Chronic Bell's Palsy Literature Review and Case Report

Sandra Kuzmičić, A. Poljičanin, Asija Rota Čeprnja, I. Marinović, Jure Aljinović, Mladen Parlov, Boris Bećir, Nikica Kuzmičić, Anamarija Vidović, Antonela Pavić
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Abstract

Bell’s palsy, or idiopathic peripheral facial nerve palsy is a neurologic condition characterized by unilateral weakness of facial muscles. The evidence-based guidelines mostly consider the acute treatment of Bell’s palsy. However, chronic cases of Bell’s palsy are not supported by strong evidence regarding treatment options, except for a weak recommendation to utilize physical therapy. This case report has presented an application of a combination of physical therapy modalities (Mirror Book Therapy, High Inten-sity Laser Therapy, and Acupuncture) within 10 weeks, to treat a patient with long-term sequelae. This combination of therapies has resulted in a significant improvement in the level of recovery measured by facial grading scales. However, further research is necessary to provide stronger evidence regarding the benefits of this treatment option.
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慢性贝尔氏麻痹文献回顾及病例报告
贝尔麻痹或特发性周围面神经麻痹是一种以单侧面肌无力为特征的神经系统疾病。循证指南主要考虑的是贝尔氏麻痹的急性治疗。然而,慢性贝尔氏麻痹病例没有强有力的证据支持治疗方案,除了使用物理治疗的弱建议。本病例报告介绍了在10周内应用物理治疗方式(镜书治疗,高强度激光治疗和针灸)治疗长期后遗症的患者。这种疗法的结合导致了面部评分量表测量的恢复水平的显着改善。然而,需要进一步的研究来提供更有力的证据来证明这种治疗方案的益处。
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