scholarly journals Bell’s Palsy—Retroauricular Pain Threshold

Medicina ◽  
2021 ◽  
Vol 57 (3) ◽  
pp. 263
Author(s):  
Aleksandar Kopitović ◽  
Filip Katanić ◽  
Sandro Kalember ◽  
Svetlana Simić ◽  
Nina Vico ◽  
...  
Keyword(s):  
Pain Threshold ◽  
Bell’S Palsy ◽  
Bell's Palsy ◽  
Group Vi ◽  
Unaffected Side ◽  
Pain Thresholds ◽  
Pressure Algometer ◽  
Lower Pain ◽  
Increased Sensitivity ◽  
The Right

Background and objectives: Non-motor symptoms in the form of increased sensitivity are often associated with the onset of idiopathic Bell’s palsy (IBP). The aims were to determine whether the pain threshold in the retroauricular regions (RAR) in IBP patients and the time of its occurrence is related to IBP severity. Materials and Methods: The study was conducted among 220 respondents (142 IBP patients, 78 healthy subjects (HS)). The degree of IBP was graded using the House–Brackmann and Sunnybrook Grading Scales (II—mild dysfunction, VI—total paralysis), whereas the pain thresholds were measured using the digital pressure algometer. Results: We found no difference in the degree of the pain threshold between the right and left RAR in the HS group. IBP patients belonging to groups II, III, IV, and V had lower pain thresholds in both RARs than HS and IBP patients belonging to group VI. There was no difference in the degree of pain threshold in RAR between the affected and unaffected side in IBP patients. The incidence of retroauricular pain that precedes paralysis and ceases after its occurrence in groups II and III of IBP patients is noticeably lower and the incidence of retroauricular pain that occurred only after the onset of paralysis is more frequent. Also, we found that the incidence of retroauricular pain that precedes paralysis and ceases after its occurrence in groups V and VI of IBP patients was more frequent. Conclusions: The degree of pain threshold lowering in RAR (bilaterally) is inversely related to the severity of IBP. We suggest that the occurrence of retroauricular pain before the onset of facial weakness is associated with higher severity of IBP while the occurrence after the onset is associated with lower severity of IBP.

scholarly journals Coronavirus disease 2019 complicated with Bell’s palsy: a case report

2020 ◽  
Author(s):  
Yue Wan ◽  
Shugang Cao ◽  
Qi Fang ◽  
Mingfu Wang ◽  
Yi Huang
Keyword(s):  
Facial Paralysis ◽  
Antiviral Treatment ◽  
Brain Mri ◽  
Bell’S Palsy ◽  
Rt Pcr ◽  
Bell's Palsy ◽  
Case Presentation ◽  
Complete Absorption ◽  
Lower Lung ◽  
The Right

Abstract Background: Coronavirus disease 2019 (COVID-19) is a highly infectious disease, mainly causing respiratory symptoms. However, a few patients may also have neurological symptoms. Herein, we report a case of COVID-19 infection complicated with Bell’s palsy.Case presentation: A 65-year-old woman was admitted due to left facial drooping. Physical examination showed left peripheral facial paralysis. Brain MRI showed no abnormality. However, the chest CT revealed the ground-glass shadows in the right lower lung. The real-time reverse transcription-polymerase chain reaction (RT-PCR) results for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) RNA were positive through throat swabs, while the common influenza virus antigens were tested negative. The symptoms of left facial paralysis relieved after antiviral treatment. She patient was discharged in the context of 3 consecutively negative RT-PCR test results for SARS-CoV-2 RNA and complete absorption of the right lung lesions. Conclusion: This case suggests that COVID-19 may be presented with Bell’s palsy and may be a potential cause of facial paralysis.

scholarly journals The Relationship between Fibromyalgia and Pressure Pain Threshold in Patients with Dyspareunia

2015 ◽  
Vol 20 (3) ◽  
pp. 137-140 ◽  
Author(s):  
Hasan Terzi ◽  
Rabia Terzi ◽  
Ahmet Kale
Keyword(s):  
Beck Depression Inventory ◽  
Pain Threshold ◽  
Pressure Pain Threshold ◽  
Control Group ◽  
Tender Points ◽  
Pain Thresholds ◽  
Pressure Pain ◽  
Pressure Pain Thresholds ◽  
Pressure Algometer ◽  
Significant Difference

OBJECTIVE: To evaluate the number of tender points, pressure pain threshold and presence of fibromyalgia among women with or without dyspareunia.METHODS: The present cross-sectional study included 40 patients with dyspareunia and 30 healthy controls. The participants were asked if they had engaged in sexual intercourse during the previous four weeks, and dyspareunia was rated from 0 to 3 based on the Marinoff Dyspareunia Scale. A pressure algometer (dolorimeter) was used to measure the pressure pain threshold. Fibromyalgia was diagnosed based on the 1990 American College of Rheumatology criteria. The depression status of the participants was assessed using the Beck Depression Inventory.RESULTS: No statistically significant difference was found with regard to age, body mass index, habits (alcohol use and smoking), educational status and occupational status between the two groups. Total myalgic score, total control score and tender point mean pain threshold were significantly lower in the group with dyspareunia. The number of tender points was significantly higher in patients with dyspareunia. The mean Beck Depression Inventory score was 14.7 ±8.4 in the dyspareunia group compared with 11.2 ±7.1 in the control group. Five (12.5%) of the patients with dyspareunia were diagnosed with fibromyalgia, whereas no patients in the control group were diagnosed with fibromyalgia. There was no significant difference between the two groups with regard to the presence of fibromyalgia.CONCLUSION: The finding of lower pressure pain thresholds and a higher number of tender points among patients with dyspareunia suggests that these patients may have increased generalized pain thresholds. Additional studies involving a larger number of patients are required to investigate the presence of central mechanisms in the pathogenesis of dyspareunia.

Facial and Lingual Strength and Endurance in Skilled Trumpet Players

2015 ◽  
Vol 30 (2) ◽  
pp. 90-95 ◽  
Author(s):  
Nancy L Potter ◽  
Lauren R Johnson ◽  
Stephen E Johnson ◽  
Mark VanDam
Keyword(s):  
Case Control Study ◽  
Bell’S Palsy ◽  
Maximum Strength ◽  
Tongue Strength ◽  
Oral Performance ◽  
Bell's Palsy ◽  
Unaffected Side ◽  
History Of ◽  
Control Study ◽  
Trumpet Players

Trumpet players produce and manipulate sound through their instrument by articulating the lips, cheeks, and tongue to create a proper airflow. These sustained muscle contractions may result in increased facial and lingual strength and endurance. The purpose of this study was to determine if adult trumpet players who practice at least 6 hrs/wk differed from adult non-trumpet-playing controls in strength and endurance of the lips, cheeks, and tongue. Methods: This case-control study involved 16 trumpet players, 16 healthy controls balanced for age and sex, and 1 trumpet player 25 years post-Bell’s palsy. Strength and endurance of lip, cheek, and tongue muscles were measured using the Iowa Oral Performance Instrument (IOPI Medical, Redmond, WA). Maximum strength was the greatest pressure value of three encouraged trials. Endurance was the length of time the participant was able to sustain 50% of maximum strength. Results: The findings indicate that trumpet players had greater facial strength and endurance, which was objectively quantified using commercially available equipment. The trumpet players had greater cheek strength and greater lip endurance than controls. Tongue strength and endurance did not differ between the trumpet players and controls. Tongue strength was negatively associated with age, which is consistent with previous studies. The trumpet player with a history of Bell’s palsy had decreased cheek strength and endurance on his affected side compared to his unaffected side, although this difference was comparable to the differences between right and left cheek strength in trumpet players without a history of facial nerve damage.

scholarly journals “At-Home” Photobiomodulation: A New Approach for Bell’s Palsy Treatment

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Carlo Fornaini ◽  
Zhao Meng ◽  
Elisabetta Merigo ◽  
Jean-Paul Rocca
Keyword(s):  
Case Report ◽  
Single Case ◽  
Bell’S Palsy ◽  
Pharmacological Therapy ◽  
Bell's Palsy ◽  
Single Case Report ◽  
First Case ◽  
Total Fluence ◽  
The Right ◽  
At Home

Objective. This report is the first one to describe the possibility to use “self‐administered” photobiomodulation (PBM) for Bell’s palsy (BP) treatment. Background. BP is a peripheral disorder of the facial nerve causing sudden paralysis of unilateral facial muscles, and PBM has been successfully suggested for its treatment without any side effect. This is the first case report where a laser device was successfully used at home by the patient herself to treat BP opening new perspectives on the therapy of this disease. Methods. This report describes the “at-home PBM” treatment performed on a 15-year-old girl who presented BP consisting of acute pain on the right side of her face, difficulty in biting and dripping saliva from the right side of her lips. The treatment was performed twice a day by cutaneous applications, each of 15 minutes (total fluence 48 J/cm2) in an area corresponding to the parotid gland by a device emitting at 808 nm at 250 mW output power. Results. Two weeks after PBM treatment, performed at home twice a day by the patient herself without any kind of pharmacological therapy, the complete disappearing of the disease was noticed with no side effects. Conclusion. With the limitations due to a single case report and with the need of further clinical trials to confirm it, “at-home PBM” seems to represent a good and safe approach to the treatment of BP.

scholarly journals Peripheral nerve involvement in Bell's palsy

1984 ◽  
Vol 42 (4) ◽  
pp. 341-345 ◽  
Author(s):  
J. A. Bueri ◽  
L. G. Cohen ◽  
Marcela E. Panizza ◽  
Olga P. Sanz ◽  
R. E. P. Sica
Keyword(s):  
Peripheral Nerve ◽  
Facial Nerve ◽  
Motor Nerve ◽  
Bell’S Palsy ◽  
Bell's Palsy ◽  
Motor Nerve Conduction ◽  
Nerve Involvement ◽  
Peripheral Nerve Involvement ◽  
Conduction Velocities ◽  
The Right

A group of patients with Bell's palsy were studied in order to disclose the presence of subclinical peripheral nerve involvement. 20 patients, 8 male and 12 female, with recent Bell's palsy as their unique disease were examined, in all cases other causes of polyneuropathy were ruled out. Patients were investigated with CSF examination, facial nerve latencies in the affected and in the sound sides, and maximal motor nerve conduction velocities, as well as motor terminal latencies from the right median and peroneal nerves. CSF laboratory examination was normal in all cases. Facial nerve latencies were abnormal in all patients in the affected side, and they differed significantly from those of control group in the clinically sound side. Half of the patients showed abnormal values in the maximal motor nerve conduction velocities and motor terminal latencies of the right median and peroneal nerves. These results agree with previous reports which have pointed out that other cranial nerves may be affected in Bell's palsy. However, we have found a higher frequency of peripheral nerve involvement in this entity. These findings, support the hypothesis that in some patients Bell's palsy is the component of a more widespread disease, affecting other cranial and peripheral nerves.

scholarly journals Impact of Physical Therapy on a Patient with Bell’s Palsy: A Case Report

2021 ◽  
pp. 97-102
Author(s):  
Nikita S. Deshmukh ◽  
Vaidehi V. Kannao ◽  
Pratik Phansopkar ◽  
Om C. Wadhokar
Keyword(s):  
Cranial Nerve ◽  
Multidisciplinary Approach ◽  
Bell’S Palsy ◽  
Health It ◽  
Bell's Palsy ◽  
Muscle Strengthening ◽  
Seventh Cranial Nerve ◽  
Strengthening Exercise ◽  
The Right ◽  
Opening And Closing

Affecting the seventh cranial nerve, known as Bell's palsy and its neuropathy.  It is a disfiguring disorder with significant impact on patient’s physical mental and social health. It is normally caused by inflammation caused by traumatic, infectious, inflammatory or compressive conditions, and cranial nerve edema may lead to compression and eventual ischemia. In comparison with the central cause peripheral cause leads to more serious form of Bell’s palsy. The symptoms usually include reduced production of tears, altered taste, facial pain, otalgia and aural pressure. the recovery is usually complete while in some cases incomplete recovery is seen. For treating Bell’s palsy a multidisciplinary approach is required to completely return back to normal. A case of female patient whose age 43 year old came to the right hemifacial palsy department has been identified. There was a affected movement of right side eyebrows and affected right forehead movement during clinical evaluation, spontaneously opening and closing of the right eye, difficulty to close the right eye. No conclusive etiology could be traced out after a series of investigations, hence diagnosed as right side Bell’s palsy. We address the clinical characteristics and modalities of care for Bell’s palsy in this article. Education, facial muscle strengthening exercise, eye defense exercises, modalities and acupuncture were included in the physiotherapy intervention.

scholarly journals DEMOGRAPHIC AND SEASONAL VARIATION OF BELL’S PALSY IN MARDAN REGION, PAKISTAN- A FIFTEEN YEARS

1969 ◽  
Vol 6 (1) ◽  
pp. 733-736
Author(s):  
WAJID AKBAR ◽  
JAMMIL ANWAR ◽  
ADNAN BADAR ◽  
MAHID IQBAL ◽  
ASADULLAH ◽  
...  
Keyword(s):  
Seasonal Variation ◽  
Seasonal Pattern ◽  
Age Groups ◽  
Winter Season ◽  
Bell’S Palsy ◽  
Sudden Onset ◽  
Facial Nerve Paralysis ◽  
Bell's Palsy ◽  
Nerve Paralysis ◽  
The Right

BACKGROUND: Bell’s palsy is idiopathic facial nerve paralysis of sudden onset characterized byunilateral facial weakness. The influence of age is more on its occurrence. Men and women affectsalmost equally, often unilateral with no side predilection, but may be bilateral in small number of cases.Bell’s palsy has multi factorial etiology, climate factors such as temperature, humidity and barometricpressure have been implicated in triggering off the pathogenic mechanism of Bell’s palsy.OBJECTIVES: To evaluate the influence of different seasons on the occurrence of Bell’s palsy.MATERIAL & METHODS: This prospective study was conducted in departments of medicine, ENTof Mardan Medical Complex hospital Mardan region-KPK,Pakistan. Two hundred and one cases (males91, females 110) of Bell’s palsy between 1 to 80 years of age were included. This study was performedfrom January 2002 to December 2015. Patient distribution was recorded by seasonal pattern, age groups,gender wise and affected side. The collected data were analyzed with standard statistical methods usingSPSS version 20.0.RESULTS: Out of total 201 patients, there were 45.3% males and 54.7% of females. The mean age oftotal population was 36.21 SD (19.97); consisted of 38.03 SD (18.76) of male and 34.71 SD (20.88) offemales. The incidence of Bell’s palsy was high in age group of 31-40 years; 42(20.9%) and in 11-20years; 41(20.4%). Bell’s palsy was more in females 110(54.7%) as compared to male; 91(45.3%). Thecases with left side Bell’s palsy were more 101 (50.2%) than the right side 100(49.8%). The highincidence of Bell’s palsy was recorded during the month of December; (19.9%) and (13.9%) in Januaryof winter season.CONCLUSION: Winter season has effect on the incidence of Bell’s palsy in district Mardan. Howevera larger sample size recruited from multicenter would be helpful in further clarifying the fact thatwhether all these differences are purely due to environmental, climatic and seasonal factors or due toracial susceptibility.KEY WORDS: Bell’s palsy, seasonal variation, Mardan region.

scholarly journals The Epidemiology and Management of Bell’s Palsy in the Sudan

2018 ◽  
Vol 12 (1) ◽  
pp. 827-836 ◽  
Author(s):  
Ahmed Hassan Kamil Mustafa ◽  
Ahmed Mohammed Sulaiman
Keyword(s):  
Facial Nerve ◽  
Bell’S Palsy ◽  
Facial Nerve Paralysis ◽  
Age Group ◽  
Bell's Palsy ◽  
Cross Sectional ◽  
Nerve Paralysis ◽  
Dental Hospital ◽  
The Face ◽  
The Right

Background: Bell’s palsy is an acute idiopathic facial nerve paralysis of sudden onset. It is the most common cause of lower motor neuron facial nerve paralysis with an annual incidence of 15-30 per 100,000. The objective of this work is to study the prevalence and the management of Bell’s palsy in the Sudan. A descreptive retrospective cross-sectional study was carried at Khartoum Teaching Dental Hospital, Khartoum General Teaching Hospital. In the retrospective, the records and files of 698 patients with Bell’s palsy, were reviewed in relation to age, gender, site, risk factors, season, and type of treatment. In addition, 48 patients with Bell’s palsy were evaluated using the House–Brackman scale in relation to the above-mentioned variables. Therefore, a total number of 746 cases were studied. Fifty five percent of them were females and the remaining 45% were males, around 38% of them were in the age group 21-40 year. Fifty seven percent of the patients were affected on the right side of the face. Winter was the commonest season of onset where 53.5% of the cases occurred. Steroids are the commonly prescribed drugs in majority of the cases, accounting for 47.3%. Study Design: The study is a retrospective cross sectional hospital based study. The study was carried out in Khartoum Teaching Dental Hospital and in the Physiotherapy Department of Khartoum Teaching General hospital. The files and records of the patients with Bell’s palsy in Khartoum Teaching Dental Hospital in the years 1/1/2004 -31/12/2008, and Khartoum Teaching General Hospital (physiotherapy department) in the years 2007- July 2009 (total number 746). Results: A total number of 746 cases were studied . Fifty five percent of them were females and the remaining 45% were male. Around 38% of them were in the group 21-40 year. Fifty seven percent of the patients were affected on the right side of the face. Winter was the commonest season of the onset where 53.5% of the cases occurred. Conclusion: The study showed predominance of females. A peak incidence was seen in the age group 21-40 years. A predilection was found for the right side of face.

scholarly journals Bell's palsy: а literature reference and own clinical case

2021 ◽  
pp. 83-87
Author(s):  
D.S. Khapchenkova ◽  
◽  
S.О. Dubyna ◽  
K.Yu. Yena ◽  
◽  
...  
Keyword(s):  
Facial Nerve ◽  
Facial Expressions ◽  
Muscle Weakness ◽  
Clinical Case ◽  
Bell’S Palsy ◽  
Motor Nucleus ◽  
Bell's Palsy ◽  
Facial Muscles ◽  
The Face ◽  
The Right

Bell's palsy is an acute peripheral paralysis of the facial nerve of unknown etiology. The facial nerve is the seventh cranial nerve. One part of the facial nerve is the motor fibers that innervate the facial muscles. The facial nerve emerges from the brain between the posterior edge of the pons and the medulla oblongata with two roots. The main motor nucleus is responsible for the voluntary control of facial muscles. There are central and peripheral paresis of the facial nerve. Central paresis occurs during а stroke. Peripheral paresis (unilateral muscle weakness of the entire half of the face) develops when the facial nerve is affected from the motor nucleus to the exit from the stylomastoid foramen. Among the various localizations of damage to the peripheral part of the facial nerve, the most common is Bell's palsy as a result of edema and compression of the nerve in the bone canal. Clinical symptoms of facial nerve neuropathy are characterized by acute paralysis or paresis of facial muscles: smoothed skin fold on the affected side of the face; swelling of the cheeks; an inability to close the eyelid, Bell's symptom; facial muscle weakness. The degree of damage is determined by the House Brackmann scale. Treatment with glucocorticosteroids, antiviral drugs, physiotherapy procedures. Purpose — to present a clinical case of a patient with Bell's palsy as an example of delayed diagnosis, treatment and, as a result, long-term restoration of the facial muscles functions. Clinical case. The boy after suffering from the flu, began to complain of acute ear pain, vomiting, lack of movement in the right half of the face, dizziness, insomnia. Asymmetry of the face, lack of movement of the right side of the face, inability to completely close the right eye, a symptom of sailing on the right, muscle weakness were revealed during examination. The general condition of the patient improved, facial expressions were restored, sleep was normalized after hormonal, metabolic therapy, physiotherapy procedures. Conclusions. The article describes a case of inflammation of the facial nerve or Bell's palsy in a teenager who developed on the background of the flu. Timely diagnosis and treatment of the above pathology is the key to a satisfactory prognosis for the restoration of facial expressions, prevention of negative consequences of the the disease. The research was carried out in accordance with the principles of the Helsinki Declaration. The informed consent of the patient was obtained for conducting the studies. No conflict of interest was declared by the authors. Key words: facial nerve, Bell's palsy, flu, inflammation.

scholarly journals Characteristic of Bell’s Palsy in Clinical Neurologic at Sanglah Hospital Denpasar Bali Indonesia

2021 ◽  
Vol 8 (12) ◽  
pp. 318-322
Author(s):  
Putu Ngurah Arya Darmawan ◽  
Ni Made Dwita Pratiwi ◽  
I Komang Arimbawa
Keyword(s):  
Sampling Method ◽  
Clinical Manifestations ◽  
Descriptive Study ◽  
Bell’S Palsy ◽  
Facial Weakness ◽  
Bell's Palsy ◽  
Cross Sectional ◽  
Neurologic Diseases ◽  
Cross Sectional Design ◽  
The Right

Introduction/Aim: Bell's Palsy is a lower motor neuron facial weakness caused by idiopathic etiology with the absence of other neurologic diseases. The incidence of this syndrome is around 23 cases per 100,000 people each year. The clinical manifestations are sometimes being considered to be a stroke or tumor. This study was conducted to find characteristic of bell’s palsy in clinical neurologic at Sanglah Hospital Denpasar, Bali Indonesia Methods: This study is a descriptive study with a cross sectional design in polyclinic of Sanglah Hospital, Denpasar for the period 2016 to 2019. Sampling was carried out using a consecutive non-random sampling method. Result: A total of 31 subjects in rainy season 51.6% having female 61.3% and male 38.7%, with the range of age 46-55 years old. Most of the patients complaints the weakness of the right face 58.1%, postauricular pain 64.5%. Electroneuromyography examination with seddon classification having results of Neuropraxia 67.7%. Conclusion: Characteristic of bell’s palsy in clinical neurologic most of participant in woman with postauricular pain and neuropraxia Keywords: Bell's Palsy, neuropraxia, postauricular pain, seddon classification.

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