French Society of ENT (SFORL) guidelines. Management of acute Bell's palsy.
Acute Disease
Adrenal Cortex Hormones
/ administration & dosage
Antiviral Agents
/ therapeutic use
Bell Palsy
/ diagnosis
Contrast Media
Decompression, Surgical
Drug Administration Schedule
Drug Therapy, Combination
/ methods
Facial Nerve
/ diagnostic imaging
Facial Paralysis
/ diagnosis
France
Gadolinium
Herpes Zoster Oticus
/ drug therapy
Humans
Hyperbaric Oxygenation
Magnetic Resonance Imaging
Neurologic Examination
Otolaryngology
Physical Therapy Modalities
Prognosis
Recovery of Function
Societies, Medical
Bell's palsy
Drug therapy
ENMG
Imaging
Physical therapy
Journal
European annals of otorhinolaryngology, head and neck diseases
ISSN: 1879-730X
Titre abrégé: Eur Ann Otorhinolaryngol Head Neck Dis
Pays: France
ID NLM: 101531465
Informations de publication
Date de publication:
Dec 2020
Dec 2020
Historique:
pubmed:
9
7
2020
medline:
24
9
2021
entrez:
9
7
2020
Statut:
ppublish
Résumé
AQFThe authors present the guidelines of the French Society of ENT and Head and Neck Surgery (SFORL) regarding the management of Bell's palsy in adults. After a literature review by a multidisciplinary workgroup, guidelines were drawn up based on retrieved articles and group-members' experience, then read over by an independent group to edit the final version. Guidelines were graded A, B, C or "expert opinion" according to decreasing level of evidence. Thorough ENT and neurological clinical examination is recommended in all patients presenting with peripheral facial palsy to confirm diagnosis of Bell's palsy. MRI with gadolinium enhancement should explore the entire course of the facial nerve, if possible within the first month. ENMG should be performed to assess prognosis for recovery. In confirmed Bell's palsy, corticosteroid therapy should be implemented as early as possible (ideally within 72h) at a dose of 1mg/kg/day for 7-10 days. Antiviral therapy should be associated to steroids in patients with severe and early-onset disease and in Ramsay-Hunt syndrome. Isolated antiviral therapy is not recommended. To date, there is no evidence that surgical facial nerve decompression provides benefit.
Identifiants
pubmed: 32636146
pii: S1879-7296(20)30143-5
doi: 10.1016/j.anorl.2020.06.004
pii:
doi:
Substances chimiques
Adrenal Cortex Hormones
0
Antiviral Agents
0
Contrast Media
0
Gadolinium
AU0V1LM3JT
Types de publication
Journal Article
Practice Guideline
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
483-488Informations de copyright
Copyright © 2020 Elsevier Masson SAS. All rights reserved.