title: [Bell's palsy in malopolska's children in 2010-2014 years].
abstract: BACKGROUND
  Peripheral facial nerve palsy (Bell' palsy, BP) is a not rare diseases in children, being the most common acquired mononeuropathy.
  
  
  OBJECTIVE
  The authors of this study wanted to determine whether the occurrence and course of paralysis changed in the past 5 years (2010-2014).
  
  
  METHODS
  The study involved Lesser Poland region, where the majority of children with paralysis are hospitalized at the Pediatric Neurology Department of University Children's Hospital in Krakow. These children in subsequent years were admitted to our department without any limitations. A review of clinical documentation of 125 patients, in terms of demographics, the coexistence of other diseases, seasonality, the degree of paralysis, location of paralysis, the prevalence of the recurrence was made. Changes in the structure of the nerve VII in MRI and CT, pharmacological treatment, applied rehabilitation, the degree of improvement and time of hospitalization were analyzed.
  
  
  RESULTS
  Similar distribution of occurrence and gender of children with BP in Lesser Poland region within 5 years were observed. The predominance of the girls resulted from demographic composition of the population. BP occurred most frequently in summer and winter. In more than half of children BP occurred in the course of acute systemic infection or craniofacial infection and in 5/125 BP followed head injury. Children with infections required antibiotic therapy. Left-sided paralysis was found in the majority of children and almost half of patients needed protection of the cornea of the eye (significant degree). In 12% of children structural changes within the facial nerve were found. In these children antiviral treatment was used and hospitalization time was more than 20 days while in the majority of children hospitalization lasted 15 days. In 8 (6.4%) children with recurrent BP kinezytherapy, electrical stimulation and laser therapy were applied. Steroid therapy was not used. Only 7/125 chil. dren had mild impairment of the eye closing at the discharge and the others received nearly complete recovery.
  
  
  CONCLUSIONS
  Inflammatory etiology is the most common in children with BP. BP occurs more often in the summer and winter. Severity of paralysis was significant in more than half of hospitalized children. Children with structural changes within the nerve VII required longer hospitalization and comprehensive treatment.
authors.forename: Emilia
authors.initials: E
authors.lastname: Rogalska
authors.forename: Barbara
authors.initials: B
authors.lastname: Skowronek-Bała
authors.forename: Anna
authors.initials: A
authors.lastname: Świerczyńska
authors.forename: Marek
authors.initials: M
authors.lastname: Kaciński
mesh_terms: D020330:Bell Palsy / Q000453:epidemiology* / Q000209:etiology / Q000473:pathology / Q000628:therapy; D002648:Child; D002673:Child, Hospitalized; D006259:Craniocerebral Trauma / Q000150:complications; D005154:Facial Nerve / Q000473:pathology*; D005260:Female; D006785:Hospitals, University; D006801:Humans; D007239:Infections / Q000150:complications*; D008279:Magnetic Resonance Imaging; D008297:Male; D011044:Poland; D012008:Recurrence; D012621:Seasons; D017678:Sex Distribution; D014057:Tomography, X-Ray Computed