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1

Idiopatic facial nerve palsy in pregnancy – facts and myths

100%

Rybak P., Rybak K., Rzepakowska A., Niemczyk K.

Polski Przegląd Otorynolaryngologiczny

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2018

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vol. 7(3)

27-32

EN

Idiopathic facial nerve palsy, also called Bell’s palsy, can be a challenge for clinicians if a pregnant woman reports symptoms of facial paresis. The incidence of Bell’s paralysis in pregnant women is almost three times higher than in the age group of non-pregnant women. The problem is lack of guidelines for treatment of idiopathic facial nerve palsy in this group of patients. Randomized studies, but without the participation of pregnant women, showed greater efficacy in the return of nerve function after early treatment with corticosteroids than with other methods. The dilemma concerning therapy is intensified by the fact that prognosis regarding the return of facial nerve function in pregnant women is significantly worse than in the remaining population, even though the weakness of the facial muscles is diagnosed in a young woman. This article presents an example of a patient consulted in our department and a review of current literature. We introduce recommendations for treatment of pregnant women with facial nerve palsy. Benefits, advised medicines, doses, necessary precautions and potential side effects of corticosteroids, being the only ones that have proven efficacy in the treatment of Bell's paralysis in pregnant women are discussed.

2

Current management of idiopathic facial palsy (Bell’s palsy)

86%

Paprocki A., Bartoszewicz R., Niemczyk K.

Polski Przegląd Otorynolaryngologiczny

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2017

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vol. 6(2)

25-30

EN

Abstract: Idiopathic facial nerve palsy, known also as Bell’s palsy, is a common condition encountered in everyday otolaryngological practice, and although the prognosis is fair, in case of incomplete recovery remains a marked physical disability for the patient. Despite of the development of diagnostic techniques, in most cases it is still impossible to point the etiologic factor, and therapy has to remain on empirical treatment. Material and method: In this article the review of literature on pathogenesis and therapy of idiopathic facial nerve palsy, published in years 2006–2016 was performed, presenting the articles with direct implications for everyday clinical practice. Results: According to presented articles, the importance of usage of combined treatment with steroids and antivirals, extended diagnostics for the presence of metabolic disorders(IGT) and surgical treatment with early facial nerve decompression in cases with severe degeneration of the fibers or recurrent paralysis were emphasized

3

The implementation of laser biostimulation at the early treatment stage of facial nerve palsy in children

86%

Olesińska J., Płomiński J., Tayara S.

Medical Rehabilitation

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2019

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vol. 23(4)

10-20

PL

Wstęp: Porażenie nerwu twarzowego (PNT) typu obwodowego określane jest „porażeniem Bella”. Jest to najczęstsze schorzenie nerwu twarzowego u dzieci. Leczenie obejmuje stosowanie różnego rodzaju zabiegów fizykalnych wspomaganych farmakologicznie. Cel pracy: Celem pracy jest ocena skuteczności stosowania biostymulacji laserowej w leczeniu obwodowego PNT oraz szybkości i kolejności ustępowania objawów choroby. Ponadto określenie zależności szybkości ustępowania objawów od wieku pacjenta. Materiał i metody: Badaniem objęto 50 pacjentów (27 dziewczynek i 23 chłopców) w wieku od 6 do 18 lat z objawami PNT. Porażenie lewostronne odnotowano u 22 z nich, a prawostronne u 28. Wszystkich włączonych do badania podzielono na dwie równe liczebnie grupy. W grupie A zastosowano leczenie z wykorzystaniem kinezyterapii, masażu, pola magnetycznego, elektrostymulacji i promieniowania podczerwonego, natomiast w grupie B zastosowano dodatkowo biostymulację laserową. Oceniano szybkość i kolejność ustępowania objawów oraz powrót siły mięśniowej. Wyniki: W grupie A u 17 z leczonych dzieci ustąpienie objawów stwierdzono po 3 tygodniach. W grupie B natomiast, po 2 tygodniach, co miało miejsce u 18 z nich uzyskując ustąpienie objawów. Z powodu utrzymywania się słabo nasilonego jednego z objawu, 8 leczonych z grupy B kontynuowało leczenie ambulatoryjne, natomiast z grupy A 14. Wnioski: Wczesne stosowanie biostymulacji laserowej u pacjentów PNT prowadzi do szybkiego ustępowania objawów oraz skraca czas leczenia szpitalnego. Najszybciej ustępowały objawy niedomykania powieki i objaw Bella. Wiek dziecka z PNT nie ma wpływu na szybkość ustępowania objawów.

EN

Introduction: Peripheral-type facial nerve palsy (FNP) is called "Bell's paralysis". This is the most common type of damage to the facial nerve among children. Treatment includes the use of various types of pharmacologically assisted physical treatments. Study aim: The aim of the study is to evaluate the effectiveness of laser biostimulation in the treatment of peripheral FNP as well as the speed and sequence at which the disease symptoms subside. In addition, the relationship between the progress in physiotherapy and the patient's age were determined. Material and methods: The study included 50 patients (27 girls and 23 boys) aged 6 to 18 with FNP symptoms. Left-sided paralysis was noted in 22 of them, and right-sided in 28. All of the subjects included in the study were divided into two equal groups. In group A, treat-ment with the use of magnetic fields and electrostimulation was applied, while in group B, laser biostimulation was additionally applied. The speed and sequence of regression of symp-toms and the recovery of muscular strength were assessed. Results: In group A, in 17 of the treated children, symptoms subsided after 3 weeks. In group B, symptom relief occurred in 18 of them after 2 weeks. Due to one of the symptoms main-taining, although the symptom was not intense, 8 patients from group B continued ambulatory treatment, while 14 continued from group A. Conclusions: The early application of laser biostimulation in FNP patients leads to the rapid regression of symptoms and shortens the time of hospital treatment. Not fully shutting the eye and Bell’s symptoms were the quickest to subside. The age of the child with FNP does not affect the duration of treatment.

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2 Polski Przegląd Otorynolaryngologiczny

1 Medical Rehabilitation

1 2019

1 2018

1 2017

2 Niemczyk K.

1 Bartoszewicz R.

1 Olesińska J.

1 Paprocki A.

1 Płomiński J.

1 Rybak K.

1 Rybak P.

1 Rzepakowska A.

1 Tayara S.

Idiopatic facial nerve palsy in pregnancy – facts and myths

Current management of idiopathic facial palsy (Bell’s palsy)

The implementation of laser biostimulation at the early treatment stage of facial nerve palsy in children