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Prognostic factors for the outcome of Bells' palsy: A cohort register‐based study

Clinical Otolaryngology Jun 02, 2020

Urban E, Volk GF, Geißler K, et al. - In this cohort register‐based study involving 368 patients  (49% female, median age: 51 years) with acute Bell palsy, researchers sought to determine other prognosticators for complete recovery under a symptomatic standard treatment with corticosteroids. This investigation was carried out in a university hospital from 2007 to 2017. Using univariable and multivariable statistics, clinical data, facial grading, electrodiagnostics, motor function tests, non‐motor function tests and onset of prednisolone therapy were evaluated for their impact on the probability of complete recovery. Data reported that median onset of treatment was 1.5 days and 46% of patients had a House‐Brackmann scale at baseline of ≥ III. Beyond the severity of the palsy, facial electrodiagnostics and stapedius reflex testing are the most powerful tool after Bell palsy for predicting recovery time. Prednisolone therapy should have started to reach the highest probability of complete recovery at best within a time window of 96 hours after onset.

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