SPECTRUM OF BELL’S PALSY: AN EXPERIENCE AT DHQ TEACHING HOSPITAL D.I. KHAN, PAKISTAN

  • Muhammad Usman
  • Shahid Nawaz
  • Sarah Rehman

Abstract

BACKGROUND:Bell’s palsy is responsible for about 75% of all cases of acute facial palsy, the incidence of BP varies in different countries around the globe. Bell’s palsy is presumed to be immune mediated, probably with an infection as the provoking event. Bell’s palsy usually starts with an inability to fully close the mouth and eye on the affected side of the face, subsequently causing difficulties in eating and speaking, later on manifests with corneal drying and erosion. Objective of this study was to collect data on clinical characteristics and to review the treatment results of Bell’s Palsy. 
METHODS: This cross sectional study was conducted in Neurosurgery department of DHQ Hospital, Gomal Medical College D. I. Khan, from April 2015 to March 2016. All the diagnosed patients of Bell’s palsy of either age and sex were included in the study, while patients with associated co-morbid were excluded from the study. All the patients were treated conservatively. The follow up was done at 1 week, 1 month and 2 months post-treatment. A database was compiled using medical records. Data collection included variables, such as age, sex,side of involvement, disease severity by House Brackmann classification and improvement in symptoms at follow-up visits.
RESULTS:Thirty-nine (51.3%), were female. Age ranged from 7-75 years, with mean age of 34.12± 15.97 years. Right side of the face was involved in most of the patients, 46 (60.5%). The duration of symptoms between the appearance of disease and the first visit ranges from 1 – 30 days. Majority of the patients 35 (46.1%) were presented with House Brackmann grade 4 at the time of initial visit. At final follow-up, major bulk of the patients, 57 (75%) were improved having House Brackmann grade 1. We lost 5 patients at final follow up.
CONCLUSION:Bell’s palsy is almost equally common in both genders, in middle age group, with dominancy of right face involvement. With optimum conservative treatment most of the patients improved. 
KEYWORDS: Bell’s Palsy, Treatment, House Brackmann Grade.

Published
2019-04-18
Section
ORIGINAL ARTICLES