Korean J Otorhinolaryngol-Head Neck Surg.  2011 Oct;54(10):683-687. 10.3342/kjorl-hns.2011.54.10.683.

Analysis of Associated Symptoms of Bell's Palsy

Affiliations
  • 1Department of Otorhinolaryngology-Head and Neck Surgery, Kyung Hee University School of Medicine, Seoul, Korea. pmsuh@yahoo.co.kr
  • 2Department of Otorhinolaryngology-Head and Neck Surgery, Eulji University College of Medicine, Daejeon, Korea.

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.

Keyword

Bell's palsy; Prognosis; Associated symptoms

MeSH Terms

Bell Palsy
Diabetes Mellitus
Ear
Earache
Eye
Facial Nerve
Facial Paralysis
Humans
Hyperacusis
Hypertension
Hypesthesia
Prognosis
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