Do diabetic patients with Bell's palsy benefit from corticosteroids?

Yıl 2017, Cilt: 7 Sayı: 3, 149 - 153, 28.11.2017

Ali Bayram Mustafa Şahin Murat Doğan Cemil Mutlu

Öz

Objective: To evaluate the beneficial effect of steroid therapy in the treatment of diabetic patients with Bell's palsy (BP).




Methods: There
were three patient groups in the present retrospective study. Group I
consisted of diabetic patients with BP who were hospitalized for
corticosteroid treatment, whereas Group II was composed of diabetic
patients with BP who refused to receive steroid therapy after being
informed about the adverse effects of the regimen. Thirty age- and
sex-matched non-diabetic BP patients treated with steroid therapy on an
outpatient basis constituted Group III. House-Brackmann (H-B) grades at
onset and 12 months after facial paralysis, mean complete recovery time
and the number of patients who demonstrated satisfactory recovery were
compared between the groups.




Results:
There was no statistically significant difference with regard to H-B
grades, mean recovery time or number of patients with satisfactory
recovery at onset and 12 months after facial paralysis among the study
groups.




Conclusion: In
diabetic patients with BP, the recovery of facial functions may be
satisfactory without steroid therapy as long as the regulation of blood
sugar and blood pressure levels are ensured with regular medical
follow-up.

Anahtar Kelimeler

Bell's palsy, diabetes mellitus, corticosteroids

Kaynakça

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