A retrospective study on management of bell\'s palsy in a tertiary care hospital

P.K Purushothaman,Priyangha Elangovan,Dhanyan Harshidan

doi:10.18231/j.pjms.2021.038

Abstract

Bell's palsy is the most common facial nerve disorder. The clinical symptoms of Bell's palsy include facial muscle paralysis, difficulty in eating, drinking and talking. Bell's palsy management is still controversial. Many patients recover spontaneously; some require medicines like corticosteroids, antiviral drugs and other managements.To study the effectiveness of Bell's palsy management that has been followed in our institution.This analysis had carried out from June 2016 to June 2019at SRM Medical College Hospital and Research Institute, Chennai. Total of 30 patients with Bell's palsy who had admitted in the Department of Otorhinolaryngology had enrolled in this study. All the patients underwent thorough clinical examination and laboratory investigation, and the results were statistically analyzed and discussed.Out of 30 patients, 16(53%) patients were males, and 14(47%) patients were females. 53.3% of patients had onset of symptoms after 48 hours. There was a statistical significant improvement in House-Brackman scale on 6 months follow-up.The therapeutic measures for Bell's palsy if initiated within 72 hours of onset aids in bringing better outcome and improves the quality of life in patients.

Highlights

Bell’s palsy is the most common facial nerve disorder
Bell’s paralysis is characterized by a sudden onset of paralysis or muscle weakness on one side of the facial nerve supplies. It is known as facial paralysis of the acute idiopathic lower motor neurons
Various etiological factor contributes to facial nerve paralysis include trauma, infection, neoplasm, autoimmune reaction, ischemia and by birth, but still, the causing factor of Bell’s palsy is unknown. 1–5 Many viruses like HIV, EBV and HBV had reported as triggering organism, but HSV is the most involved. 6

Summary

Introduction

Bell’s palsy is the most common facial nerve disorder. The clinical symptoms of Bell’s palsy include facial muscle paralysis, difficulty in eating, drinking and talking. Aim: To study the effectiveness of Bell’s palsy management that has been followed in our institution. Conclusion: The therapeutic measures for Bell’s palsy if initiated within 72 hours of onset aids in bringing better outcome and improves the quality of life in patients. Bell’s paralysis is characterized by a sudden onset of paralysis or muscle weakness on one side of the facial nerve supplies. It is known as facial paralysis of the acute idiopathic lower motor neurons. Various etiological factor contributes to facial nerve paralysis include trauma, infection, neoplasm, autoimmune reaction, ischemia and by birth, but still, the causing factor of Bell’s palsy is unknown.

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