A Retrospective Study on the Gender Differences in Clinical Manifestations of Bell's Palsy.

IF 1.7 4区 医学 Q2 OTORHINOLARYNGOLOGY Clinical Otolaryngology Pub Date : 2024-11-21 DOI:10.1111/coa.14259
Dong Keon Yon, Dokyoung Kim, Myung Chul Yoo, Sung Soo Kim, Hwa Sung Rim, Sang Hoon Kim, Jae Yong Byun, Seung Geun Yeo
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Abstract

Objectives: Although many studies have assessed the clinical features and the factors affecting treatment outcomes of Bell's palsy, few have analysed differences between men and women. This study therefore evaluated whether the clinical features and treatment results, and the factors affecting them, differ between men and women with Bell's palsy.

Methods: This retrospective study included 1708 patients (791 men and 917 women) who presented with facial palsy to the otolaryngology department between January 1986 and December 2022. Clinical features and treatment outcomes were compared in men and women diagnosed with Bell's palsy.

Results: Age distribution, side affected by facial palsy, House-Brackmann (HB) Grade, underlying disease such as diabetes and hypertension, electroneuronography (ENoG) results, electromyography (EMG) results, and treatment methods did not differ significantly between men and women with Bell's palsy (p > 0.05 each). Factors significantly associated with better prognosis in men included milder initial facial palsy and better electromyography (EMG) results (p < 0.05). Factors significantly associated with better prognosis in women included younger age, milder initial facial palsy, and better EMG results (p < 0.05). Women had significantly better prognosis than men when treated with steroids within 3 days of the onset of paralysis (p < 0.05).

Conclusion: Milder initial facial palsy and better EMG results were associated with better prognosis in both men and women with Bell's palsy. Younger age at onset and early stage treatment with steroids were associated with a higher recovery rate in women, but not in men.

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贝尔氏麻痹临床表现的性别差异回顾性研究
研究目的尽管许多研究对贝尔氏麻痹的临床特征和影响治疗效果的因素进行了评估,但很少有研究对男女之间的差异进行分析。因此,本研究评估了贝尔氏麻痹男女患者的临床特征和治疗效果以及影响因素是否存在差异:这项回顾性研究纳入了1986年1月至2022年12月期间在耳鼻喉科就诊的1708名面瘫患者(男性791人,女性917人)。研究比较了被诊断为贝尔氏面瘫的男性和女性的临床特征和治疗结果:结果:年龄分布、面瘫患侧、House-Brackmann(HB)分级、糖尿病和高血压等基础疾病、电神经元图(ENoG)结果、肌电图(EMG)结果和治疗方法在贝尔氏面瘫男性和女性患者之间没有显著差异(P>0.05)。男性预后较好的相关因素包括较轻的初始面瘫和较好的肌电图(EMG)结果(P在男性和女性贝尔氏麻痹患者中,较轻的初始面瘫和较好的肌电图结果与较好的预后有关。女性患者发病年龄较小和早期接受类固醇治疗与较高的康复率有关,但与男性患者无关。
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来源期刊
Clinical Otolaryngology
Clinical Otolaryngology 医学-耳鼻喉科学
CiteScore
4.00
自引率
4.80%
发文量
106
审稿时长
>12 weeks
期刊介绍: Clinical Otolaryngology is a bimonthly journal devoted to clinically-oriented research papers of the highest scientific standards dealing with: current otorhinolaryngological practice audiology, otology, balance, rhinology, larynx, voice and paediatric ORL head and neck oncology head and neck plastic and reconstructive surgery continuing medical education and ORL training The emphasis is on high quality new work in the clinical field and on fresh, original research. Each issue begins with an editorial expressing the personal opinions of an individual with a particular knowledge of a chosen subject. The main body of each issue is then devoted to original papers carrying important results for those working in the field. In addition, topical review articles are published discussing a particular subject in depth, including not only the opinions of the author but also any controversies surrounding the subject. • Negative/null results In order for research to advance, negative results, which often make a valuable contribution to the field, should be published. However, articles containing negative or null results are frequently not considered for publication or rejected by journals. We welcome papers of this kind, where appropriate and valid power calculations are included that give confidence that a negative result can be relied upon.
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