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- W2947646919 abstract "Objective Prognosis for Bell’s palsy is good, but the proportion of patients with poor outcomes may reach 30%. Ultrasound (US) may provide a tool to assess the anatomical aspects of the nerve, complementary to the functional aspects assessed by electrodiagnostic studies. The aim of this study was to evaluate the prognostic role of neuromuscular ultrasound in Bell’s palsy. Method A total of 45 patients with acute onset of Bell’s palsy were included in the study. We measured the bilateral diameter of the distal facial nerve using US along with calculation of side to side differences in each patient. Direct facial nerve conduction studies recording compound muscle action potentials of 4 facial muscles were determined bilaterally and the percent amplitude reduction was calculated by comparing each side. If the percent amplitude reduction of any facial muscle satisfy the condition of more than 90% was assigned to the unfavorable prognosis group, and the remainder to the favorable prognosis group. Bilateral facial nerve diameters and side to side differences were compared between the two groups. Results In affected side, the facial nerve diameter was significantly larger in the unfavorable prognosis group than favorable prognosis group (p = 0.036, 95% CI = 0.008–0.236), with a significant side-to-side difference in the unfavorable prognosis group as well (p = 0.017, 95% CI = 0.026–0.248). Conclusion The significant difference in facial nerve diameter and the side-to-side difference in diameter between the two groups denotes the ability of ultrasound to detect facial nerve enlargement which may be useful to predict prognosis in patients with Bell’s palsy." @default.
- W2947646919 created "2019-06-07" @default.
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- W2947646919 date "2019-07-01" @default.
- W2947646919 modified "2023-09-27" @default.
- W2947646919 title "P08-T Ultrasound evaluation of facial nerve diameter for prognosis in patients with Bell’s palsy" @default.
- W2947646919 doi "https://doi.org/10.1016/j.clinph.2019.04.371" @default.
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