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Bell's palsy in pregnancy: a study of recovery outcomes.
Otolaryngol Head Neck Surg. 2002 Jan; 126(1):26-30.OH

Abstract

OBJECTIVE

To study facial nerve recovery in patients with Bell's palsy of pregnancy compared with that of the nonpregnant population.

METHODS

A retrospective chart analysis was conducted of all patients seen within 6 weeks of the onset of Bell's palsy of pregnancy, with a minimum of 1-year follow-up. Recovery outcomes were compared with similarly chosen randomly selected groups of nonpregnant females 15 to 40 years old (group 1), nonpregnant females of all ages (group 2), males 15 to 40 years old (group 3), and males of all ages (group 4), all of whom were also seen within 6 weeks of onset. Recovery was categorized as satisfactory (House-Brackmann grade I to II) or unsatisfactory (House-Brackmann grade III or IV). The 2-tailed Fisher exact test was used to statistically analyze differences between groups.

RESULTS

Fifty-two percent of women with Bell's palsy of pregnancy whose facial palsy progressed to complete paralysis within 10 days of onset recovered to a satisfactory level compared with 77% to 88% of comparison patients. These differences were statistically significant in all cases. Recovery for those with an incomplete palsy was satisfactory in virtually 100% of all patients studied.

CONCLUSION

The prognosis for a satisfactory recovery for women who develop a complete facial paralysis with Bell's palsy while pregnant is significantly worse than for that for the general population. This information should be taken into consideration by all physicians involved in the counseling of these patients.

Links

Aggregator Full Text
Publisher Full Text
journals.sagepub.com
linkinghub.elsevier.com

Authors+Show Affiliations

Gillman GS
Department of Otolaryngology, University of Pittsburgh School of Medicine, Pennsylvania, USA. ggillman@pitt.edu
Schaitkin BM
No affiliation info available
May M
No affiliation info available
Klein SR
No affiliation info available

MeSH

AdolescentAdultAnti-Inflammatory AgentsBell PalsyCounselingFacial NerveFemaleFollow-Up StudiesHumansMalePregnancyPregnancy ComplicationsRecovery of FunctionRetrospective StudiesSeverity of Illness IndexSteroids

Pub Type(s)

Journal Article

Language

eng

PubMed ID

11821761

Citation

Gillman, Grant S., et al. "Bell's Palsy in Pregnancy: a Study of Recovery Outcomes." Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery, vol. 126, no. 1, 2002, pp. 26-30.
Gillman GS, Schaitkin BM, May M, et al. Bell's palsy in pregnancy: a study of recovery outcomes. Otolaryngol Head Neck Surg. 2002;126(1):26-30.
Gillman, G. S., Schaitkin, B. M., May, M., & Klein, S. R. (2002). Bell's palsy in pregnancy: a study of recovery outcomes. Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery, 126(1), 26-30.
Gillman GS, et al. Bell's Palsy in Pregnancy: a Study of Recovery Outcomes. Otolaryngol Head Neck Surg. 2002;126(1):26-30. PubMed PMID: 11821761.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Bell's palsy in pregnancy: a study of recovery outcomes. AU - Gillman,Grant S, AU - Schaitkin,Barry M, AU - May,Mark, AU - Klein,Susan R, PY - 2002/2/1/pubmed PY - 2002/4/18/medline PY - 2002/2/1/entrez SP - 26 EP - 30 JF - Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery JO - Otolaryngol Head Neck Surg VL - 126 IS - 1 N2 - OBJECTIVE: To study facial nerve recovery in patients with Bell's palsy of pregnancy compared with that of the nonpregnant population. METHODS: A retrospective chart analysis was conducted of all patients seen within 6 weeks of the onset of Bell's palsy of pregnancy, with a minimum of 1-year follow-up. Recovery outcomes were compared with similarly chosen randomly selected groups of nonpregnant females 15 to 40 years old (group 1), nonpregnant females of all ages (group 2), males 15 to 40 years old (group 3), and males of all ages (group 4), all of whom were also seen within 6 weeks of onset. Recovery was categorized as satisfactory (House-Brackmann grade I to II) or unsatisfactory (House-Brackmann grade III or IV). The 2-tailed Fisher exact test was used to statistically analyze differences between groups. RESULTS: Fifty-two percent of women with Bell's palsy of pregnancy whose facial palsy progressed to complete paralysis within 10 days of onset recovered to a satisfactory level compared with 77% to 88% of comparison patients. These differences were statistically significant in all cases. Recovery for those with an incomplete palsy was satisfactory in virtually 100% of all patients studied. CONCLUSION: The prognosis for a satisfactory recovery for women who develop a complete facial paralysis with Bell's palsy while pregnant is significantly worse than for that for the general population. This information should be taken into consideration by all physicians involved in the counseling of these patients. SN - 0194-5998 UR - https://www.unboundmedicine.com/medline/citation/11821761/Bell's_palsy_in_pregnancy:_a_study_of_recovery_outcomes_ L2 - https://journals.sagepub.com/doi/10.1067/mhn.2002.121321?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -