scholarly journals Patients’ Profile Regarding Physiatric Management of Facial Palsy in a Tertiary Care Hospital

2018 ◽  
Vol 36 (1) ◽  
pp. 16-19
Author(s):  
Prasanta Kumar Chakraborty ◽  
Md Jahidul Islam ◽  
Md Shahadat Hossain ◽  
Md Nadimul Hasan ◽  
Md Nazmul Hasan Khandker ◽  
...  
Keyword(s):  
Nervous System ◽  
Facial Nerve ◽  
Facial Palsy ◽  
Tertiary Care ◽  
Bell’S Palsy ◽  
Care Hospital ◽  
Disease Group ◽  
Bell's Palsy ◽  
Disease Pattern ◽  
Therapy Strategies

Introduction: Facial palsy is commonly treated by various physical therapy strategies and devices, but there are many questions about the profile of patients with facial nerve palsy. The aim of the study was to outline profile of patients with facial palsy receiving Physiatric management.Materials and Methods: A retrospective hospital recordsbased study was carried out at the department of Physical Medicine and Rehabilitation (PMR) in National Institute of Neurosciences and Hospital (NINS&H), Dhaka for the period of two year from 1st July 2013 to 30th June 2015.Results: Total 5240 patients were studied, of which 58.87% were male and 41.13% were female. Maximum patients Journal of Bangladesh College of Physicians and Surgeons Vol. 36, No. 1, January 2018 (26.58%) belong to 31-40 years of age. Maximum patients (72.36%) came from Dhaka city and most of the studied patients were housewife (31.68%). Largest disease group was Bell’s palsy (56.2%). Regarding disease pattern, 61.18% of patients peripheral nervous system (PNS) and 38.82% central nervous system (CNS) condition. Among etiologies of Facial palsy, 56.2% Bell’s palsy, 36.95% stroke, 3.40% Guillain-Barre’ syndrome, 2% traumatic, 0.52% were Ramsay-Hunt syndrome.Conclusion: Profile of patients should be considered for Physiatric management of Facial nerve palsy.J Bangladesh Coll Phys Surg 2018; 36(1): 16-19

scholarly journals BELL’S PALSY AMONG INFANTS - OUR EXPERIENCES IN A TERTIARY CARE HOSPITAL OF EASTERN INDIA

2017 ◽  
Vol 10 (9) ◽  
pp. 85
Author(s):  
Santosh Kumar Swain ◽  
Ishwar Chandra Behera ◽  
Mahesh Chandra Sahu
Keyword(s):  
Facial Nerve ◽  
Facial Palsy ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Bell’S Palsy ◽  
Oral Steroid ◽  
Care Hospital ◽  
Age Group ◽  
Bell's Palsy ◽  
Oral Steroids

Objectiv:The most common etiology of unilateral facial palsy is Bell’s palsy, also called as idiopathic facial palsy. Bell’s palsy in infant is rare and an uncommon clinical entity and often taken as pediatric emergency by parents. Paralysis of facial nerve has a tremendous impact on patient as well as parents particularly when a pediatric patient is affected.  It is regarded as a diagnosis of exclusion.  Bell’s palsy in infants is rare than adults and diagnosis is made on the basis of exclusion.Aim and Objectives:Clinical diagnosis and management of Bell’s palsy among infants from a tertiary care hospital of eastern India.Material and Methods:In this prospective study, we have documented detail clinical manifestation and management of infants of Bell’s palsy from the pediatric age group. When an infant presents with facial nerve paralysis, a full clinical history and detailed examination were recommended for accurate diagnosis.  Simultaneously, the parents were reassured and the prognosis was explained to the parents.  Oral steroids along with physiotherapy were started in the outdoor basis.Results:We diagnosed six infants of Bell’s palsy in age group of 5 months to 12 months. Among them 4 females and rest 3 were male. These Infants showed improvement with complete recovery in 83% cases within 3 weeks whereas partial recovery was seen in rest.Conclusion:In this study, we find out that, oral steroids along with physiotherapy and eye care are effective for Bell’s palsy in infants.Keywords:Bell’s palsy, infant, facial nerve, oral steroid.

scholarly journals Clinical Study of Bell's Palsy at Tertiary Care: Our Experience

2019 ◽  
Vol 02 (01) ◽  
pp. 16-20
Author(s):  
M. B. Bharathi ◽  
Thanzeem Unisa ◽  
Swathi Chandresh ◽  
Venkatesh C. R. ◽  
Harsha S.
Keyword(s):  
Facial Nerve ◽  
Tertiary Care ◽  
Bell’S Palsy ◽  
Cross Sectional Study ◽  
Bell's Palsy ◽  
Cross Sectional ◽  
Tertiary Referral Center ◽  
Number Of Patients ◽  
The Face ◽  
History Of

Abstract Introduction Bell's palsy (BP) is the common cause of facial palsy. This study aims to report and analyze the age, sex distribution, symptomatology, site of lesion, and prognosis in 101 patients with (BP). Materials and Methods This is a cross-sectional study conducted at tertiary referral center, JSS Hospital, Mysuru. All patients consenting to participate in this study, of all ages, of either sex, both outpatients and inpatients with a diagnosis of BP during this study period were included. Results Of the 101 patients analyzed, maximum cases (25.7%) were in third decade of age; 55.4% were males, and both right and left sides of the face were equally involved. Maximum number of patients (50.5%) had a history of postaural pain at presentation Topodiagnostic tests showed majority of BP cases involving geniculate or suprageniculate regions (67.3%) in our study. 20.8% had lesion above the nerve to stapedius, and 11.9% had lesion below the nerve to stapedius. Electrodiagnostic test—electroneuromyography (ENMG)—was abnormal in 57 (67.1%) individuals at day 4. 50.4% of patients had a House-Brackmann (HB) facial nerve grade IV at presentation. 90% of the BP group in our study recovered normal to near-normal facial nerve function by the end of 28 days’ time. Conclusion Each case of BP should be evaluated with thorough clinical examination, topodiagnostic tests, and electrodiagnostic tests. Appropriate management will help in almost full recovery of disease.

scholarly journals Intratemporal Facial Nerve Paralysis- A Three Year Study

2016 ◽  
Vol 24 (2) ◽  
pp. 94-99
Author(s):  
Anirban Ghosh ◽  
Sankar Prasad Bera ◽  
Somnath Saha
Keyword(s):  
Facial Nerve ◽  
Facial Palsy ◽  
Bell’S Palsy ◽  
Facial Nerve Paralysis ◽  
Bell's Palsy ◽  
Prospective Longitudinal Study ◽  
Nerve Paralysis ◽  
Excellent Outcome ◽  
Stapedial Reflex ◽  
Prospective Longitudinal

Introduction This study on intratemporal facial paralysis is an attempt to understand the aetiology of facial nerve paralysis, effect of different management protocols and the outcome after long-term follow-up. Materials and Methods A prospective longitudinal study was conducted from September 2005 to August 2008 at the Department of Otorhinolaryngology of a medical college in Kolkata comprising 50 patients of intratemporal facial palsy. All cases were periodically followed up for at least 6 months and their prognostic outcome along with different treatment options were analyzed. Result Among different causes of facial palsy, Bell’s palsy is the commonest cause; whereas cholesteatoma and granulation were common findings in otogenic facial palsy. Traumatic facial palsies were exclusively due to longitudinal fracture of temporal bone running through geniculate ganglion. Herpes zoster oticus and neoplasia related facial palsies had significantly poorer outcome. Discussion Otogenic facial palsy showed excellent outcome after mastoid exploration and facial decompression. Transcanal decompression was performed in traumatic facial palsies showing inadequate recovery. Complete removal of cholesteatoma over dehiscent facial nerve gave better postoperative recovery. Conclusion The stapedial reflex test is the most objective and reproducible of all topodiagnostic tests. Return of the stapedial reflex within 3 weeks of injury indicates good prognosis. Bell’s palsy responded well to conservative measures. All traumatic facial palsies were due to longitudinal fracture and 2/3rd of these patients showed favourable outcome with medical therapy.

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

2021 ◽  
Vol 11 (2) ◽  
pp. 173-176
Author(s):  
P.K Purushothaman ◽  
Dhanyan Harshidan ◽  
Priyangha Elangovan
Keyword(s):  
Clinical Symptoms ◽  
Tertiary Care ◽  
Bell’S Palsy ◽  
Care Hospital ◽  
Bell's Palsy ◽  
College Hospital ◽  
Medical College ◽  
Therapeutic Measures

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.

scholarly journals PERCEPTION OF PHYSIOTHERAPIST ON EFFECTS OF TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION IN COMPARISON TO THERAPEUTIC ULTRASOUND FOR THE TREATMENT OF GRADE V BELL’S PALSY

2021 ◽  
Vol 10 (2) ◽  
pp. 50-55
Author(s):  
Farida Shaheen
Keyword(s):  
Sample Size ◽  
Nerve Stimulation ◽  
Transcutaneous Electrical Nerve Stimulation ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Bell’S Palsy ◽  
Care Hospital ◽  
Bell's Palsy ◽  
Electrical Nerve Stimulation ◽  
Burst Mode

BACKGROUND AND AIMS Transcutaneous Electrical Nerve Stimulation (TENS) and Ultrasound (US) both are the most common therapeutic intervention modalities applied for Bell’s palsy treatment. The study was conducted in a tertiary care hospital in order to evaluate the perception of physiotherapist regarding the effects of TENS and US in comparison for the treatment of grade V Bell’s palsy. METHODOLOGY It is an observational study based on cross sectional survey based on questionnaire from the physical therapists of a tertiary care hospital with the clinical experience of one year or more. The sample size was 45 based on convenient sampling technique with the mean age of 27.4 ± 7.75 years. RESULTS The results of the study indicated that preference of therapist for the effective treatment of grade 5 Bell’s palsy is TENS in comparison to US for early prognosis and patient’s satisfaction. Further, the therapist prefers burst mode of TENS for effective results. CONCLUSION Though the study favors use of TENS However, due to small sample size, further studies are required to be conducted in domain to strengthen the role of Burst Mode of TENS as an effective intervention for Bell’s palsy.

Treatment for facial palsy

1968 ◽  
Vol 6 (7) ◽  
pp. 25-26
Keyword(s):  
Facial Nerve ◽  
Facial Palsy ◽  
Nerve Conduction ◽  
Conduction Block ◽  
Bell’S Palsy ◽  
Bell's Palsy ◽  
Facial Muscles ◽  
Nerve Conduction Block

There is controversy on the management of the idiopathic facial nerve palsies (Bell’s palsy). About two out of every three patients have a nerve conduction block alone and recover completely in less than one month.1 The rest develop denervation of the facial muscles to a varying degree and never recover completely. In addition, contracture of the facial muscles may occur, with severe disfigurement. About 10% of all patients with facial palsy have complete denervation and serious sequelae.2 Using electromyography3 and measurement of the anodal galvanic threshold4 an accurate prognosis can be given within the first week.

Prednisolone for idiopathic (bell’s) facial palsy

1973 ◽  
Vol 11 (18) ◽  
pp. 69-70
Keyword(s):  
Facial Nerve ◽  
Facial Palsy ◽  
Bell’S Palsy ◽  
Bell's Palsy ◽  
Facial Muscles ◽  
Oral Corticosteroids ◽  
Aberrant Regeneration

When we discussed facial palsy in 19681 corticotrophin therapy was advocated. Since then oral corticosteroids have been tried and this article discusses their efficacy. Permanent clinical denervation of the affected facial muscles occurs in about a third of patients after Bell’s palsy2 3 and leads to persistent weakness. Some of the patients develop associated movements, or very rarely crocodile tears, due to aberrant regeneration. The movements can be very distressing. The incidence and severity of permanent denervation is related both to the severity of the damage to the facial nerve and to the age of the patient. It is very common over the age of 70 years, but rare below the age of 10 years.

Late Surgical Decompression of Facial Nerve in Bell's Palsy: A Case Report

2012 ◽  
Vol 73 (S 02) ◽  
Author(s):  
L. M. Marques ◽  
J. Pimentel ◽  
P. Escada ◽  
G. Neto D'Almeida
Keyword(s):  
Case Report ◽  
Facial Nerve ◽  
Bell’S Palsy ◽  
Surgical Decompression ◽  
Bell's Palsy
Sign in / Sign up

Export Citation Format

Share Document