PREVALENCE, MANAGEMENT, AND OUTCOME OF BELLS PALSY: A COMPREHENSIVE SYSTEMATIC REVIEW
DOI:
https://doi.org/10.61841/evztbg31Keywords:
Bell’s palsy, facial nerve, paralysis, management.Abstract
Background: Bell’s palsy, also called idiopathic facial paralysis, is defined as an acute-onset, isolated, unilateral, lower motor neurone facial weakness. The reported annual incidence varies in different parts of the world with estimates varying between 11 and 40 per 100 000 people.
The aim: The aim of this study to show about prevalence, management, and outcome of bell’s palsy.
Methods: By the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) 2020, this study was able to show that it met all of the requirements. This search approach, publications that came out between 2014 and 2024 were taken into account. Several different online reference sources, like Pubmed, SagePub, and Sciencedirect were used to do this. It was decided not to take into account review pieces, works that had already been published, or works that were only half done.
Result: Eight publications were found to be directly related to our ongoing systematic examination after a rigorous three-level screening approach. Subsequently, a comprehensive analysis of the complete text was conducted, and additional scrutiny was given to these articles.
Conclusion: Bell's palsy is a common but still controversial disease, with unknown etiology until now. Modern literature showed that up to 80 percent of the patients will recover without treatment.
References
Zhang W, Xu L, Luo T, Wu F, Zhao B, Li X. The etiology of Bell’s palsy: a review. J Neurol. 2020;267(7):1896– 905.
Tamaki A, Cabrera CI, Li S, Rabbani C, Thuener JE, Rezaee RP, et al. Incidence of Bell Palsy in Patients with COVID-19. JAMA Otolaryngol - Head Neck Surg. 2021;147(8):767–8.
Kim SY, Oh DJ, Park B, Choi HG. Bell’s palsy and obesity, alcohol consumption and smoking: A nested casecontrol study using a national health screening cohort. Sci Rep. 2020;10(1):1–8.
Jeong J, Yoon SR, Lim H, Oh J, Choi HS. Risk factors for Bell’s palsy based on the Korean National Health Insurance Service National Sample Cohort data. Sci Rep [Internet]. 2021;11(1):9–14. Available from:
https://doi.org/10.1038/s41598-021-02816-9
Somasundara D, Sullivan F. Management of Bell’s palsy. Aust Prescr [Internet]. 2016 Jun 1;40(3):94–6. Available from: https://australianprescriber.tg.org.au/articles/management-of-bells-palsy.html
Heckmann JG, Urban PP, Pitz S, Guntinas-Lichius O, Gágyor I. Idiopathische Fazialisparese (Bell´s palsy). Dtsch Arztebl Int. 2019;116(41):692–702.
Singh A, Deshmukh P. Bell’s Palsy: A Review. Cureus. 2022;14(10):1–8.
Ara C, Santana S, Rosenbaum P, Kemp J Van Der, Campos AC De. Looking beyond Body Structure and Function : ICF Foci and Who Is Being Assessed in Research about Adolescents and Young Adults with Cerebral
Palsy — A Scoping Review. 2024;
Hassan A, Mustafa K, Suleiman AM. Bell ’ s Palsy : A Prospective Study. 2020;2020.
Alanazi F, Kashoo FZ, Alduhishy A, Aldaihan M, Ahmad F, Alanazi A. Incidence rate, risk factors, and management of Bell’s palsy in the Qurayyat region of Saudi Arabia. PeerJ. 2022;10:1–13.
Ragaban A, Alsharif L, Alshaikh NA, Jafar RJ, Hemeq Z, Khan MA, et al. Prevalence, Etiology, Risk Factors, and Complications of Facial Nerve Palsy at King Abdulaziz Medical City: A Multicenter Study. Cureus. 2024;2019(2):1–6.
Varga E, Battamir U, Szegedi I, Hudák L, Kovács N, Nagy AC. Seasonal patterns in the epidemiology of Bell’s palsy in Hungary. Front Neurol. 2023;14(3).
Mancini P, Bottaro V, Capitani F, de Soccio G, Prosperini L, Restainom. De Vincentiis P, et al. Recurrent bell’s palsy: Outcomes and correlation with clinical comorbidities. Acta Otorhinolaryngol Ital. 2019;39(5):316–21.
Mustafa AHK, Sulaiman AM. The Epidemiology and Management of Bell’s Palsy in the Sudan. Open Dent J. 2018;12(1):827–36.
Yoo MC, Park DC, Byun JY, Yeo SG. Clinical prognostic factors associated with good outcomes in pediatric bell’s palsy. J Clin Med. 2021;10(19).
Yoo MC, Soh Y, Chon J, Lee JH, Jung J, Kim SS, et al. Evaluation of Factors Associated with Favorable Outcomes in Adults with Bell Palsy. JAMA Otolaryngol - Head Neck Surg. 2020;146(3):256–63.
Zohrevandi B, Monsef Kasmaee V, Asadi P, Tajik H. Report of 121 Cases of Bell’s Palsy Referred to the Emergency Department. Emerg (Tehran, Iran) [Internet]. 2014;2(2):66–70. Available from: http://www.ncbi.nlm.nih.gov/pubmed/26495349%0Ahttp://www.pubmedcentral.nih.gov/articlerender.fcgi?arti d=PMC4614591
Walker NR, Mistry RK, Mazzoni T. Facial Nerve Palsy [Internet]. StatPearls. 2024. Available from: http://www.ncbi.nlm.nih.gov/pubmed/15547436
Ikwuegbuenyi CA, Ooi SZY, Takoutsing BD, Jesuyajolu DA, Nwanmah C, Olobatoke T, et al. Current state of management and outcomes of facial nerve palsy in low-income and middle-income countries: a scoping review protocol. BMJ Open. 2023;13(1):e065435.
Wohrer D, Moulding T, Titomanlio L, Lenglart L. Acute Facial Nerve Palsy in Children: Gold Standard Management. Children. 2022;9(2):1–10.
De Almeida JR, Guyatt GH, Sud S, Dorion J, Hill MD, Kolber MR, et al. Management of Bell palsy: Clinical practice guideline. Cmaj. 2014;186(12):917–22.
Wang CS, Sakai M, Khurram A, Lee K. Facial nerve palsy in children: A case series and literature review.
Otolaryngol Case Reports [Internet]. 2021;20(March):100297. Available from: https://doi.org/10.1016/j.xocr.2021.100297
Holland NJ, Bernstein JM. Bell’s palsy. BMJ Clin Evid. 2014;2014(October 2013):1–21.
Warner MJ, Hutchison J, Varacallo M. Bell Palsy [Internet]. StatPearls. 2024. Available from: http://www.ncbi.nlm.nih.gov/pubmed/29876329
Cirpaciu D, Goanta CM. Bell’s palsy: data from a study of 70 cases. J Med Life. 2014;7 . 2(2):24–8.
Downloads
Published
Issue
Section
License
This work is licensed under a Creative Commons Attribution 4.0 International License.
Licensing
Ninety Nine Publication publishes articles under the Creative Commons Attribution 4.0 International License (CC BY 4.0). This licensing allows for any use of the work, provided the original author(s) and source are credited, thereby facilitating the free exchange and use of research for the advancement of knowledge.
Detailed Licensing Terms
Attribution (BY): Users must give appropriate credit, provide a link to the license, and indicate if changes were made. Users may do so in any reasonable manner, but not in any way that suggests the licensor endorses them or their use.
No Additional Restrictions: Users may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.