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[Infantile peripheral facial paralysis]
J Carbonell1, A Calpe, C Bleda
1Servicio de ORL, Hospital Son Dureta, Palma de Mallorca.
Insights
Peripheral facial paralysis, while common in adults, affects children less frequently. Secondary causes are more common in children than idiopathic cases, requiring specific management and follow-up.
Area of Science:
- Neurology
- Pediatrics
Context:
- Peripheral facial paralysis, a mononeuropathy, is less common in children than adults.
- Idiopathic causes are frequent in adults, but secondary causes are more prevalent in pediatric cases.
- Parental distress is significant when children experience facial paralysis.
Purpose:
- To report on the 4-year follow-up of 29 pediatric cases of peripheral facial paralysis (ages 14 and under).
- To review the causes, evolution, treatment, recuperation, care, and admission rates in children.
- To compare pediatric outcomes with a previously studied cohort of 196 adult cases.
Summary:
- A 4-year follow-up of 26 children with peripheral facial paralysis revealed that secondary causes are the most frequent.
- The study analyzed causes, progression, treatment, recovery, and hospital admission rates in pediatric patients.
- Findings were compared to a larger cohort of adult peripheral facial paralysis cases.
Impact:
- Provides insights into the specific etiology and clinical course of peripheral facial paralysis in children.
- Offers comparative data to understand differences and similarities between pediatric and adult cases.
- Informs clinical management and parental guidance for pediatric peripheral facial paralysis.
Abstract:
Peripheral facial paralysis is a common mononeuropathy in adults. It is less frequent in children, but is very upsetting for parents when it occurs. Its causes in children are similar to those found in adults, the most common being idiopathic. However, secondary facial paralysis is the most frequent cause in children. The results of a 4-year follow-up of 29 cases of peripheral facial paralysis in 26 children age 14 and under are reported. The causes, evolution, treatment, recuperation, care, and rate of admission are reviewed. Results are compared to those found in the follow-up of 196 adult cases of peripheral facial paralysis made by the authors.