MEVSİMSEL FARKLILIKLARIN BELL’S PARALİZİSİ SIKLIĞI VE EVRESİ ÜZERİNDEKİ ETKİLERİ The Effect of Seasonal Changes on Frequency and Stage in Bell’s Palsy
Abstract
ÖZET
Amaç: Bu çalışmada Bell’s paralizisi (BP) geçiren hastaların House-Brackmann Skorlama (HBS) sistemine
göre hastalık evrelerini değerlendirerek mevsimler arasında her hangi bir farklılığın olup olmadığını değerlendirmeyi
amaçladık.
Gereç ve Yöntem: Üçüncü basamak bir hastanenin Kulak Burun Boğaz polikliniklerinde muayeneleri yapılan
ve BP olduğu tespit edilen, ağustos 2015- ağustos 2019 tarihleri arasında, 20- 80 yaş aralığında 222
hastanın verileri retrospektif olarak incelendi. HBS sistemine göre hastalık evreleri ve mevsimsel farklılıkları
değerlendirildi.
Bulgular: Çalışmamıza 105’ i (%47,3) kadın, 117’ si (%52,7) erkek olmak üzere toplam 222 hasta dâhil edildi.
Hastaların ortalama yaşı 39,28±19,20 olarak tespit edildi. Çalışmamıza dâhil edilen hastalarda %36,5 ile en
fazla 3. evrenin olduğu ve %13,9 oranında ise en az evre 2 olduğu belirlendi. Yapılan istatistiksel analizde
mevsimsel farklılıklar ile evreler arasında anlamlı bir farklılığın olduğu görülmektedir (p<0.001). Sonbahar
ve kış aylarında evre 4 ve evre 5 BP daha fazla görülmektedir.
Sonuçlar: Sonuç olarak BP hastalık evresi mevsimsel farklılıklardan etkilenmektedir. Ayrıca ülkemizde bölgesel
farklılıkların BP evresi üzerindeki etkinliği ile ilgili farklı bilimsel çalışmaların da yapılmasının literatüre
katkı sağlayacağını düşünmekteyiz.
Anahtar Kelimeler: Fasiyal paralizi; Mevsimler; Bell’s paralizisi
ABSTRACT
Aim: In this study, we aimed to investigate whether or not seasonal changes affected disease stages
evaluated with House-Brackmann scoring (HBS) system in patients undergoing Bell’s palsy (BP).
Materials and Methods: Data of 222 patients, between 20-80 years of age, who were examined and
diagnosed with BP between August 2015 and August 2019 at a tertiary hospital Ears, Nose and Throat
outpatient clinic were retrospectively evaluated. Grading according to HBS and seasonal changes were
assessed.
Results: A total of 222 patients, in which 105 were female and 117 were male, were included in the study.
Mean patient age was 39.28±19.20 years. According to grading of the patients, most patients were Grade III
(36.5%), while Grade II was least common (13.9%). According to statistical analysis, there was a significant
difference between the grades based on seasonal changes. Grade IV and grade V were dominant in autumn
and winter months.
Conclusion: BP grading of disease ise affected by seasonal changes. In addition, we think that different
scientific studies about the effect of regional differences on BP stage in our country will contribute to the
literature.
Keywords: Facial paralysis; Seasons; Bell’s palsy
References
- 1. Finsterer J. Management of peripheral facial nerve palsy. Eur Arch Otorhinolaryngol. 2008;265(7):743-52. 2. McCaul JA, Cascarini L, Godden D, Coombes D, Brennan PA, Kerawala CJ. Evidence based management of Bell's palsy. Br J Oral Maxillofac Surg. 2014;52(5):387-91. 3. Linder T, Bossart W, Bodmer D: Bell’s palsy and herpes simplex virus: fact or mystery? Otol Neurotol. 2005; 26(1): 109–113. 4. Morris AM, Deeks SL, Hill MD, Midroni G, Goldstein WC, Mazzulli T, et al. Annualized incidence and spectrum of illness from an outbreak investigation of Bell’s palsy. Neuroepidemiology. 2002; 21(5): 255–261. 5. Shmorgun D, Chan WS, Ray JG. Association between Bell’s palsy in pregnancy and pre-eclampsia. QJM. 2002; 95(6): 359–362. 6. Danielides V, Patrikakos G, Nousia C-S, Bartzokas A, Milionis HJ, Lolis C, et al. Weather conditions and Bell's palsy: five-year study and review of the literature. BMC Neurol. 2001;1(1):7. 7. Campbell KE, Brundage JF. Effects of climate, latitude, and season on the incidence of Bell’s palsy in the US armed forces, October 1997 to September 1999. Am J Epidemiol. 2002; 156(1): 32–39. 8. Jeon E-J, Park YS, Kim D-H, Nam IC, Park S-Y, Noh H, et al. Effects of meteorological factors on the onset of Bell's palsy. Auris Nasus Larynx. 2013;40(4):361-5. 9. Spengos K, Sameli S, Stouraitis G, Kolias A, Koulouri O, Kokkinos Z, et al. Seasonal variation of Bell’s palsy in Athens, Greece–a hospital-based retrospective evaluation over fifteen years. Eur Neurol. 2006;55(2):84-8. 10. Franzke P, Bitsch A, Walther M, Schiffner R, Rupprecht S, Rasche M, et al. Weather, Weather Changes and the Risk of Bell’s Palsy: A Multicenter Case-Crossover Study. Neuroepidemiology. 2018;51(3-4):207-15
Abstract
References
- 1. Finsterer J. Management of peripheral facial nerve palsy. Eur Arch Otorhinolaryngol. 2008;265(7):743-52. 2. McCaul JA, Cascarini L, Godden D, Coombes D, Brennan PA, Kerawala CJ. Evidence based management of Bell's palsy. Br J Oral Maxillofac Surg. 2014;52(5):387-91. 3. Linder T, Bossart W, Bodmer D: Bell’s palsy and herpes simplex virus: fact or mystery? Otol Neurotol. 2005; 26(1): 109–113. 4. Morris AM, Deeks SL, Hill MD, Midroni G, Goldstein WC, Mazzulli T, et al. Annualized incidence and spectrum of illness from an outbreak investigation of Bell’s palsy. Neuroepidemiology. 2002; 21(5): 255–261. 5. Shmorgun D, Chan WS, Ray JG. Association between Bell’s palsy in pregnancy and pre-eclampsia. QJM. 2002; 95(6): 359–362. 6. Danielides V, Patrikakos G, Nousia C-S, Bartzokas A, Milionis HJ, Lolis C, et al. Weather conditions and Bell's palsy: five-year study and review of the literature. BMC Neurol. 2001;1(1):7. 7. Campbell KE, Brundage JF. Effects of climate, latitude, and season on the incidence of Bell’s palsy in the US armed forces, October 1997 to September 1999. Am J Epidemiol. 2002; 156(1): 32–39. 8. Jeon E-J, Park YS, Kim D-H, Nam IC, Park S-Y, Noh H, et al. Effects of meteorological factors on the onset of Bell's palsy. Auris Nasus Larynx. 2013;40(4):361-5. 9. Spengos K, Sameli S, Stouraitis G, Kolias A, Koulouri O, Kokkinos Z, et al. Seasonal variation of Bell’s palsy in Athens, Greece–a hospital-based retrospective evaluation over fifteen years. Eur Neurol. 2006;55(2):84-8. 10. Franzke P, Bitsch A, Walther M, Schiffner R, Rupprecht S, Rasche M, et al. Weather, Weather Changes and the Risk of Bell’s Palsy: A Multicenter Case-Crossover Study. Neuroepidemiology. 2018;51(3-4):207-15
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Original Research |
| Authors | |
| Publication Date | March 25, 2020 |
| Published in Issue | Year 2020 Volume: 10 Issue: 1 |