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Prognostic value of the blink reflex test in Bell’s palsy and Ramsay-Hunt syndrome
This study was designed to evaluate the prognostic value of the blink reflex (BR) test in patients with Bell’s palsy (BP) or Ramsay Hunt syndrome (RHS). The House–Brackmann (HB) grade of patients diagnosed with BP and RHS was determined at first visit and 3 months later. Final HB grade III–VI was de...
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| Published in: | Auris, nasus, larynx nasus, larynx, 2018-10, Vol.45 (5), p.966-970 |
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| cites | cdi_FETCH-LOGICAL-c377t-d372f14964366e06ea898191f3a1a9142ce67fcac315be71d941b0e0a175f7893 |
| container_end_page | 970 |
| container_issue | 5 |
| container_start_page | 966 |
| container_title | Auris, nasus, larynx |
| container_volume | 45 |
| creator | Hah, Young Min Kim, Sang Hoon Jung, Junyang Kim, Sung Su Byun, Jae Yong Park, Moon Suh Yeo, Seung Geun |
| description | This study was designed to evaluate the prognostic value of the blink reflex (BR) test in patients with Bell’s palsy (BP) or Ramsay Hunt syndrome (RHS).
The House–Brackmann (HB) grade of patients diagnosed with BP and RHS was determined at first visit and 3 months later. Final HB grade III–VI was defined as an incomplete recovery. Factors evaluated as prognostic of poor recovery included electroneurography (ENoG) degeneration rate (DR)>90%, and absence of BR. Rates of complete and incomplete recovery were calculated and the associations between prognostic factors and recovery were determined.
Of the 129 included patients, 98 (76%) had BP and 31 (24%) had RHS. Absence of BR and low mean ENoG value were significantly associated with incomplete recovery in both the BP and RHS groups (p |
| doi_str_mv | 10.1016/j.anl.2018.01.007 |
| format | article |
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The House–Brackmann (HB) grade of patients diagnosed with BP and RHS was determined at first visit and 3 months later. Final HB grade III–VI was defined as an incomplete recovery. Factors evaluated as prognostic of poor recovery included electroneurography (ENoG) degeneration rate (DR)>90%, and absence of BR. Rates of complete and incomplete recovery were calculated and the associations between prognostic factors and recovery were determined.
Of the 129 included patients, 98 (76%) had BP and 31 (24%) had RHS. Absence of BR and low mean ENoG value were significantly associated with incomplete recovery in both the BP and RHS groups (p<0.05 each). Initial HB grade V–VI was significantly associated with rate of incomplete recovery in patients with RHS (p<0.05 each). Severe residual palsy (final HB grade V–VI) in the absence of BR was significantly more frequent in patients with RHS than with BP (p<0.05).
BR test results were a good prognostic indicator in patients with BP and RHS, as were ENoG value. Absence of BR was more frequently associated with severe residual palsy in RHS than in BP.</description><identifier>ISSN: 0385-8146</identifier><identifier>EISSN: 1879-1476</identifier><identifier>DOI: 10.1016/j.anl.2018.01.007</identifier><identifier>PMID: 29402606</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Adult ; Bell Palsy - physiopathology ; Bell’s palsy ; Blink reflex test ; Blinking - physiology ; Female ; Herpes Zoster Oticus - physiopathology ; Humans ; Male ; Middle Aged ; Prognosis ; Ramsay Hunt syndrome ; Recovery of Function ; Severity of Illness Index ; Young Adult</subject><ispartof>Auris, nasus, larynx, 2018-10, Vol.45 (5), p.966-970</ispartof><rights>2018</rights><rights>Copyright © 2018. Published by Elsevier B.V.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c377t-d372f14964366e06ea898191f3a1a9142ce67fcac315be71d941b0e0a175f7893</citedby><cites>FETCH-LOGICAL-c377t-d372f14964366e06ea898191f3a1a9142ce67fcac315be71d941b0e0a175f7893</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29402606$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hah, Young Min</creatorcontrib><creatorcontrib>Kim, Sang Hoon</creatorcontrib><creatorcontrib>Jung, Junyang</creatorcontrib><creatorcontrib>Kim, Sung Su</creatorcontrib><creatorcontrib>Byun, Jae Yong</creatorcontrib><creatorcontrib>Park, Moon Suh</creatorcontrib><creatorcontrib>Yeo, Seung Geun</creatorcontrib><title>Prognostic value of the blink reflex test in Bell’s palsy and Ramsay-Hunt syndrome</title><title>Auris, nasus, larynx</title><addtitle>Auris Nasus Larynx</addtitle><description>This study was designed to evaluate the prognostic value of the blink reflex (BR) test in patients with Bell’s palsy (BP) or Ramsay Hunt syndrome (RHS).
The House–Brackmann (HB) grade of patients diagnosed with BP and RHS was determined at first visit and 3 months later. Final HB grade III–VI was defined as an incomplete recovery. Factors evaluated as prognostic of poor recovery included electroneurography (ENoG) degeneration rate (DR)>90%, and absence of BR. Rates of complete and incomplete recovery were calculated and the associations between prognostic factors and recovery were determined.
Of the 129 included patients, 98 (76%) had BP and 31 (24%) had RHS. Absence of BR and low mean ENoG value were significantly associated with incomplete recovery in both the BP and RHS groups (p<0.05 each). Initial HB grade V–VI was significantly associated with rate of incomplete recovery in patients with RHS (p<0.05 each). Severe residual palsy (final HB grade V–VI) in the absence of BR was significantly more frequent in patients with RHS than with BP (p<0.05).
BR test results were a good prognostic indicator in patients with BP and RHS, as were ENoG value. Absence of BR was more frequently associated with severe residual palsy in RHS than in BP.</description><subject>Adult</subject><subject>Bell Palsy - physiopathology</subject><subject>Bell’s palsy</subject><subject>Blink reflex test</subject><subject>Blinking - physiology</subject><subject>Female</subject><subject>Herpes Zoster Oticus - physiopathology</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Prognosis</subject><subject>Ramsay Hunt syndrome</subject><subject>Recovery of Function</subject><subject>Severity of Illness Index</subject><subject>Young Adult</subject><issn>0385-8146</issn><issn>1879-1476</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNp9kMFu1DAURS0EokPLB7CpvGST9L04sWOxggpopUpFqF1bHucFPE2cwU4qZtff4Pf4krqatsuu3ua8q3sPYx8QSgSUJ5vShqGsANsSsARQr9gKW6ULrJV8zVYg2qZosZYH7F1KGwAQSui37KDSNVQS5Ipd_YjTrzCl2Tt-a4eF-NTz-Tfx9eDDDY_UD_SXz5Rm7gP_QsPw_-5f4ls7pB23oeM_7ZjsrjhbwszTLnRxGumIvekzQO8f7yG7_vb16vSsuLj8fn76-aJwQqm56ISqeqy1rIWUBJJsq1vU2AuLVmNdOZKqd9YJbNaksNM1roHAomp61WpxyD7uc7dx-rPkjmb0yeWONtC0JINaN9jIqqkzinvUxSmlPMtsox9t3BkE8yDTbEyWaR5kGkCTZeaf48f4ZT1S9_zxZC8Dn_YA5ZG3nqJJzlNw1PlIbjbd5F-Ivwdbs4Tr</recordid><startdate>201810</startdate><enddate>201810</enddate><creator>Hah, Young Min</creator><creator>Kim, Sang Hoon</creator><creator>Jung, Junyang</creator><creator>Kim, Sung Su</creator><creator>Byun, Jae Yong</creator><creator>Park, Moon Suh</creator><creator>Yeo, Seung Geun</creator><general>Elsevier B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201810</creationdate><title>Prognostic value of the blink reflex test in Bell’s palsy and Ramsay-Hunt syndrome</title><author>Hah, Young Min ; Kim, Sang Hoon ; Jung, Junyang ; Kim, Sung Su ; Byun, Jae Yong ; Park, Moon Suh ; Yeo, Seung Geun</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c377t-d372f14964366e06ea898191f3a1a9142ce67fcac315be71d941b0e0a175f7893</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adult</topic><topic>Bell Palsy - physiopathology</topic><topic>Bell’s palsy</topic><topic>Blink reflex test</topic><topic>Blinking - physiology</topic><topic>Female</topic><topic>Herpes Zoster Oticus - physiopathology</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Prognosis</topic><topic>Ramsay Hunt syndrome</topic><topic>Recovery of Function</topic><topic>Severity of Illness Index</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hah, Young Min</creatorcontrib><creatorcontrib>Kim, Sang Hoon</creatorcontrib><creatorcontrib>Jung, Junyang</creatorcontrib><creatorcontrib>Kim, Sung Su</creatorcontrib><creatorcontrib>Byun, Jae Yong</creatorcontrib><creatorcontrib>Park, Moon Suh</creatorcontrib><creatorcontrib>Yeo, Seung Geun</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Auris, nasus, larynx</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hah, Young Min</au><au>Kim, Sang Hoon</au><au>Jung, Junyang</au><au>Kim, Sung Su</au><au>Byun, Jae Yong</au><au>Park, Moon Suh</au><au>Yeo, Seung Geun</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prognostic value of the blink reflex test in Bell’s palsy and Ramsay-Hunt syndrome</atitle><jtitle>Auris, nasus, larynx</jtitle><addtitle>Auris Nasus Larynx</addtitle><date>2018-10</date><risdate>2018</risdate><volume>45</volume><issue>5</issue><spage>966</spage><epage>970</epage><pages>966-970</pages><issn>0385-8146</issn><eissn>1879-1476</eissn><abstract>This study was designed to evaluate the prognostic value of the blink reflex (BR) test in patients with Bell’s palsy (BP) or Ramsay Hunt syndrome (RHS).
The House–Brackmann (HB) grade of patients diagnosed with BP and RHS was determined at first visit and 3 months later. Final HB grade III–VI was defined as an incomplete recovery. Factors evaluated as prognostic of poor recovery included electroneurography (ENoG) degeneration rate (DR)>90%, and absence of BR. Rates of complete and incomplete recovery were calculated and the associations between prognostic factors and recovery were determined.
Of the 129 included patients, 98 (76%) had BP and 31 (24%) had RHS. Absence of BR and low mean ENoG value were significantly associated with incomplete recovery in both the BP and RHS groups (p<0.05 each). Initial HB grade V–VI was significantly associated with rate of incomplete recovery in patients with RHS (p<0.05 each). Severe residual palsy (final HB grade V–VI) in the absence of BR was significantly more frequent in patients with RHS than with BP (p<0.05).
BR test results were a good prognostic indicator in patients with BP and RHS, as were ENoG value. Absence of BR was more frequently associated with severe residual palsy in RHS than in BP.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>29402606</pmid><doi>10.1016/j.anl.2018.01.007</doi><tpages>5</tpages></addata></record> |
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| ispartof | Auris, nasus, larynx, 2018-10, Vol.45 (5), p.966-970 |
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| language | eng |
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| source | ScienceDirect Freedom Collection |
| subjects | Adult Bell Palsy - physiopathology Bell’s palsy Blink reflex test Blinking - physiology Female Herpes Zoster Oticus - physiopathology Humans Male Middle Aged Prognosis Ramsay Hunt syndrome Recovery of Function Severity of Illness Index Young Adult |
| title | Prognostic value of the blink reflex test in Bell’s palsy and Ramsay-Hunt syndrome |
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