Covid-19 and Bell Palsy: Could it Be Neurotrophic Involvement?

Objective: Idiopathic cases are common, and the etiology is not clearly explained. The purpose of this study is to compare the frequency, clinical-radiological characteristics and response to the treatment of peripheral facial paralysis patients who visited the otorhinolaryngology clinic during the...

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Main Authors: Kemal Koray Bal, Sedat Alagöz, Talih Özdaş, Asiye Merve Erdoğan, Vedat Delibaş, Gülali Ocar, Okan Dilek, Feride Fatma Görgülü, Orhan Görgülü
Format: Article
Language:English
Published: Istanbul University Press 2023-06-01
Series:The Turkish Journal of Ear Nose and Throat
Online Access:https://cdn.istanbul.edu.tr/file/JTA6CLJ8T5/01F64DCA8B5348C18FFD9E8147D75E5D
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author Kemal Koray Bal
Sedat Alagöz
Talih Özdaş
Asiye Merve Erdoğan
Vedat Delibaş
Gülali Ocar
Okan Dilek
Feride Fatma Görgülü
Orhan Görgülü
author_facet Kemal Koray Bal
Sedat Alagöz
Talih Özdaş
Asiye Merve Erdoğan
Vedat Delibaş
Gülali Ocar
Okan Dilek
Feride Fatma Görgülü
Orhan Görgülü
author_sort Kemal Koray Bal
collection DOAJ
description Objective: Idiopathic cases are common, and the etiology is not clearly explained. The purpose of this study is to compare the frequency, clinical-radiological characteristics and response to the treatment of peripheral facial paralysis patients who visited the otorhinolaryngology clinic during the Covid-19 pandemic and in the same period of the previous year, and to discuss this data in the light of the literature.Materials and Methods: Otoscopic examination findings, audiological results, application and post-healing grade information according to House Brackmann Staging system were obtained from all the patients’ files. Temporal Bone Computed Tomography, which is included in the routine practice of our clinic, and Cranial & Diffusion Magnetic Resonance Imaging examinations for the elimination of central causes were applied to the patients. Facial nerve tympanic, mastoid, labyrinth segment and geniculate ganglion diameters were measured separately for the diseased side and the healthy side.Results: In the study, Group 1 consisted of 42 patients (43%), and Group 2 consisted of 56 patients (57%). 56 (57%) of the patients were male and 42 (43%) were female. The left and right-side facial paralysis admissions were equal, but no statistically significant difference was found (p=0.068).Conclusions: Peripheral facial paralysis is a very common case in ear, nose, and throat practice and requires priority treatment and follow-up. Since the Covid-19 virus is a new entity for the world, we think that it has a neurotrophic affinity for the facial nerve although our knowledge about this virus is limited.
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institution Kabale University
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publishDate 2023-06-01
publisher Istanbul University Press
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series The Turkish Journal of Ear Nose and Throat
spelling doaj-art-c03cfbbecb9a4d81bc7e7dd3b6818a7f2025-08-20T03:48:52ZengIstanbul University PressThe Turkish Journal of Ear Nose and Throat2602-48372023-06-01332475210.26650/Tr-ENT.2023.1207048123456Covid-19 and Bell Palsy: Could it Be Neurotrophic Involvement?Kemal Koray Bal0Sedat Alagöz1https://orcid.org/0000-0003-2323-0792Talih Özdaş2Asiye Merve Erdoğan3https://orcid.org/0000-0002-8382-5424Vedat Delibaş4https://orcid.org/0000-0003-0404-3019Gülali Ocar5https://orcid.org/0000-0003-0432-4072Okan Dilek6https://orcid.org/0000-0002-2144-2460Feride Fatma Görgülü7https://orcid.org/0000-0001-5830-0637Orhan Görgülü8https://orcid.org/0000-0001-6566-843XMersin Üniversitesi, Mersin, TurkiyeADANA ŞEHİR EĞİTİM VE ARAŞTIRMA HASTANESİ, Adana, TürkiyeADANA ŞEHİR EĞİTİM VE ARAŞTIRMA HASTANESİ, Adana, TürkiyeGaziantep Abdulkadir Yuksel State Hospital, Adana, TürkiyeADANA ŞEHİR EĞİTİM VE ARAŞTIRMA HASTANESİ, Adana, TürkiyeADANA ŞEHİR EĞİTİM VE ARAŞTIRMA HASTANESİ, Adana, TürkiyeADANA ŞEHİR EĞİTİM VE ARAŞTIRMA HASTANESİ, Adana, TürkiyeADANA ŞEHİR EĞİTİM VE ARAŞTIRMA HASTANESİ, Adana, TürkiyeÖzel Adana Ortadoğu Hastanesi, Adana, TürkiyeObjective: Idiopathic cases are common, and the etiology is not clearly explained. The purpose of this study is to compare the frequency, clinical-radiological characteristics and response to the treatment of peripheral facial paralysis patients who visited the otorhinolaryngology clinic during the Covid-19 pandemic and in the same period of the previous year, and to discuss this data in the light of the literature.Materials and Methods: Otoscopic examination findings, audiological results, application and post-healing grade information according to House Brackmann Staging system were obtained from all the patients’ files. Temporal Bone Computed Tomography, which is included in the routine practice of our clinic, and Cranial & Diffusion Magnetic Resonance Imaging examinations for the elimination of central causes were applied to the patients. Facial nerve tympanic, mastoid, labyrinth segment and geniculate ganglion diameters were measured separately for the diseased side and the healthy side.Results: In the study, Group 1 consisted of 42 patients (43%), and Group 2 consisted of 56 patients (57%). 56 (57%) of the patients were male and 42 (43%) were female. The left and right-side facial paralysis admissions were equal, but no statistically significant difference was found (p=0.068).Conclusions: Peripheral facial paralysis is a very common case in ear, nose, and throat practice and requires priority treatment and follow-up. Since the Covid-19 virus is a new entity for the world, we think that it has a neurotrophic affinity for the facial nerve although our knowledge about this virus is limited.https://cdn.istanbul.edu.tr/file/JTA6CLJ8T5/01F64DCA8B5348C18FFD9E8147D75E5D
spellingShingle Kemal Koray Bal
Sedat Alagöz
Talih Özdaş
Asiye Merve Erdoğan
Vedat Delibaş
Gülali Ocar
Okan Dilek
Feride Fatma Görgülü
Orhan Görgülü
Covid-19 and Bell Palsy: Could it Be Neurotrophic Involvement?
The Turkish Journal of Ear Nose and Throat
title Covid-19 and Bell Palsy: Could it Be Neurotrophic Involvement?
title_full Covid-19 and Bell Palsy: Could it Be Neurotrophic Involvement?
title_fullStr Covid-19 and Bell Palsy: Could it Be Neurotrophic Involvement?
title_full_unstemmed Covid-19 and Bell Palsy: Could it Be Neurotrophic Involvement?
title_short Covid-19 and Bell Palsy: Could it Be Neurotrophic Involvement?
title_sort covid 19 and bell palsy could it be neurotrophic involvement
url https://cdn.istanbul.edu.tr/file/JTA6CLJ8T5/01F64DCA8B5348C18FFD9E8147D75E5D
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