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Bell's facial nerve palsy in pregnancy: a clinical review.
J Obstet Gynaecol. 2017 May; 37(4):409-415.JO

Abstract

Bell's facial nerve palsy (FNP) during pregnancy and the puerperium can present significant challenges for the patient and clinician. Presentation and prognosis can be worse in this group of patients. This article reviews the background, manifestation and management options of FNP. In particular, it focuses on the controversies that exist regarding corticosteroid use during pregnancy and outlines approaches to diagnosis and treatment. Based on this review, we recommend an early evidence-based approach using guidelines derived from non-pregnant populations. This includes assessment for atypical causes, a multidisciplinary input and early introduction of corticosteroids to limit progression and improve prognosis.

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Publisher Full Text (DOI)

Authors+Show Affiliations

Hussain A
a Corneoplastic Unit , Queen Victoria Hospital NHS Foundation Trust , East Grinstead , UK.
Nduka C
b Department of Plastic Surgery , Queen Victoria Hospital NHS Foundation Trust , East Grinstead , UK.
Moth P
c Department of Obstetrics and Gynaecology , Maidstone & Tunbridge Wells NHS Trust , Kent , UK.
Malhotra R
a Corneoplastic Unit , Queen Victoria Hospital NHS Foundation Trust , East Grinstead , UK.

MeSH

Adrenal Cortex HormonesBell PalsyDisease ProgressionDry Eye SyndromesFemaleHumansPostpartum PeriodPregnancyPregnancy ComplicationsPregnancy Trimester, ThirdRisk Factors

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

28141956

Citation

Hussain, Ahsen, et al. "Bell's Facial Nerve Palsy in Pregnancy: a Clinical Review." Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology, vol. 37, no. 4, 2017, pp. 409-415.
Hussain A, Nduka C, Moth P, et al. Bell's facial nerve palsy in pregnancy: a clinical review. J Obstet Gynaecol. 2017;37(4):409-415.
Hussain, A., Nduka, C., Moth, P., & Malhotra, R. (2017). Bell's facial nerve palsy in pregnancy: a clinical review. Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology, 37(4), 409-415. https://doi.org/10.1080/01443615.2016.1256973
Hussain A, et al. Bell's Facial Nerve Palsy in Pregnancy: a Clinical Review. J Obstet Gynaecol. 2017;37(4):409-415. PubMed PMID: 28141956.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Bell's facial nerve palsy in pregnancy: a clinical review. AU - Hussain,Ahsen, AU - Nduka,Charles, AU - Moth,Philippa, AU - Malhotra,Raman, Y1 - 2017/01/31/ PY - 2017/2/1/pubmed PY - 2017/9/30/medline PY - 2017/2/1/entrez KW - Pregnancy KW - corticosteroid KW - facial KW - nerve KW - palsy KW - paralysis SP - 409 EP - 415 JF - Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology JO - J Obstet Gynaecol VL - 37 IS - 4 N2 - Bell's facial nerve palsy (FNP) during pregnancy and the puerperium can present significant challenges for the patient and clinician. Presentation and prognosis can be worse in this group of patients. This article reviews the background, manifestation and management options of FNP. In particular, it focuses on the controversies that exist regarding corticosteroid use during pregnancy and outlines approaches to diagnosis and treatment. Based on this review, we recommend an early evidence-based approach using guidelines derived from non-pregnant populations. This includes assessment for atypical causes, a multidisciplinary input and early introduction of corticosteroids to limit progression and improve prognosis. SN - 1364-6893 UR - https://www.unboundmedicine.com/medline/citation/28141956/Bell's_facial_nerve_palsy_in_pregnancy:_a_clinical_review_ DB - PRIME DP - Unbound Medicine ER -