Prognostic factors for recovery in Portuguese patients with Bell's palsy

• Tipo: Artigo em Revista Científica Internacional
• Data: 2016

Autores

Margarida Ferreira (Autor) Outra; João Firmino-Machado (Autor) Outra; Elisa A. Marques (Autor) Outra; Paula C. Santos (Autor) Outra; Ana Daniela Simões (Autor) Outra; José A. Duarte (Autor) FADEUP

Revista

Título: Neurological Research

Vol. 38 Nº 10

Páginas: 851-856

ISSN: 0161-6412

Editora: Taylor & Francis

Indexação

ISI Web of Knowledge - 2 Citações

Scopus - 2 Citações

Classificação Científica

FOS: Ciências sociais

Outras Informações

ID Authenticus: P-00M-5EA

DOI: 10.1080/01616412.2016.1209620

Abstract (EN): Objective: The main aim of this study was to identify the prognostic factors that contribute to complete recovery at 6 weeks and 6 months in patients with Bell's palsy. Material and Methods: This is a prospective, longitudinal, and descriptive study that included 123 patients diagnosed with facial nerve palsy (FNP) at a hospital in Guimaraes, Portugal. However, only 73 patients with Bell's palsy (BP) were included in the assessment of recovery at 6 weeks and 6 months. We analyzed the demographic and clinical characteristics of the patients, including sex, age, paralyzed side, occupation, previous and associated symptoms, seasonal occurrence, familial facial palsy, patient perception, intervention options, and baseline grade according to the House-Brackmann facial grading system (HB-FGS). Results: Of the 123 cases with FNP, 79 (64.2%) patients had BP. Age, sex, and baseline HB-FGS grades were significant predictors of complete recovery at 6 weeks. Patients with HB-FGS grade III or lower (6 weeks baseline) had significant recovery of function at 6 months. Conclusions: Baseline severity of BP, elderly patients, and male sex were early predictors of poor prognosis. Patients with mild and moderate dysfunction according to the HB-FGS achieved significant normal facial function at 6 months. Further prospective studies with longer observation periods and larger samples are needed to verify the results.

Idioma: Inglês

Tipo (Avaliação Docente): Científica

Nº de páginas: 6