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Published on: March 1, 2015
Overview of pediatric peripheral facial nerve paralysis: analysis of 40 patients
Yasemin Özkale1, İlknur Erol2, Semra Saygı2
1Department of Pediatrics, Baskent University Faculty of Medicine, Adana, Turkey dryaseminozkale@gmail.com.
Insights
Peripheral facial nerve paralysis in children is often caused by Bell palsy or infection. Younger children tend to have worse outcomes, highlighting the need for further research in Turkey.
Area of Science:
- Pediatric Neurology
- Otolaryngology
Background:
- Peripheral facial nerve paralysis in children can indicate serious underlying conditions like malignancy, systemic diseases, or congenital anomalies.
- While reported globally, comprehensive data on pediatric facial nerve paralysis in Turkey, including clinical features and etiology, remains limited.
Purpose of the Study:
- To retrospectively evaluate the causes and outcomes of peripheral facial nerve paralysis in children and adolescents in Turkey.
- To identify the most common etiologies and influencing factors on prognosis in this pediatric population.
Main Methods:
- Retrospective analysis of 40 pediatric and adolescent cases diagnosed with peripheral facial nerve paralysis.
- Data collected from Baskent University Adana Hospital between January 2010 and January 2013.
Main Results:
- Bell palsy was the most frequent cause (50%), followed by infection (25%), tumor (12.5%), and chemotherapy toxicity (12.5%).
- Younger patients generally experienced poorer outcomes compared to older patients, irrespective of the underlying cause.
- Infections and Bell palsy were identified as the leading etiologies in this cohort.
Conclusions:
- Bell palsy and infections are the predominant causes of peripheral facial nerve paralysis in Turkish children.
- Age appears to be a significant factor influencing the outcome of pediatric peripheral facial nerve paralysis.
Abstract:
Peripheral facial nerve paralysis in children might be an alarming sign of serious disease such as malignancy, systemic disease, congenital anomalies, trauma, infection, middle ear surgery, and hypertension. The cases of 40 consecutive children and adolescents who were diagnosed with peripheral facial nerve paralysis at Baskent University Adana Hospital Pediatrics and Pediatric Neurology Unit between January 2010 and January 2013 were retrospectively evaluated. We determined that the most common cause was Bell palsy, followed by infection, tumor lesion, and suspected chemotherapy toxicity. We noted that younger patients had generally poorer outcome than older patients regardless of disease etiology. Peripheral facial nerve paralysis has been reported in many countries in America and Europe; however, knowledge about its clinical features, microbiology, neuroimaging, and treatment in Turkey is incomplete. The present study demonstrated that Bell palsy and infection were the most common etiologies of peripheral facial nerve paralysis.
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