Idiopatic facial nerve palsy in pregnancy – facts and myths
Journal Title: Polski Przegląd Otorynolaryngologiczny - Year 2018, Vol 7, Issue 3
Abstract
Idiopathic facial nerve palsy, also called Bell’s palsy, can be a challenge for clinicians if a pregnant woman reports symptoms of facial paresis. The incidence of Bell’s paralysis in pregnant women is almost three times higher than in the age group of non-pregnant women. The problem is lack of guidelines for treatment of idiopathic facial nerve palsy in this group of patients. Randomized studies, but without the participation of pregnant women, showed greater efficacy in the return of nerve function after early treatment with corticosteroids than with other methods. The dilemma concerning therapy is intensified by the fact that prognosis regarding the return of facial nerve function in pregnant women is significantly worse than in the remaining population, even though the weakness of the facial muscles is diagnosed in a young woman. This article presents an example of a patient consulted in our department and a review of current literature. We introduce recommendations for treatment of pregnant women with facial nerve palsy. Benefits, advised medicines, doses, necessary precautions and potential side effects of corticosteroids, being the only ones that have proven efficacy in the treatment of Bell's paralysis in pregnant women are discussed.<br/><br/>
Authors and Affiliations
Przemysław Rybak, Klaudia Rybak, Anna Rzepakowska, Kazimierz Niemczyk
Zespół Sjögrena – przegląd najnowszych wytycznych diagnostycznych istotnych w praktyce otolaryngologa
Zespół Sjögrena (ZS) jest złożoną chorobą tkanki łącznej o podłożu autoimmunologicznym i dużej heterogeniczności klinicznej, radiologicznej i molekularnej. Charakterystycznym jej obrazem jest tzw. zespół suchości (sicca,...
Zygmunt Stanisław Spalke (1868–1943) – prymariusz pierwszego we Lwowie Oddziału Otolaryngologicznego. Jego znaczenie dla rozwoju otolaryngologii polskiej
The professional and scientifi activities of Zygmunt Stanisław Spalke (1868–1943), a surgeon of Surgical Ward of the Common Hospital in Lvov, his thorough education in otology and rhinolaryngology in Vienna are presented...
Report from Annual Conference of ORL Section UEMS; Report of European Examination Board in Otorhinolaryngology
Ciała obce przełyku
The aim of the study: is the epidemiological and clinical analysis of patients with radiologically confimed esophageal foreign body, hospitalized in the Department of Otolaryngology, at the Medical University of Warsaw....
Tungue necrosis as a result of the overlap syndrome – case report
<a href="#" onclick="document.zmienLangPL.submit()">Abstract is only available in Polish language.</a>