Title :

French society of ent (sforl) guidelines. Management of acute bell's palsy

Author(s) :

Fieux, Maxime [Auteur]
Centre Hospitalier Lyon Sud [CHU - HCL] [CHLS]
Franco-Vidal, Valerie [Auteur]
CHU de Bordeaux Pellegrin [Bordeaux]
Devic, Perrine [Auteur]
Centre Hospitalier Lyon Sud [CHU - HCL] [CHLS]
Bricaire, François [Auteur]
CHU Pitié-Salpêtrière [AP-HP]
Charpiot, Anne [Auteur]
Hôpital de Hautepierre [Strasbourg]
Darrouzet, Vincent [Auteur]
CHU de Bordeaux Pellegrin [Bordeaux]
Denoix, Luna [Auteur]
Centre Hospitalier Lyon Sud [CHU - HCL] [CHLS]
Gatignol, Peggy [Auteur]
CHU Pitié-Salpêtrière [AP-HP]
Guevara, Nicolas [Auteur]
Institut Universitaire de la Face et du Cou [Nice]
Montava, Marion [Auteur]
Hôpital de la Conception [CHU - APHM] [LA CONCEPTION]
Roch, Jean Amédée [Auteur]
Hôpital privé Jean Mermoz [Lyon]
Tankere, Frédéric [Auteur]
CHU Pitié-Salpêtrière [AP-HP]
Tronche, Sophie [Auteur]
Veillon, Françis [Auteur]
Hôpital de Hautepierre [Strasbourg]
Vergez, Sébastien [Auteur]
Centre Hospitalier Universitaire de Toulouse [CHU Toulouse]
Vincent, Christophe [Auteur]
Médicaments et biomatériaux à libération contrôlée: mécanismes et optimisation - Advanced Drug Delivery Systems - U 1008 [MBLC - ADDS]
Advanced Drug Delivery Systems (ADDS) - U1008
Lamas, Georges [Auteur]
CHU Pitié-Salpêtrière [AP-HP]

Journal title :

European Annals of Otorhinolaryngology, Head and Neck Diseases

Abbreviated title :

Eur Ann Otorhinolaryngol Head Neck Dis

Volume number :

137

Pages :

483-488

Publication date :

2020-07-04

ISSN :

1879-730X

HAL domain(s) :

Sciences du Vivant [q-bio]

English abstract : [en]

The authors present the guidelines of the French Society of ENT and Head and Neck Surgery (SFORL) regarding the management of Bell's palsy in adults. After a literature review by a multidisciplinary workgroup, guidelines ...
Show more >The authors present the guidelines of the French Society of ENT and Head and Neck Surgery (SFORL) regarding the management of Bell's palsy in adults. After a literature review by a multidisciplinary workgroup, guidelines were drawn up based on retrieved articles and group-members' experience, then read over by an independent group to edit the final version. Guidelines were graded A, B, C or "expert opinion" according to decreasing level of evidence. Thorough ENT and neurological clinical examination is recommended in all patients presenting with peripheral facial palsy to confirm diagnosis of Bell's palsy. MRI with gadolinium enhancement should explore the entire course of the facial nerve, if possible within the first month. ENMG should be performed to assess prognosis for recovery. In confirmed Bell's palsy, corticosteroid therapy should be implemented as early as possible (ideally within 72h) at a dose of 1mg/kg/day for 7-10 days. Antiviral therapy should be associated to steroids in patients with severe and early-onset disease and in Ramsay-Hunt syndrome. Isolated antiviral therapy is not recommended. To date, there is no evidence that surgical facial nerve decompression provides benefit.Show less >

Language :

Anglais

Audience :

Internationale

Popular science :

Non

Collections :

• Advanced Drug Delivery Systems (ADDS) - U1008

Submission date :

2021-01-20T15:58:56Z
2024-02-21T08:34:29Z