiopathic facial paralysis or Bell`s palsy is the most common type of peripheral facial paralysis. Children with Bell`s palsy is an uneasy situation for the family and physician with questions about the etiology, treatment options and the healing process. Here, we aimed to compare the epidemiologic features and prognostic factors of patients with Bell`s palsy aged < 18 years. Methods. Records of patients with Bell`s palsy who were admitted to our clinic between January 2008 and December 2017 were evaluated. Results. Forty-seven patients with Bell`s palsy were included to this study. The patients` ages varied between 7 and 17 (14.7±2.5) years. At the end of at least 6 months of follow-up, 32 (68.1%) of the patients presented with House Brackmann (HB) grade 1 facial paralysis, while 12 (25.5%) of them had grade 2 and 3 (6.4%) of them had grade 3 facial paralysis. Mean neutrophil-to-lymphocyte ratio (NLR) in patients with advanced grades (grade 4, 5, 6) was higher, compared to that of patients with grade 2 and 3 (4.10 ± 1.06 vs 1.34 ± 1.02 (p < 0.001). Conclusions. In our study, the response rate to treatment was high. In differential diagnosis, congenital anomalies, malignancy, trauma, middle ear infection and surgery should be considered. In addition, NLR at admission can be considered as a prognostic factor. https://turkjpediatr.org/article/view/545Bell palsychildreninflammationneutrophil-to-lymphocyte rationeutrophilsprognosis |
| spellingShingle | Abdulhalim Aysel Togay Müderris Fatih Yılmaz Taşkın Tokat Aynur Aliyeva Özgür Özdemir Şimşek Enver Altaş Pediatric Bell's palsy: prognostic factors and treatment outcomes The Turkish Journal of Pediatrics Bell palsy children inflammation neutrophil-to-lymphocyte ratio neutrophils prognosis |
| title | Pediatric Bell's palsy: prognostic factors and treatment outcomes |
| title_full | Pediatric Bell's palsy: prognostic factors and treatment outcomes |
| title_fullStr | Pediatric Bell's palsy: prognostic factors and treatment outcomes |
| title_full_unstemmed | Pediatric Bell's palsy: prognostic factors and treatment outcomes |
| title_short | Pediatric Bell's palsy: prognostic factors and treatment outcomes |
| title_sort | pediatric bell s palsy prognostic factors and treatment outcomes |
| topic | Bell palsy children inflammation neutrophil-to-lymphocyte ratio neutrophils prognosis |
| url | https://turkjpediatr.org/article/view/545 |
| work_keys_str_mv | AT abdulhalimaysel pediatricbellspalsyprognosticfactorsandtreatmentoutcomes AT togaymuderris pediatricbellspalsyprognosticfactorsandtreatmentoutcomes AT fatihyılmaz pediatricbellspalsyprognosticfactorsandtreatmentoutcomes AT taskıntokat pediatricbellspalsyprognosticfactorsandtreatmentoutcomes AT aynuraliyeva pediatricbellspalsyprognosticfactorsandtreatmentoutcomes AT ozgurozdemirsimsek pediatricbellspalsyprognosticfactorsandtreatmentoutcomes AT enveraltas pediatricbellspalsyprognosticfactorsandtreatmentoutcomes |