Prediction of the prognosis of Bell's palsy using multivariate analyses

Munetaka Ushio, Kenji Kondo, Naonobu Takeuchi, Hitoshi Tojima, Takuhiro Yamaguchi, Kimitaka Kaga

Research output: Contribution to journalArticlepeer-review

25 Citations (Scopus)

Abstract

OBJECTIVES: This study aimed to establish more reliable formulae for predicting the prognosis for patients with Bell's palsy at initial examination. PATIENTS: One hundred four consecutive patients with Bell's palsy whose facial movement was either completely recovered or unchanged for more than 6 months. INTERVENTION: Diagnostic. MAIN OUTCOME MEASURES: Multivariate analyses were performed using the following variables: Age, House-Brackmann score (H-B), electroneuronography (ENoG), nerve excitability test (NET), blink reflex, and stapedial muscle reflex on initial examination. RESULTS: Duration to maximal recovery can be predicted with the adjusted coefficient of 0.51 using H-B, ENoG, stapedial muscle reflex, and NET. Whether complete recovery would be achieved can be predicted with the Nagelkerke coefficient of determination of 0.72 using age, H-B, ENoG, and NET. CONCLUSION: This study suggested that the prognosis of patients who recovered early can be predicted more precisely; however, the prognosis of patients who recovered late and incomplete could not be predicted easily.

Original languageEnglish
Pages (from-to)69-72
Number of pages4
JournalOtology and Neurotology
Volume29
Issue number1
DOIs
Publication statusPublished - 2008 Jan 1
Externally publishedYes

Keywords

  • Bell's palsy
  • Facial palsy
  • House-Brackmann

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Sensory Systems
  • Clinical Neurology

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