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Updated: Jul 13, 2026

Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
Published on: March 1, 2015
[Facial paralysis reported in a paediatric emergency department: actuation protocol reviewed and verified]
I Sáenz-Moreno1, M Jiménez-Fernández, J López-Pisón
1Unidad de Neuropediatría, Hospital Universitario Miguel Servet, 50009 Zaragoza, España.
Insights
This study developed and reviewed a clinical protocol for Bell's palsy in a pediatric emergency department. All patients treated with prednisone showed complete recovery, highlighting the protocol's effectiveness.
Area of Science:
- Pediatric Emergency Medicine
- Clinical Protocol Development
- Neurology
Context:
- Emergency systems require effective clinical protocols for quality improvement.
- Paediatric practice necessitates specialized protocols for conditions like Bell's palsy.
- Existing protocols need regular review and updates based on evidence.
Purpose:
- To design and implement an evidence-based clinical protocol for Bell's palsy in a pediatric emergency department.
- To review and improve upon a previously established protocol for pediatric Bell's palsy.
- To analyze Bell's palsy cases managed in the pediatric emergency department.
Summary:
- A review of 27 pediatric Bell's palsy cases informed the development of a new clinical protocol.
- Key findings included facial nerve involvement (85.19%) and normal cranial nerve function (77.78%).
- All patients received prednisone, resulting in complete recovery within a mean of 58.6 days.
Impact:
- The study demonstrates the successful application of a revised clinical protocol for pediatric Bell's palsy.
- Regular protocol verification and medical auditing are crucial for enhancing healthcare quality and effectiveness.
- This work contributes to optimizing emergency care standards in paediatric practice.
Introduction:
As result of our aim to improve the quality standard of our emergency system, work has been carried out in relation to the development and monitorization of effective clinical protocols in the department of paediatric practice.
Patients And Methods:
An evidence based review approach was taken to design a clinical protocol about Bell's palsy condition for the paediatric emergency department. Previous protocol approved in March 2003 was reviewed accordingly with the new designed protocol's quality standards. The Bell's palsy cases reported since March 2003 until June 2006 to paediatric emergency department were analyzed.
Results:
A total of 27 patients affected by Bell's palsy were reported to the hospital's emergency department. Facial expression was described in 85.19% of the cases. Cranial nerves normal function was reported in 77.78%. Fundoscopic examination was described in 77.78% and otoscopic findings in 44.44%; the absence of herpes vesicles was analyzed only in 11.11%. All patients received steroid therapy (prednisone) and the treatment resulted in the complete recovery. The mean time to resolution was 58.6 days.
Conclusions:
In order to improve hospital's quality standards, clinical protocols should be designed and verified regularly to ensure the proper performance. Medical auditing also contributes to improve effectiveness in health attendance.
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