3,905 results match your criteria: "Bell Palsy"

Amidst worldwide reports of adverse oral lesions subsequent to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) vaccination, the current systematic review planned to determine the prevalence of adverse oral events in adult individuals (≥18 years) after SARS-CoV-2 vaccination, emphasizing upon the type and dose of vaccine, time of onset, and underlying pathophysiology. The registered protocol (PROSPERO CRD42023421307), conforming with PRISMA guidelines, included an all-inclusive literature search through online databases, consisting of Scopus, PubMed/MEDLINE, Web of Science, Lilacs, Livivo, and PROSPERO, completed on 2 May 2023, followed by assessment of risk of bias by Joana Briggs Institute Evaluation Checklist. Due to the paucity of literature, case reports and case series were included.

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The Hepatitis B vaccine's safety profile is considered safe, but sometimes neurological complications, like Bell's palsy (acute peripheral facial neuropathy), can occur after its administration. A 35-year-old female doctor experienced left-sided facial weakness and paralysis six days after getting the Hepatitis B vaccine. On examination, she had lower motor neuron facial nerve palsy.

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Hepatitis E is a hepatotropic virus and the most common cause of acute viral hepatitis among adults in India. It has four genotypes, and genotype 1 is mostly associated with sporadic cases. It typically causes self-limiting acute hepatitis following a prodromal course.

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Introduction: The main objective of this study is to examine the hypothesis that intratympanic corticosteroids can benefit the treatment of Bell's palsy and shorten the period needed for recovery.

Materials And Methods: This study was conducted prospectively using double-blind clinical trials. A total of 321 patients with acute unilateral facial paralysis were included in the survey, with 144 patients excluded due to exclusion criteria and 177 patients included.

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Physical therapy for idiopathic facial paralysis: A systematic review.

Am J Otolaryngol

November 2024

Department of Otolaryngology-Head and Neck Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, United States of America. Electronic address:

Purpose: Idiopathic facial paralysis is a challenging condition that can significantly impact patients' quality of life. Treatment options include both medical to surgical management. The objective is to further understand and review the current literature on the effectiveness of physical therapy for treatment of idiopathic facial paralysis.

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Article Synopsis
  • Bell palsy (BP) is a common cause of sudden facial paralysis, which negatively affects patients' daily lives and physical appearance.
  • This study aims to compare the effectiveness of two types of electroacupuncture (EA) waveforms—low frequency continuous and intermittent—on improving facial function in BP patients through a randomized clinical trial involving 120 participants.
  • It is the first study to assess the safety and treatment effects of these waveform types, potentially guiding future research on optimal EA parameters for BP.
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Factors associated with new-onset of mental health disorders in Bell's palsy patients: A MarketScan database study.

Am J Otolaryngol

December 2024

Department of Otolaryngology - Head and Neck Surgery, Icahn School of Medicine at Mount Sinai, 1 Gustave L. Levy Pl, New York, NY, 10029, United States.

Article Synopsis
  • The study investigates the risk factors for mental health disorders (MHDs) in patients who have recently been diagnosed with Bell's palsy, using data from 2014 to 2020.
  • Among 37,166 patients analyzed, 8.27% developed new-onset MHDs within one year, with anxiety being the most common disorder.
  • Factors such as being female, a higher Charlson comorbidity index, and experiencing symptoms like headaches and facial pain were linked to increased odds of developing MHDs, highlighting the need for better mental health support in these patients.
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Efficacy of photobiomodulation therapy on Bell's palsy symptoms: a systematic review.

Lasers Med Sci

December 2024

Radiation Sciences Research Center, Laser Research Center in Medical Sciences, AJA University of Medical Sciences, Tehran, Iran.

Article Synopsis
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Motor rehabilitation in patients with facial disorders, such as facial paralysis (FP), has faced challenges in maintaining the patients' engagement and motivation in the intensive and repetitive execution of the exercises. To assist in the facial rehabilitation process, gamified tools (GTs) have been proposed to promote stimulation and engagement in affected patients. This study provides a comprehensive review on the use of GTs to aid facial rehabilitation, with the aim of investigating the potential of such computer-based tools to motivate facial mime exercises.

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Article Synopsis
  • - Bell's palsy causes sudden, one-sided facial paralysis and is linked to viral infections and health issues like diabetes and hypertension.
  • - A study analyzed data from 254 patients to identify clinical characteristics and risk factors, finding that 20.9% experienced recurrence, with diabetes and autoimmune disorders being significant contributors.
  • - The results showed that 66.9% of patients fully recovered from their first episode, but those with recurrent cases often faced longer recovery times, highlighting the importance of initial severity and comorbidities in outcomes.
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Evaluation and Treatment of Acute Facial Palsy: Opportunities for Optimization at a Single Institution.

Facial Plast Surg Aesthet Med

November 2024

Division of Facial Plastic & Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, NYU Grossman School of Medicine, New York, New York, USA.

Most patients with acute facial palsy initially present to emergency departments (EDs), where clinical practice guidelines (CPGs) recommend steroids, eye care, and follow-up with facial nerve specialists. To evaluate adherence to the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) Bell's palsy (BP) CPGs within EDs at a single academic institution. : We conducted a retrospective review of all patients diagnosed with acute facial palsy in the EDs of an academic tertiary care center between June 1, 2021, and June 1, 2022.

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Objectives: Although many studies have assessed the clinical features and the factors affecting treatment outcomes of Bell's palsy, few have analysed differences between men and women. This study therefore evaluated whether the clinical features and treatment results, and the factors affecting them, differ between men and women with Bell's palsy.

Methods: This retrospective study included 1708 patients (791 men and 917 women) who presented with facial palsy to the otolaryngology department between January 1986 and December 2022.

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While there is ample evidence indicating an increased occurrence of general neurological conditions among individuals with diabetes, there has been limited exploration into the cause-and-effect connection between type 2 diabetes (T2D) and specific neurological disorders, including conditions like carpal tunnel syndrome and Bell's palsy. We used Mendelian randomization (MR) approach to investigate the causal effects of T2D on 67 neurological diseases. We primarily utilized the inverse-variance weighted method for the analysis, and also employed the weighted median and MR-Egger methods in our study.

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Article Synopsis
  • * The herpes zoster virus, which causes shingles, can reactivate in some individuals and lead to this rare type of facial paralysis, even after the typical unilateral symptoms have resolved.
  • * This case report discusses a patient who developed bilateral Bell's palsy after having recovered from a herpes zoster infection, exploring the relationship between the virus and this unusual neurological condition.
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Effects of phototherapy in patients with idiopathic facial palsy: Scoping review.

Jpn Dent Sci Rev

December 2024

Department of Oral Medicine, Nihon University School of Dentistry, 1-8-13, Kanda-Surugadai, Chiyoda-ku, Tokyo 101-8310, Japan.

Phototherapy has emerged as a promising treatment for Bell's palsy, offering potential improvements in facial nerve function and overall well-being. In this study, we selected seven relevant studies involving 306 patients with subacute or acute Bell's palsy from PubMed, EMBASE, Web of Science, and Scopus before June 5, 2024. Low-level laser therapy (LLLT) efficacy for facial nerve paralysis was assessed in seven studies.

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Objective: To compare the effects of Kabat rehabilitation and Mime therapy on facial disability and synkinesis in patients with Bell's palsy.

Methods: The single-blind, randomised clinical trial was conducted at the Physiotherapy Department of the University of Lahore Teaching Hospital, Lahore, Pakistan, from May to October 2023, and comprised adults of either gender aged 25-50 years having sub-acute or chronic unilateral Bell's palsy of non-congenital origin. The patients were randomised into Kabat rehabilitation group A and mime therapy group B.

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Laser therapy for Bell's palsy: a systematic review and meta-analysis of randomized trials.

Lasers Med Sci

November 2024

Center for Evidence-Based Health Care, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan.

This meta-analysis investigated therapeautic effects of laser therapies in patients with Bell's palsy (BP). The authors performed the literature search in the PubMed, Embase, and Cochrane Library databases using the following search terms: (facial paralysis OR Bell's palsy OR facial palsy OR idiopathic facial paralysis) AND (laser OR low-level laser OR photobiomodulation OR phototherapy). Relevant studies published before October 29th 2024 were identified.

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LTT-Validity in diagnosis and therapeutical decision making of neuroborreliosis: a prospective dual-centre study.

Infection

November 2024

Department of Neurology, HELIOS Klinikum München-West, Steinerweg 5, 81241, München, Germany.

Objectives: The key objective of this study was to assess the validity of a commercially available in-house Lymphocyte Transformation Test (LTT) as a diagnostic parameter and indicator of disease activity/therapeutic efficacy in the context of Lyme neuroborreliosis (LNB).

Methods: A prospective dual-centre study was conducted from 05/14 - 01/18. With respect to Borrelia-LTT a comparison was made between patients suffering from confirmed acute LNB and patients being affected by inflammatory neurologic diseases, defining the control group: Bell's palsy, viral meningitis, herpes zoster, Guillain-Barré-Syndrome and Encephalomyelitis disseminate.

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Predicting Early Treatment Effectiveness in Bell's Palsy Using Machine Learning: A Focus on Corticosteroids and Antivirals.

Int J Gen Med

November 2024

In-Service Master Program in Artificial Intelligence in Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan.

Article Synopsis
  • * Data was collected from 493 patients across 17 hospitals in Scotland, and those were divided into four treatment groups: Prednisolone, Acyclovir, both, and placebo, assessing recovery at 3 and 9 months.
  • * Logistic regression emerged as the most accurate model for predicting recovery, emphasizing that younger age and the use of Prednisolone are key factors influencing treatment success.
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Increased Prevalence of Bell's Palsy in First Nations Populations with Type 2 Diabetes Mellitus in Manitoba.

Can J Neurol Sci

October 2024

Department of Pediatrics & Child Health, Manitoba and Children's Hospital Research Institute of Manitoba, University of Manitoba, Winnipeg, Manitoba, Canada.

Article Synopsis
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The Ambivalence of Post COVID-19 Vaccination Responses in Humans.

Biomolecules

October 2024

Public Health Research Institute, New Jersey Medical School, Rutgers University, Newark, NJ 07103, USA.

Article Synopsis
  • The COVID-19 pandemic, caused by SARS-CoV-2, led to a swift global vaccination effort, resulting in the development and emergency use of multiple vaccine types, including mRNA and adenovirus-based options.
  • The vaccines primarily aim to prevent severe illness and death from COVID-19, administered in multiple doses, but they can cause common mild to moderate side effects and some rare serious reactions.
  • Ongoing research is essential to assess these side effects better, yet the overall safety profile of the vaccines supports their use in fighting the pandemic, highlighting vaccination's critical role in reducing severe COVID-19 outcomes.
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Acute Onset of Peripheral Facial Nerve Palsy in Children: An Overview.

Pediatr Rep

October 2024

Audiology, Primary Care Department, Modena AUSL, 41100 Modena, Italy.

Article Synopsis
  • - The facial nerve (FN) is crucial for non-verbal communication and emotional expression, and its dysfunction in children can significantly impact their quality of life.
  • - This review analyzed 7 relevant studies on acute peripheral FN palsy in pediatric patients, revealing that the most common causes are idiopathic and infectious, with Borrelia Burgdorferi and Herpesviridae as significant pathogens.
  • - Despite a high recovery rate for FN palsy, challenges remain in treatment, especially for non-recovering cases, highlighting the need for large, prospective studies to inform better management strategies.
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Article Synopsis
  • Patients with Bell's palsy who underwent facial nerve decompression surgery while preserving the ossicular chain showed significant improvement in facial nerve function post-surgery, with 100% recovery to House-Brackmann grades I and II.
  • Hearing evaluations indicated minimal changes in overall hearing, particularly at low and speech frequencies, but there was a significant increase in high-frequency hearing loss post-surgery.
  • The study suggests that this surgical approach can successfully preserve most hearing function while addressing facial paralysis without causing substantial verbal frequency hearing loss.
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