Profile of facial palsy in Arar, northern Saudi Arabia
Keywords:
Facial palsy; Etiology; Risk factors; Saudi Arabia; IncidenceAbstract
Background: The term facial palsy generally refers to weakness of the facial muscles, mainly resulting from temporary or permanent damage to the facial nerve. Common causes of facial paralysis include infection or inflammation of the facial nerve, head trauma, head or neck tumor, stroke.
Objective: To outline the incidence of several etiologies and the profile of patients with peripheral facial paralysis attending the outpatient clinic of the neurology department in Hospitals of Arar City, Saudi Arabia.
Methods: This cross-sectional study was carried out in Arar city from October 2016 to May 2017. The study was conducted in the outpatient clinic of the neurology department in hospitals of Arar City. Any ages of both sexes of all newly diagnosed unilateral facial palsy were included in the study. Data were analyzed by SPSS version 15, using descriptive statistics and Chi-square test. P-value was considered significant if <0.05
Results: The mean age of the facial palsy cases was 33.65 (±11.71) years. Among the studied participants, the total prevalence of facial palsy was 26.3% (61% females and 39% males). The right side of the face was affected in 51.2% and the etiology was exposure to cold air current in 92.7% of cases. The treatment was physiotherapy in 80.5% of the cases, medical in 17.1% and surgical in 2.4%. There was significant relationship between smoking and the occurrence of facial palsy (p<0.05).
Conclusion: The study revealed that facial palsy was common in Arar city. The rate is higher among males than females. We also concluded that exposure to cold air current was the main etiology. We recommend health education sittings to bring awareness to the public about the nature, causes, risk factors, prevention and treatment of the disease.
References
Cha CI, Hong CK, Park MS, Yeo SG. Comparison of Facial Nerve Paralysis in Adults and Children.
Yonsei Med J. 2008; 49(5): 725-34. doi: 10.3349/ymj.2008.49.5.725. PMID: 18972592, PMCID:
PMC2615370.
Kim IS, Shin SH, Kim J, Lee WS, Lee HK. Correlation between MRI and operative findings in Bell's palsy
and Ramsay Hunt syndrome. Yonsei Med J. 2007; 48: 963-8. doi: 10.3349/ymj.2007.48.6.963. PMID:
, PMCID: PMC2628199.
Yeo SW, Lee DH, Jun BC, Chang KH, Park YS Analysis of prognostic factors in Bell’s palsy and Ramsay
Hunt syndrome. Auris Nasus Larynx. 2007; 34: 159-64. doi: 10.1016/j.anl.2006.09.005. PMID: 17055202.
Danielidis V, Skevas S, Van Cauwenberge P, Vinck B. A comparative study of age and degree of facial
nerve recovery in patients with Bell's palsy. Eur Arch Otorhinolaryngol. 1999; 256: 520-2. doi:
1007/s004050050203. PMID: 10638361.
Ikeda M, Abiko Y, Kukimoto N, Omori H, Nakazato H, Ikeda K. Clinical factors that influence
theprognosis of facial nerve paralysis and the magnitudes of influence. Laryngoscope. 2005; 115: 855-60.
doi: 10.1097/01.MLG.0000157694.57872.82. PMID: 15867653.
Finsterer J. Management of peripheral facial nerve palsy. Eur Arch Otorhinolaryngol. 2008; 265(7): 743- 52. doi: 10.1007/s00405-008-0646-4.
Morgan M, Nathwant D. Facial palsy and infection: theunfolding story. Clin Infect Dis. 1992; 14: 263-71.
doi: 10.1093/clinids/14.1.263. PMID: 1315161.
De Diego JI, Prim MP, Madero R, Gavilàn J. Seasonal patterns of idiopathic facial paralysis: a 16-year
study. Otolaryngol Head Neck Surg. 1999; 120: 269-71. doi: 10.1016/S0194-5998(99)70418-3.
Gilchrist JM. Seventh cranial neuropathy. Semin Neurol. 2009; 29(1): 5-13. doi: 10.1055/s-0028-1124018.
PMID: 19214928.
Fuller G, Morgan C. Bell's palsy syndrome: mimics and chameleons. Practic neurol. 2016; 16: 439–44. doi:
1136/practneurol-2016-001383. PMID: 27034243.
Holland NJ, Weiner GM. Recent developments in Bell's palsy. BMJ. 2004; 329: 553–7. doi:
1136/bmj.329.7465.553. PMID: 15345630, PMCID: PMC516110.
Hoffman RA, Cohen NL. Complications of cochlear implant surgery. Ann Otol Rhinol Laryngol Suppl.
; 104: 420–422.
Katusic SK, Beard CM, Wiederholt WC, Bergstralh EJ. Kurland LT. Incidence, clinical features, and
prognosis in Bell's palsy, Rochester, Minnesota, 1968–1982. Ann Neurol. 1986; 20: 622–7. doi:
1002/ana.410200511. PMID: 3789675.
Schiatkin B, May M. Disorders of the facial nerve. Scott-Brown's Otolaryngology, 6th ed, Kerr AG, Booth
JB. Butterworth-Heinemann, Oxford.
Lamina S, Hanif S. Pattern of facial palsy in a typical Nigerian specialist hospital. African Health Sciences.
; 12(4): 514-7. PMID: 23515232, PMCID: PMC3598294.
Al Ghamdi SA. Idiopathic facial nerve paralysis (Bell's palsy) in the Asir region. Ann Saudi Med. 1997;
(6): 609–11. doi: 10.5144/0256-4947.1997.609.
Hauser WA, Karnes WE, Annis J, Kurland LT. Incidence and prognosis of Bell's palsy in the population of
Rochester, Minnesota. Mayo Clin Proc. 1971; 7: 436–40. PMID: 5573820.
Morgan M, Nathwant D. Facial palsy and infection: the unfolding story. Clin Infect Dis. 1992; 14: 263–71.
doi: 10.1093/clinids/14.1.263. PMID: 1315161.
Awda A, Ismail H, Al Rajeb S. Bell's palsy in the Eastern province of Saudi Arabia. Saudi Med J. 1992;
: 534–7.
Mair IWS, De Graaf AS. Peripheral facial palsy in sub-artic Norway. ActaOtolaryngologica. 1974; 77:
–25. doi: 10.3109/00016487409124606. PMID: 4829046.
Brandenburg NA, Annegers JF. Incidence and risk factors for Bell’s palsy in Laredo, Texas: 1974–1982.
Neuroepidemiology. 1993; 12: 313–25. doi: 10.1159/000110333. PMID: 8309506.
Savettieri G1, Salemi G, Rocca WA, Meneghini F, Santangelo R, Morgante L, et al. Incidence and lifetime
prevalence of Bell’s palsy in two Sicilian municipalities. Acta Neurologica Scand. 1996; 94:71–75. doi:
1111/j.1600-0404.1996.tb00043.x. PMID: 8874598.
Ayala MA, Casqueiro SJC, Durio CE, Sanz FR. Peripheral Facial Palsy. Descriptive study at the university
hospital in Getafe. Acta Otolaringol Esp. 2007; 58: 52-5.
Junior NA, Junior JJ, Gignon VF, Kitice AT, de Almeida Prado LS, Santos VF. Facial Nerve Palsy:
Incidence of Different Ethiologies in aTertiary Ambulatory. Intl Arch Otorhinolaryngol. 2009; 13(2): 167- 71.
Rodrigues REC, Ceccato SB, Rezende CEB, Garcia RID, Costa KS, Campilongo M, et al. Paralisia Facial
Periférica:análise de 38 casos. Arq Med ABC. 2002; 27: 62-6.
Schiatkin B, May M. Disorders of the facial nerve. Scott-Brown’s Otolaryngology, 6th ed, Kerr AG, Booth
JB. (eds). Butterworth-Heinemann: Oxford.
Peitersen E. Bell's palsy: the spontaneous course of 2,500 peripheral facial nerve palsies of different
etiologies. Acta Otolaryngol Suppl. 2002; 549: 4–30. doi: 10.1080/000164802760370736.
Hain R. Bell's palsy Neurology. North Western University Medical School; 2001. Available from:
http://www.neuro.nwu.edu/meded/CRANIAL/bells.html.
Ysunza A, Inigo F, Rojo P. Congenital facial palsy and crossed facial nerve grafts: age and outcome. Int J
Pediatr Otorhinolaryngol. 1996; 36(2): 125–36. doi: 10.1016/0165-5876(96)01349-3.
Sweeney CJ, Gilden DH. Ramsay Hunt syndrome. J NeurolNeurosurg Psychiatry. 2001; 71: 149. doi:
1136/jnnp.71.2.149. PMID: 11459884, PMCID: PMC1737523.
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