Rehabilitation of Bells' palsy from a multi-team perspective

Conclusions Defectively healed facial paralysis causes difficulties to talk and eat, involuntary spasms (synkinesis), and cosmetic deformities which can give rise both to severe psychological and physical trauma. A team consisting of Ear-Nose-Throat specialists, Plastic surgeons and Physiotherapists can offer better care, treatment and outcome for patients suffering from Bells' palsy. Objectives Patients suffering from Bells' palsy from all ENT hospitals in Sweden and the University Hospital in Helsinki has been included. Methods Results have been drawn and statistically processed for different outcomes from a prospective, double blind cross over study. Results from a pilot surgical study and therapeutic results from physiotherapy studies have been included. Ideas concerning different kinds of surgery will be reviewed and the role of physiotherapy discussed. Results According to common results, treatment with Prednisolone enhances the recovery rate and should, if possible, be used early in the course. Sunnybrook grading at 1 month after onset most accurately predicts non-recovery at 12 months in Bells' palsy and a risk factor curve will be presented in order to predict outcome and selection of patients for undergoing facial surgery. This report is focusing on how to handle patients with Bells' palsy from a multi-rehabilitation team point of view, and what will be recommended to provide these patients with the best clinical and surgical help.

Medienart:

E-Artikel

Erscheinungsjahr:

2016

Erschienen:

2016

Enthalten in:

Zur Gesamtaufnahme - volume:136

Enthalten in:

Acta oto-laryngologica - 136(2016), 4 vom: 03., Seite 363-7

Sprache:

Englisch

Beteiligte Personen:

Hultcrantz, Malou [VerfasserIn]

Links:

Volltext

Themen:

Anti-Inflammatory Agents
Bells’ palsy
Cortisone
Cross-facial surgery
Journal Article
Physiotherapy
Rehabilitation
Review
Risk-factor curve
V27W9254FZ

Anmerkungen:

Date Completed 16.01.2017

Date Revised 16.01.2017

published: Print-Electronic

Citation Status MEDLINE

doi:

10.3109/00016489.2015.1116124

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM25526318X