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Background:
• United States
• Internationally
Incidence:
• Race:
• Sex:
• Age:
Demographics:
• Cochrane review*:
“There is insufficient evidence about the effects of
corticosteroids for people with Bell's palsy, although their
anti-inflammatory effect might prevent nerve damage.”
*Salinas RA, Alvarez G, Ferreira J. Corticosteroids for Bell's palsy (idiopathic facial
paralysis). Cochrane Database of Systematic Reviews 2004, Issue 4. Art. No.:
CD001942.
Management, Antivirals
Antivirals:
• Cochrane review*:
“More evidence is needed to show whether the antiviral drugs
acyclovir or valacyclovir are effective in aiding recovery
from Bell's palsy.”
* Allen D, Dunn L. Acyclovir or valaciclovir for Bell's palsy (idiopathic facial paralysis).
Cochrane Database of Systematic Reviews 2004, Issue 3. Art. No.: CD001869.
Outcomes:
• It has a fair prognosis without treatment,
with almost three quarters of patients
recovering normal mimetical function and
just over a tenth having minor sequelae.
• A sixth of patients are left with either
moderate to severe weakness, contracture,
hemifacial spasm, or synkinesis (Synkinesis
diwujudkan melalui gerakan otot involunter
yang menyertai gerakan volunter. Misalnya,
tersenyum akan menginduksi kontraksi
involunter dari otot-otot mata yang
menyebabkan mata juling)
Outcomes: