Acta Scientific Otolaryngology (ASOL)

Research Article Volume 2 Issue 4

The Use of Steroids in the Treatment of Bell’s Palsy in Children, a Retrospective Analysis

Hasan Alansari*, Aysha Alrowaiei and Mohammed Alshehabi Mai Nasser

Department of ENT, King Hamad University Hospital, The Kingdom of Bahrain

*Corresponding Author: Senior House Officer, Department of ENT, King Hamad University Hospital, The Kingdom of Bahrain.

Received: March 01, 2020; Published: March 20, 2020

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Abstract

Objectives: We analyzed the data of using steroid therapy in treating Bell's palsy in pediatrics patients in Bahrain Defense Force hospital, and the aim was to measure and analyze their clinical course, management, and final outcome.

Materials and Methods: A retrospective study was conducted in the Ear, Nose and Throat outpatient clinic between January 2015 and December 2018. A total of 116 patient records have been reviewed, out of which cases who presented with Bell's palsy above the age of 18 and diagnosed with facial palsy secondary to other causes such as temporal bone fractures and acute otitis media were excluded from the study.

Results: The study showed that out of the 65 patients that were included in the study, 55 patients received steroids while only 10 were managed with observation and supportive measures. In the steroid group about 49 (96.1%) patients symptoms resolved with only 2 (3.9%) still having residual facial weakness. All 10 (100%) patients achieved complete resolution of symptoms in the conservative group.

Conclusions: Using steroids to treat Bell's palsy in pediatrics patient does not seem to impact the resolution of the disease or accelerate resolution.

Keywords: Bell’s Palsy; Pediatrics; Patients

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References

  1. Peitersen E. “Bell’s palsy: the spontaneous course of 2,500 peripheral facial nerve palsies of different etiologies”. Acta Otolaryngology (2002): 4-30.
  2. Baugh R., et al. “Clinical Practice Guideline: Bell’s Palsy”. Otolaryngology-Head and Neck Surgery 149 (2013): P13-P14.
  3. Furuta Y., et al. “High prevalence of varicella-zoster virus reactivation in herpes simplex virus-seronegative patients with acute peripheral facial palsy”. Clinical Infection Disease 30 (2000): 529-533.
  4. Salinas RA., et al. “Corticosteroids for Bell’s palsy (idiopathic facial paralysis)”. Cochrane Database System Review 3 (2010): CD001942.
  5. Fisch U. “Surgery for Bell’s palsy”. Archives of Otolaryngology 107 (1981): 1-11.
  6. Lorch M and Teach SJ. “Facial nerve palsy: Etiology and approach to diagnosis and treatment”. Pediatric Emergency Care 26 (2010): 763-769.
  7. Evans AK., et al. “Pediatric facial nerve paralysis: Patients, management and outcomes”. International Journal of Pediatric Otorhinolaryngology 69 (2005): 1521-1528.
  8. Holland J. “Bell’s palsy”. Clinical Evidence (Online). (2008): 1204
  9. Atzema C and Goldman RD. “Should we use steroids to treat children with Bell’s palsy?” Canadian Family Physician 52 (2006): 313-314.
  10. Pitaro J., et al. “Do children with Bell’s palsy benefit from steroid treatment? A systematic review”. International Journal of Pediatric Otorhinolaryngology 76 (2012): 921-926.
  11. Khine H., et al. “Association between herpes simplex virus-1 infection and idiopathic unilateral facial paralysis in children and adolescents”. The Pediatric Infectious Disease Journal 27 (2008): 468-469.
  12. Univar E., et al. “Corticosteroid treatment of childhood Bell’s palsy”. Pediatrics Neurology 21.5 (1999): 814-816.
  13. WX Chen and V Wong. “Prognosis of Bell’s palsy in children - analysis of 29 cases”. Brain Development 27 (2005) 504-508.
  14. Salman MS and MacGregor DL. “Should children with Bell’s palsy be treated with corticosteroids? A systematic review”. Journal of Child Neurology 16 (2001): 565-568.
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Citation

Citation: Hasan Alansari., et al. “The Use of Steroids in the Treatment of Bell’s Palsy in Children, a Retrospective Analysis". Acta Scientific Otolaryngology 2.4 (2020): 30-32.




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Acceptance rate34%
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Impact Factor0.871

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