Document Detail


Prognosis for Bell's palsy: a comparison of diabetic and nondiabetic patients.
MedLine Citation:
PMID:  17763003     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
CONCLUSION: The present study indicates that recovery from Bell's palsy in a diabetic group (DG) is delayed, and the facial movement score remains low in comparison with a nondiabetic group (NDG). More aggressive treatments, such as higher-dose corticosteroid administration and/or facial nerve decompression surgery, might be considered in diabetic patients with severe Bell's palsy. OBJECTIVES: The purpose of this study was to reveal prognostic differences for Bell's palsy in the DG and NDG. PATIENTS AND METHODS: The grades of facial palsy in 19 diabetic and 57 nondiabetic patients with Bell's palsy were assessed using the House-Brackmann grading system (HB system). Recovery was defined as grade I. The average of HB system grades and recovery rates were compared in the DG and NDG at the start of the treatment, and 1 month, 3 months, and 6 months after onset. RESULTS: There were no differences in the HB system between the DG and NDG at the start of treatment and at 1 month after onset. However, facial movement in the DG was poorer than that in the NDG at 3 months and 6 months after onset. In terms of the recovery rate, the rate in the DG (52.6%) was much lower than that in the NDG (82.5%) at 6 months after onset.
Authors:
Atsuko Kanazawa; Shin-Ichi Haginomori; Atsuko Takamaki; Ryuzaburo Nonaka; Michitoshi Araki; Hiroshi Takenaka
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta oto-laryngologica     Volume:  127     ISSN:  0001-6489     ISO Abbreviation:  Acta Otolaryngol.     Publication Date:  2007 Aug 
Date Detail:
Created Date:  2007-08-31     Completed Date:  2007-10-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370354     Medline TA:  Acta Otolaryngol     Country:  Norway    
Other Details:
Languages:  eng     Pagination:  888-91     Citation Subset:  IM    
Affiliation:
Department of Otolaryngology, Osaka Medical College, Takatsuki, Japan.
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MeSH Terms
Descriptor/Qualifier:
Bell Palsy / complications,  drug therapy,  physiopathology*
Diabetes Mellitus, Type 2 / blood,  complications*
Facial Nerve / physiology
Follow-Up Studies
Glucocorticoids / administration & dosage
Hemoglobin A, Glycosylated / metabolism
Humans
Injections, Intravenous
Middle Aged
Prednisolone / administration & dosage
Prognosis
Recovery of Function
Chemical
Reg. No./Substance:
0/Glucocorticoids; 0/Hemoglobin A, Glycosylated; 50-24-8/Prednisolone

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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