[Study on relationship between operation timing and clinical prognosis of cases with Bell palsy].
OBJECTIVE
To study on relationship between diverse handling time following onset and clinical prognosis of cases with Bell palsy.


METHODS
Two hundred and sixteen cases with Bell palsy, who were admitted in our department between Jun. 2006 and Dec. 2009, were collected and divided into 6 groups according to disease time: 1-2 months, > 2 - 3 months, > 3 - 4 months, > 4 - 5 months, > 5 - 6 months, and > 6 months. Cases in all groups received subtotal course decompression of facial nerve and other compound treatment, and the relationship between handling timing and clinical prognosis were compared.


RESULTS
It was found that the difference of prognosis and handling timing was statistically significant, after comparison between all groups with Facial Grading Standards (H-B) as the standard to assess prognosis.


CONCLUSIONS
Clinical prognosis of cases with Bell palsy was related to alternative handling time, and subtotal course decompression of facial nerve was recommended to be performed as early as possible for those cases who were irresponsive after conservative treatment for one month.
Department of Otolaryngology-Head and Neck Surgery, Beijing Shijitan Hospital, Capital Medical University, Beijing 100038, China.
Sufu
S
Liu
Jiandong
J
Li
Xueyong
X
Wang
Liang
L
Zhao
Wei
W
Ji
Jia
J
Wang
Juan
J
Bai
Bojun
B
Wei
D000293:Adolescent; D000328:Adult; D020330:Bell Palsy / Q000601:surgery*; D019299:Decompression, Surgical / Q000379:methods; D005154:Facial Nerve / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D016896:Treatment Outcome; D055815:Young Adult