Analysis of Associated Symptoms of Bell's Palsy.
10.3342/kjorl-hns.2011.54.10.683
- Author:
Ho Yun LEE
1
;
Eun Woong RYU
;
Soo Wan PARK
;
Su Jin KIM
;
Seung Geun YEO
;
Moon Suh PARK
Author Information
1. Department of Otorhinolaryngology-Head and Neck Surgery, Kyung Hee University School of Medicine, Seoul, Korea. pmsuh@yahoo.co.kr
- Publication Type:Original Article
- Keywords:
Bell's palsy;
Prognosis;
Associated symptoms
- MeSH:
Bell Palsy;
Diabetes Mellitus;
Ear;
Earache;
Eye;
Facial Nerve;
Facial Paralysis;
Humans;
Hyperacusis;
Hypertension;
Hypesthesia;
Prognosis
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2011;54(10):683-687
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND AND OBJECTIVES: We aimed to evaluate associated symptoms in patients with Bell's palsy and prognosis according to associated symptoms. SUBJECTS AND METHOD: Seventy-four patients with Bell's palsy were enrolled in this study. We evaluated the degree of facial palsy with Facial Nerve Grading System 2.0. The grade of facial palsy was determined as initial facial palsy at admission and as final facial palsy at visit after 3 months. Afterwards, we examined symptoms (such as otalgia, facial numbness, taste disturbance, eye problems, hyperacusis, and tinnitus) and co-morbid diseases (such as diabetes mellitus and hypertension) associated with facial palsy. After 3 months of the onset of facial palsy, we examined the changes in the associated symptoms. RESULTS: At admission, 71.6 percent of all patients had symptoms associated with facial palsy. Of the associated symptoms, facial numbness and taste disturbance were the most common, which were still found in 23% of the patients after 3 months of the onset of facial palsy. Patients with a high initial grade of facial palsy were accompanied by taste disturbance and hyperacusis more than by other symptoms. Also patients who had auricular pain during the recovery period of Bell's palsy showed poor prognosis. Compared to non-hypertension patients, for patients with hypertension, taste disturbance was more common during the early period whereas eye problems were more common during the recovery period. CONCLUSION: Patients with Bell's palsy had diverse symptoms associated with facial palsy. During the early period of Bell's palsy, we concluded that there was no correlation between the symptoms and the prognosis. However, patients with pain around the ear during the recovery period showed poor recovery of facial palsy.
