Belly's Palsy with Clinical Manifestation and Diagnosis- A Review

Anas Al-Yasiry

Department of Basic Science, College of Dentistry, University of Babylon, Iraq.

Aoss Moez Abed–Alhussian Alyassery

Department of Basic Science, College of Dentistry, University of Babylon, Iraq.

Zainab Mahmood Al-Jammali *

Prosthodontics Department, College of Dentistry, University of Babylon, Iraq.

Israa Hussein Ali Ali

Department of Pediatric, Orthodontics & Preventive Dentistry, College of Dentistry, University of Babylon, Iraq.

*Author to whom correspondence should be addressed.


Abstract

Bell's Palsy is one of communal disease of effected to seventh cranial nerve that causes paralysis of one or two side of the face which occur within (72 hours), the etiology unknown but different causes such as psychological, physical condition, viral infection, ischemia of blood vessels, and autoimmune inflammation. The individuals are more susceptible to effected such as pregnancies, severe preeclampsia, obese persons, hypertensive patients, diabetic mellitus, it suspected for both sex male and female, also occur in all age but increase within ages that very important to determined type of treatments . During the clinical examination, the Bell's Palsy patient suffer from weakness of muscle of the face, wrinkling forehead, hyper-acusis blink, the face became asymmetrical and the lip ruck up, the corner of the mouth move upward, the naso-labial folds obliterated, weakness of buccinator muscles that lead to the food stay in labial, buccal vestibule in upper and lower jaw, half of face drooped causes of expression altered severely occur like mask. The aim of review bring attention for determined the etiology of Bell's Palsy, early diagnosis of disease by clinical examination to reach perfect therapy and acceleration recovery time and decreased complete facial paralysis. Conclusion: the authors conclude that it is important to evaluate the drug act to regenerate the nerve and modify the treatment to get effected drug with little symptom, also modification of physical therapy to accelerate healing. Dental management for this patient by motivation of them to maintain oral hygiene and modification dental treatment to return mastication of food, brushing, whistling and using dental prosthesis to restore facial function. Also help the psychological condition of the patient to get positive energy to withstand the disease and get ride.

Keywords: Belly's palsy, clinical manifestation, diagnosis


How to Cite

Al-Yasiry, A., Alyassery, A. M. A., Al-Jammali , Z. M., & Ali , I. H. A. (2022). Belly’s Palsy with Clinical Manifestation and Diagnosis- A Review. Physical Science International Journal, 26(11-12), 27–34. https://doi.org/10.9734/psij/2022/v26i11-12771

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References

Murai A, Kariya S, Tamura K, et al. The facial nerve canal in patients with Bell’s palsy: an investigation by high-resolution computed tomography with multiplanar reconstruction. Eur Arch Otorhinolaryngol. 2013;270:2035–2038.

Blumenfeld H. Neuroanatomy through clinical cases. 1st ed. Sunderland, MA: Sinauer. 2002;479–484.

Ho M, Juliano A, Eisenberg L, Moonis G. Anatomy and pathology of the facial nerve. American Journal of Roentgenology. 2015;204(6):W612-9.

Singhal S, et al. Rehabilitation of a completely edentulous neuromuscular disorder case: a prosthodontics challenge. Journal of Orofacial & Health Sciences 3.1. 2012;30-3.

Bosco D, Plastino M, Bosco F, et al. Bell’s palsy: a manifestation of prediabetes? Acta Neurol Scand. 2011;123:68–72.

Riga M, Kefalidis G, Danielides V. The role of diabetes mellitus in the clinical presentation and prognosis of Bell palsy. J Am Board Fam Med. 2012;25:819–826.

Worthington H, et al. Using Cochrane reviews for oral diseases. Oral Diseases. 2010;16.7:592-596.

Bulbule NS, et al. Rehabilitation of a completely edentulous patient using tens to record functional borders and cheek plumpers for esthetics. International Journal of Prosthodontics & Restorative Dentistry. 2013;3.2:78-82.

Hauser WA, Karnes WE, Annis J, Kurland LT. Incidence and prognosis of Bell’s palsy in the population of Rochester, Minnesota. Mayo Clin Proc. 1971;46:258-64.

Adour KK, Byl FM, Hilsinger RL Jr, Kahn ZM, Sheldon MI. The true nature of Bell’s palsy: analysis of 1,000 consecutive patients. Laryngoscope. 1978;88:787-801.

Katusic SK, Beard CM, Wiederholt WC, Bergstralh EJ, Kurland LT. Incidence, clinical features, and prognosis in Bell’s palsy, Rochester, Minnesota. 1968-1982. Ann Neurol 1986;20:622-7.

Peitersen E. The natural history of Bell’s palsy. Am J Otol. 1982;4:107-11.

Adour KK, Wingerd J. Idiopathic facial paralysis (Bell’s palsy): factors affecting severity and outcome in 446 patients. Neurology. 1974;24:1112-6.

Diamant H, Ekstrand T, Wiberg A. Prognosis of idiopathic Bell’s palsy. Arch Otolaryngol. 1972;95:431-3.

Cawthorne T, Wilson T. Indications for intratemporal facial nerve surgery. Arch Otolaryngol. 1963;78:429-34.

Richardson AT. Electrodiagnosis of facial palsies. Ann Otol Rhinol Laryngol. 1963;72:569-80.

Denver. Dr. Gilden. Evidence supporting various strategies is then presented. Denver. Dr. Gilden 4200 E. 9th Ave., N Engl J Med. 2004;351:1323-31.

Hussain S, et al. Prosthodontic management of a completely edentulous patient with Bell’s palsy. Indian Journal of Multidisciplinary Dentistry. 2011;2:404- 406.

Malik NA. Facial nerve and motor disturbances of the face and jaws. In: Malik NA, (Editor). Text Book of Oral and Maxillofacial Surgery, 2nd ed. New Delhi: Jaypee Brothers Medical Publishers. 2008;719-21.

Numthavaj P, Thakkinstian A, Dejthevaporn C, Attia J. Corticosteroid and antiviral therapy for Bell’s palsy: A network meta-analysis. BMC Neurol. 2011;11:1.

Patel DK, Levin KH: Bell palsy: Clinical examination and management. Cleve Clin J Med. 2015; 82:419-26.

DOI:10.3949/ccjm.82a.14101

Muhammad O, Qais H, Anass M. Some physiological and clinical changes in temporomandibular joint in patients with systemic rheumatoid arthritis. Medical Journal of Babylon. 2013;10(3).

Portelinha J, Passarinho MP, Costa JM: Neuro-ophthalmological approach to facial nerve palsy. Saudi J Ophthalmol. 2015;29:39-47.

House Brackmann. Accessed: July 26, 2022. Available:https://sorensenclinic.com/microsurgery/house-brackmann/.

McAllister K, Walker D, Donnan PT, Swan I: Surgical interventions for the early management of Bell's palsy.Cochrane Database Syst Rev. 2013;CD007468. DOI:10.1002/14651858.CD007468.pub3

Patel DK, Levin KH: Bell palsy: Clinical examination and management. Cleve Clin J Med. 2015; 82:419-26.

DOI:10.3949/ccjm.82a.14101

Heckmann JG, Urban PP, Pitz S, Guntinas-Lichius O, Gágyor I. The diagnosis and treatment of idiopathic facial paresis (Bell's palsy). Dtsch Arztebl Int. 2019;116:692-702. DOI:10.3238/arztebl.2019.0692

Singh A, Deshmukh P. Bell's palsy: A review. Cureus. 2022;14(10):e30186. DOI 10.7759/cureus.30186

Zandian A, Osiro S, Hudson R, Ali IM, Matusz P, Tubbs SR, Loukas M. The neurologist's dilemma: a comprehensive clinical review of Bell's palsy, with emphasis on current management trends. Med Sci Monit. 2014;20:83-90. DOI:10.12659/MSM.889876

Al-Noury K, Lotfy A. Normal and pathological findings for the facial nerve on magnetic resonance imaging. Clin Radiol. 2011;66:701-7. DOI:10.1016/j.crad.2011.02.012

Escalante DA, Malka RE, Wilson AG, Nygren ZS, Radcliffe KA, Ruhl DS, Vincent AG, Hohman MH. Determining the prognosis of Bell’s palsy based on severity at presentation and electroneuronography. Otolaryngol.–Head Neck Surg. 2022;166:151–157.

Engström M, Thuomas KÅ, Naeser P, Stålberg E, Jonsson L. Facial nerve enhancement in Bell’s palsy demonstrated by different gadolinium-enhanced magnetic resonance imaging techniques. Arch. Otolaryngol.–Head Neck Surg. 1993;119:221–225. [CrossRef]

Bota O, Fodor L. The influence of drugs on peripheral nerve regeneration. Drug Metab. Rev. 2019;51:266–292. [CrossRef]

Madhok VB, Gagyor I, Daly F, Somasundara D, Sullivan M, Gammie F, Sullivan F. Corticosteroids for Bell’s palsy (idiopathic facial paralysis). Cochrane Database Syst. Rev. 2016;CD001942. [CrossRef] [PubMed]

Sirtori CR. The pharmacology of statins. Pharmacol. Res. 2014;88:3–11. [CrossRef] Biomedicines. 2022;10:1678:30 of 34

Förstermann, U, Li, H. Therapeutic effect of enhancing endothelial nitric oxide synthase (eNOS) expression and preventing eNOS uncoupling. Br. J. Pharmacol. 2011;164:213–223. [CrossRef] [PubMed]

Massaro M, Zampolli A, Scoditti E, Carluccio MA, Storelli C, Distante A, De Caterina R. Statins inhibit cyclooxygenase-2 and matrix metalloproteinase-9 in human endothelial cells: Anti-angiogenic actions possibly contributing to plaque stability. Cardiovasc. Res. 2010;86:311–320.

Claustrat B, Leston J. Melatonin: Physiological effects in humans. Neurochirurgie 2015;61:77–84. [CrossRef] [PubMed]

van der Helm-van Mil AH, van Someren EJ, van den Boom R, van Buchem MA, de Craen AJ, Blauw GJ. No influence of melatonin on cerebral blood flow in humans. J. Clin. Endocrinol. Metab. 2003;88:5989–5994.

Nicholls AR, Holt RI. Growth hormone and insulin-like growth factor-1. Sports Endocrinol. 2016; 47:101–114.

Reuter SE, Evans AM. Carnitine and acylcarnitines. Clin. Pharmacokinet. 2012;51:553–572. [CrossRef]

Seim H, Ezold R, Kleber HP, Strack E, Seim H. Stoffwechsel des l-Carnitins bei Enterobakterien. Z. Für Allg. Mikrobiol. 1980;20:591–594. [CrossRef]

Pekala J, Patkowska-Sokola B, Bodkowski R, Jamroz D, Nowakowski P, Lochynski S, Librowski T. L-carnitine-metabolic functions and meaning in humans life. Curr. Drug Metab. 2011;12:667–678. [CrossRef

Chitambar C. Nutritional aspects of hematologic diseases. Mod. Nutr. Health Dis. 2005;1436–1461.

Romain M, Sviri S, Linton D, Stav I, van Heerden PV. The role of Vitamin B12 in the critically ill—A review. Anaesth. Intensive Care. 2016;44:447–452. [CrossRef] [PubMed]

Wei YP, Yao LY, Wu YY, Liu X, Peng LH, Tian YL, et al. Critical review of synthesis, toxicology and detection of acyclovir. Molecules. 2021;26:6566. [CrossRef]

Álvarez DM, Castillo E, Duarte LF, Arriagada J, Corrales N, Farías MA, et al. Current antivirals and novel botanical molecules interfering with herpes simplex virus infection. Front. Microbiol. 2020;11:139.

McAllister K, Walker D, Donnan PT, Swan I. Surgical interventions for the early management of Bell’s palsy. Cochrane Database Syst Rev. 2013; 10:CD007468.

de Almeida JR, Guyatt GH, Sud S, Dorion J, Hill MD, Kolber MR, et al. Bell palsy working group, canadian society of otolaryngology - head and neck surgery and canadian neurological sciences federation. management of bell palsy: clinical practice guideline. CMAJ. 2014;186:917-22.

Cannon RB, Gurgel RK, Warren FM, Shelton C: Facial nerve outcomes after middle fossa decompression for Bell's palsy. Otol Neurotol. 2015;36:513- 8. DOI:10.1097/MAO.0000000000000513

Law D, McDonough S, Bleakley C, Baxter GD, Tumilty S: Laser acupuncture for treating musculoskeletal pain: a systematic review with meta-analysis. J Acupunct Meridian Stud. 2015; 8:2-16. DOI:10.1016/j.jams.2014.06.015

Tolstunov L, Belaga GA. Bell’s palsy and dental infection: a case report and possible etiology. J Oral Maxillofac Surg. 2010;68(5):1173-8.

Gupta R, Luthra RP, Aggarwal B. Bell’s palsy and its prosthodontic significance. Review. J Appl Dent Med Sci. 2018;4(4):58-62. Available:https://joadms.org/download/article/337/35012019_55/1552613421.

Malik NA. Facial nerve and motor disturbances of the face and jaws. In: Malik NA, (Editor). Text book of oral and maxillofacial surgery, 2nd ed. New Delhi: Jaypee Brothers Medical Publishers. 2008;719-21.

Chua CN, Quhill F, Jones E, Voon LW, Ahad M, Rowson N. Treatment of aberrant facial nerve regeneration with botulinum toxin A. Orbit/ 2004;23:213– 218.

Bisatto NV, Andriola F de O, Barreiro BOB, Maahs TP, Pagnoncelli RM, Fritscher GG. Facial nerve palsy associated with orthognathic surgery. J Craniofac Surg. 2020;31(6):e546-9.