Abstract
Original Research Article
Full Article (FREE DOWNLOAD)
SMJS Volume 2 Issue 2, Page 32- Page 39
THE EPIDEMIOLOGY AND CLINICAL OUTCOME OF FACIAL NERVE PARALYSIS IN TERTIARY CARE CENTER.
Reem M. Alqahtani, Rahaf F. Wajdi, Duaa M. Bawazeer, Raghdah A. Dly, Atheer M. Alzahrani, Prof. Saad Almuhayawi
Background: Facial Nerve Palsy (FNP) is characterized by weakness in facial muscles with loss of facial movement. The most common causes of facial nerve paralysis are Bell's palsy, infection, inflammation of the facial nerve, stroke, head trauma and head and neck tumor.
Objectives: The aim of this research is to estimate the incidence of FNP, explore the most common causes of FNP and evaluate different treatment modalities and outcome in the patients cared in King Abdulaziz University Hospital (KAUH) in Jeddah.
Methods: Through a retrospective record based study, the researchers reviewed the medical files for all patients diagnosed with facial nerve palsy in King Abdulaziz University Hospital in the period from 2010 to 2019. Most of the cases had been diagnosed at KAUH tertiary care hospital in Jeddah. Data were analyzed using SPSS version 21; P-value of <0.05 was considered an indication for statistical significance.
Results: Out of all FNP cases (n=101); females constituted more than one half (55.4%), with dominance of patients in their adulthood. Most of the cases were unilateral mainly in the right side (92.1%) and according to the House-Brackmann scale, (49.5%) were grade 2. The majority of the inpatients' cases were due to a Cerebrovascular accident (CVA) (40.6%). When we correlate this information with the patients' clinical outcomes, we found that there was a statistically significant association between patient age and patient outcome. We also reviewed different treatment methods which did not found to correlate with the FNP patient outcome.
Conclusion: This study revealed information about facial nerve palsy in tertiary (KAUH in Jeddah). We found that the most common cause of inpatients was CVA and it was associated with multiple risk factors especially (Diabetes Mellitus) DM and Hypertension (HTN). We recommend future studies with large sample size and long-term collaborative studies between different centers in Saudi Arabia
To Cite This Article: Alqahtani RM, Wajdi RF, Bawazeer DM, Dly RA, Alzahrani AM, Almuhayawi S. The Epidemiology and Clinical Outcome of Facial Nerve Paralysis in Tertiary Care Center. Saudi Med J Students. 2021;2(2): 32-39
