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Bell's palsy

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https://www.readbyqxmd.com/read/27886463/association-between-recovery-from-bell-s-palsy-and-body-mass-index
#1
Sun A Choi, Haeng Seon Shim, Junyang Jung, Ho Joong Kim, Sang Hoon Kim, Jae Yong Byun, Moon Suh Park, Seung Geun Yeo
BACKGROUND: Although many factors have been found to be involved in recovery from Bell's palsy, no study has investigated the association between recovery from Bell's palsy and obesity. This study therefore evaluated the association between recovery from Bell's palsy and body mass index (BMI). METHODS: Subjects were classified into five groups based on BMI (kg/m2). Demographic and clinical characteristics were compared among these groups. Assessed factors included sex, age, time from paralysis to visiting a hospital, presence of comorbidities such as diabetes mellitus and hypertension, degree of initial facial nerve paralysis by House-Brackmann (H-B) grade and neurophysiological testing, and final recovery rate...
November 25, 2016: Clinical Otolaryngology
https://www.readbyqxmd.com/read/27882653/synkinesis-in-bell-s-palsy-in-a-randomised-controlled-trial
#2
N Bylund, D Jensson, S Enghag, T Berg, Elin Marsk, Malou Hultcrantz, N Hadziosmanovic, A Rodriguez-Lorenzo, L Jonsson
OBJECTIVES: To study the development of synkinesis in Bell's palsy. Frequency, severity, gender aspects and predictors were analysed. DESIGN: Data from the randomised controlled Scandinavian Bell's palsy trial including 829 patients. MAIN OUTCOME MEASURES: Frequency and severity of synkinesis at 12 months were the main outcome measures. Mean Sunnybrook synkinesis scores, voluntary movement scores and composite scores between 6 and 12 months were compared...
November 24, 2016: Clinical Otolaryngology
https://www.readbyqxmd.com/read/27851594/1960-a-case-of-bell-palsy-associated-with-high-frequency-oscillatory-ventilation-in-a-pediatric-patient
#3
Brisa Gulari, Adebayo Adeyinka, Keneisha Bailey, Louisdon Pierre
No abstract text is available yet for this article.
December 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27806447/a-general-practice-approach-to-bell-s-palsy
#4
Nga T Phan, Benedict Panizza, Benjamin Wallwork
BACKGROUND: Bell's palsy is characterised by an acute onset of unilateral, lower motor neuron weakness of the facial nerve in the absence of an identifiable cause. Establishing the correct diagnosis is imperative and choosing the correct treatment options can optimise the likelihood of recovery. OBJECTIVE: This article summarises our understanding of Bell's palsy and the evidence-based management options available for adult patients. DISCUSSION: The basic assessment should include a thorough history and physical examination as the diagnosis of Bell's palsy is based on exclusion...
November 2016: Australian Family Physician
https://www.readbyqxmd.com/read/27800104/epidemiological-and-clinical-aspects-of-ear-nose-and-throat-sensorineural-emergencies-in-the-yaound%C3%A3-reference-hospital
#5
François Djomou, Yves Christian Andjock Nkouo, Eko David Mindja, Choffor Nchinda, Luc Meka, Emilia Mbamyah-Lyonga, Alexis Ndjolo
INTRODUCTION: Sensorineural emergencies (SNE) are rare clinical situations. Few patients consult early explaining subsequent difficulty in having accurate data and management. Three clinical conditions are considered SNE in otolaryngology; they include sudden sensorineural hearing loss (SSHL), Bell's palsy and acute vertigo. There is very little data available on sensorineural emergencies in our setting. The aim of this study was to provide preliminary data on the management of Ear Nose and Throat (ENT) sensorineural emergency cases in Yaoundé Reference Hospital...
2016: Pan African Medical Journal
https://www.readbyqxmd.com/read/27763983/plasma-fibrinogen-in-patients-with-bell-palsy
#6
Hua Zhao, Xin Zhang, Yinda Tang, Shiting Li
OBJECTIVE: To determine the plasma fibrinogen level in patients with Bell palsy and explore the significances of it in Bell palsy. METHODS: One hundred five consecutive patients with facial paralysis were divided into 3 groups: group I (Bell palsy), group II (temporal bone fractures), and group III (facial nerve schwannoma). In addition, 22 volunteers were defined as control group. Two milliliters fasting venous blood from elbow was collected, and was evaluated by CA-7000 Full-Automatic Coagulation Analyzer...
October 2016: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/27745526/prevalence-of-neuromuscular-disorders-in-qena-governorate-egypt-population-based-survey
#7
Eman M Khedr, Gharib Fawi, Mohammed Abd-Allah Abbas, Noha Abo El-Fetoh, Ahmed F Zaki, Ayman Gamea, Ghada Al Attar
BACKGROUND: Few epidemiological studies of the prevalence of neuromuscular disorders have been undertaken. The aim of the study was to estimate the prevalence of the most common types of neuromuscular disorders in Qena governorate/Egypt. METHODS: A random sample was taken from 11 districts, involving 9303 inhabitants with 57.3% urban residents and 42.7% rural residence. Patients were diagnosed using a screening questionnaire for the diagnosis of neuromuscular disorders...
October 17, 2016: Neurological Research
https://www.readbyqxmd.com/read/27734980/role-of-kabat-rehabilitation-in-facial-nerve-palsy-a-randomised-study-on-severe-cases-of-bell-s-palsy
#8
S Monini, C M Iacolucci, M Di Traglia, A I Lazzarino, M Barbara
The treatment of Bell's palsy (BP), based on steroids and/or antiviral drugs, may still leave a certain percentage of affected subjects with disfiguring sequelae due to incomplete recovery. The different procedures of physical rehabilitation have not been demonstrated to play a favourable role in this disorder. The aim of the present study was to compare functional outcomes in severe cases of Bell's palsy when treated by steroids alone or by steroids accompanied by Kabat physical rehabilitation. This prospective study included 94 subjects who showed sudden facial nerve (FN) palsy with House-Brackmann grade IV or V and who were divided into two groups on the basis of the therapeutic approach: one group (a) was treated by steroids, and the other (b) received steroids in combination with physical rehabilitation...
August 2016: Acta Otorhinolaryngologica Italica
https://www.readbyqxmd.com/read/27733958/a-case-of-bell-s-palsy-with-an-incidental-finding-of-a-cerebellopontine-angle-lipoma
#9
Carlito Lagman, Winward Choy, Seung J Lee, Lawrance K Chung, Timothy T Bui, Isaac Yang, Howard W Goldman
This case report illustrates the potential fallacy of attributing a patient's symptoms to an incidental finding. Serial imaging of small, asymptomatic cerebellopontine angle (CPA) lipomas is favored. It is imperative to accurately diagnose CPA lipoma on imaging and differentiate it from more common CPA lesions. We herein present a patient with symptoms consistent with Bell's palsy and an incidental finding of a CPA lipoma. Additionally, we performed a review of the literature for case reports of patients presenting with facial symptoms and diagnosed with a CPA lipoma...
August 24, 2016: Curēus
https://www.readbyqxmd.com/read/27689547/steroid-antiviral-for-the-treatment-of-bell-s-palsy-double-blind-randomized-clinical-trial
#10
Eman Mohamed Khedr, Reda Badry, Anwer Mohamed Ali, Noha Abo El-Fetoh, Dina Hatem El-Hammady, Abeer Mohamed Ghandour, Ahmed Abdel-Haleem
BACKGROUND: A large number of patients with Bell's palsy fail to recover facial function completely after steroid therapy. Only a few small trials have been conducted to test whether outcomes can be improved by the addition of antiviral therapy. OBJECTIVE: To evaluate the efficacy of treatment with steroid alone versus steroid + antiviral in a group of patients with moderately severe to severe acute Bell's palsy. METHODS: Fifty eligible patients out of a total of 65 with acute onset Bell's palsy were randomized to receive the two treatments...
September 29, 2016: Restorative Neurology and Neuroscience
https://www.readbyqxmd.com/read/27686096/efficacy-of-low-dose-corticosteroid-therapy-versus-high-dose-corticosteroid-therapy-in-bell-s-palsy-in-children
#11
Pinar Arican, Nihal Olgac Dundar, Pinar Gencpinar, Dilek Cavusoglu
Bell's palsy is the most common cause of acute peripheral facial nerve paralysis, but the optimal dose of corticosteroids in pediatric patients is still unclear. This retrospective study aimed to evaluate the efficacy of low-dose corticosteroid therapy compared with high-dose corticosteroid therapy in children with Bell's palsy. Patients were divided into 2 groups based on the dose of oral prednisolone regimen initiated. The severity of idiopathic facial nerve paralysis was graded according to the House-Brackmann Grading Scale...
September 29, 2016: Journal of Child Neurology
https://www.readbyqxmd.com/read/27669884/oropharyngeal-dysphagia-in-children-with-cerebral-palsy-comparisons-between-a-high-and-low-resource-country
#12
Katherine A Benfer, Kelly A Weir, Kristie L Bell, Baitun Nahar, Robert S Ware, Peter S W Davies, Roslyn N Boyd
PURPOSE: There is paucity of research investigating oropharyngeal dysphagia (OPD) in young children with cerebral palsy (CP), and most studies explore OPD in high-resource countries. This study aimed at determining the proportion and severity of OPD in preschool children with CP in Bangladesh, compared to Australia. METHOD: Cross-sectional, comparison of two cohorts. Two hundred and eleven children with CP aged 18-36 months, 81 in Bangladesh (mean = 27.6 months, 61...
September 26, 2016: Disability and Rehabilitation
https://www.readbyqxmd.com/read/27661235/validation-of-accelerometer-cut-points-in-children-with-cerebral-palsy-aged-4-to-5-years
#13
Piyapa Keawutan, Kristie L Bell, Stina Oftedal, Peter S W Davies, Roslyn N Boyd
PURPOSE: To derive and validate triaxial accelerometer cut-points in children with cerebral palsy (CP) and compare these with previously established cut-points in children with typical development. METHODS: Eighty-four children with CP aged 4 to 5 years wore the ActiGraph during a play-based gross motor function measure assessment that was video-taped for direct observation. Receiver operating characteristic and Bland-Altman plots were used for analyses. RESULTS: The ActiGraph had good classification accuracy in Gross Motor Function Classification System (GMFCS) levels III and V and fair classification accuracy in GMFCS levels I, II, and IV...
2016: Pediatric Physical Therapy
https://www.readbyqxmd.com/read/27631872/botulinum-toxin%C3%A2-a-and-or-soft-tissue-fillers-for-facial-rehabilitation
#14
Uwe Wollina, Alberto Goldman
Botulinum toxin A and soft tissue fillers are cornerstones of facial rejuvenation procedures. They can also be of benefit in facial rehabilitation. We report on three female patients who were treated with botulinum toxin A and/or hyaluronic acid-based fillers, one after orthognathic surgery, two after Bell's palsy, to correct facial asymmetries and loss of volume to restore facial attractiveness and improve their self-esteem and quality of life. These minimally invasive procedures are safe and effective. However, they need to be repeated for the long-term rehabilitation...
September 15, 2016: Wiener Medizinische Wochenschrift
https://www.readbyqxmd.com/read/27629374/neurodevelopmental-outcomes-in-postnatal-growth-restricted-preterm-infants-with-postnatal-head-sparing
#15
J M Meyers, C M Bann, B J Stoll, C T D'Angio, E F Bell, A F Duncan, R Guillet
OBJECTIVE: To compare neurodevelopmental outcomes in postnatal growth-restricted infants born <29 weeks with and without postnatal head-sparing (PHS). STUDY DESIGN: We analyzed developmental outcomes at 2 years of age among postnatally growth-restricted infants with and without head-sparing. The primary outcome was Bayley III cognitive composite score; secondary outcomes included Bayley III motor composite score, moderate/severe cerebral palsy, gross motor functional classification scale level⩾2, and presence or absence of neurodevelopmental impairment (NDI)...
December 2016: Journal of Perinatology: Official Journal of the California Perinatal Association
https://www.readbyqxmd.com/read/27626005/facial-nerve-laceration-and-its-repair
#16
Yousef Shafaiee, Bita Shahbazzadegan
INTRODUCTION: Facial paralysis is a devastating condition with profound functional, aesthetic and psychosocial consequences. Tumors within or outside the skull, Bell's palsy and trauma are the most common causes of facial paralysis in adults. CASE PRESENTATION: Our patient was a 35-year-old man with deep laceration wounds. The patient was taken to the operating room and the nerves were repaired. We observed gradual improvement of muscle performance except branches of the frontal nerve...
May 2016: Trauma Monthly
https://www.readbyqxmd.com/read/27609665/ocular-vestibular-evoked-myogenic-potential-testing-for-the-prognosis-of-bell-s-palsy
#17
Chul Won Yang, Sang Hoon Kim, Seung Geun Yeo, Moon Suh Park, Jae Yong Byun
CONCLUSION: oVEMP could be a useful tool for predicting the prognosis of Bell's palsy comparable to ENoG and H-B grade. OBJECTIVES: Several previous studies have reported cases of Bell's palsy with vestibular function disorder. The basic hypothesis behind this effect lies in the close proximity of the vestibular and facial nerves in the internal auditory canal (IAC). Therefore, the aim of this study was to investigate the correlation between Bell's palsy prognosis and ocular vestibular evoked myogenic potentials (oVEMPs)...
September 9, 2016: Acta Oto-laryngologica
https://www.readbyqxmd.com/read/27604185/longitudinal-growth-diet-and-physical-activity-in-young-children-with-cerebral-palsy
#18
Stina Oftedal, Peter S W Davies, Roslyn N Boyd, Richard D Stevenson, Robert S Ware, Piyapa Keawutan, Katherine A Benfer, Kristie L Bell
OBJECTIVES: To describe the longitudinal relationship between height-for-age z score (HZ), growth velocity z score, energy intake, habitual physical activity (HPA), and sedentary time across Gross Motor Function Classification System (GMFCS) levels I to V in preschoolers with cerebral palsy (CP). METHODS: Children with CP (n = 175 [109 (62.2%) boys]; mean recruitment age 2 years, 10 months [SD 11 months]; GMFCS I = 83 [47.2%], II = 21 [11.9%], III = 28 [15.9%], IV = 19 [10...
September 7, 2016: Pediatrics
https://www.readbyqxmd.com/read/27601378/differentiating-childhood-stroke-from-mimics-in-the-emergency-department
#19
Mark T Mackay, Adriana Yock-Corrales, Leonid Churilov, Paul Monagle, Geoffrey A Donnan, Franz E Babl
BACKGROUND AND PURPOSE: Clinical identification of stroke in the pediatric emergency department is critical for improving access to hyperacute therapies. We identified key clinical features associated with childhood stroke or transient ischemic attack compared with mimics. METHODS: Two hundred and eighty consecutive children presenting to the emergency department with mimics, prospectively recruited over 18 months from 2009 to 2010, were compared with 102 children with stroke or transient ischemic attack, prospectively/retrospectively recruited from 2003 to 2010...
October 2016: Stroke; a Journal of Cerebral Circulation
https://www.readbyqxmd.com/read/27598389/steroid-use-in-lyme-disease-associated-facial-palsy-is-associated-with-worse-long-term-outcomes
#20
Nate Jowett, Robert A Gaudin, Caroline A Banks, Tessa A Hadlock
OBJECTIVE: The purpose of this study was to determine whether differences in long-term facial function outcomes following acute Lyme disease-associated facial palsy (LDFP) exist between patients who received antibiotic monotherapy (MT); dual therapy (DT) with antibiotics and corticosteroids; and triple therapy (TT) with antibiotics, corticosteroids, and antivirals. STUDY DESIGN: Retrospective cohort. METHODS: All patients with a prior diagnosis of unilateral LDFP who presented to our center between 2002 and 2015 were retrospectively assessed for inclusion...
September 6, 2016: Laryngoscope
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