Friday 14 February 2014

Bell's Palsy

Evidence Based Reports

Hyperbaric oxygen therapy for Bell's palsy (2012)[Cochrane] NEW

Physical therapy for Bell´s palsy (idiopathic facial paralysis)(2011)[Cochrane]

Bell's Palsy (2010) [Clinical Evidence] Athens Log-in required

Acupuncture for Bell's palsy (2010) [Cochrane]

Antivirals for Bell's Palsy (2010)[theNNT]

Steroids for Bell's Palsy (2010)[theNNT]

A randomised controlled trial of the use of aciclovir and/or prednisolone for the early treatment of Bell's palsy: the BELLS study (2009)[NCCHTA]

Antiviral treatment for Bell's palsy (idiopathic facial paralysis) (2009)[Cochrane]

The benefits of steroids versus steroids plus antivirals for treatment of Bell's palsy: a meta-analysis (2009)[DARE]

Combined corticosteroid and antiviral treatment for bell palsy: a systematic review and meta-analysis (2009)[DARE]

Corticosteroids for Bell's palsy (idiopathic facial paralysis) (2008) [Cochrane]

Do we need to give steroids in children with bell's palsy? (2005) [BestBETS]


Clinical Guidelines

Bell's Palsy (2012)[CKS] updated


Recent articles in core journals

Steroid-antiviral treatment improves the recovery rate in patients with severe Bell's palsy (2013) [Am J Med] NEW

The benefits of steroids versus steroids plus antivirals for treatment of Bell's palsy: a meta-analysis (2009) [BMJ]

Combined corticosteroid and antiviral treatment for Bell palsy: a systematic review and meta-analysis (2009)[JAMA]

Economic evaluation of early administration of prednisolone and/or aciclovir for the treatment of Bell`s palsy (2009) [EvidenceUpdates]

Bell's palsy: diagnosis and management (2007) [Am Fam Physician]

Bell's palsy: a review of treatment using antiviral agents (2006) [Ann Pharmacotherapy]

Managing Bell's palsy (2006) [Drug Ther Bull]


eTextbooks

Bell's palsy: diagnosis and treatment (2010) [BMJ Learning]


Clinical Queries

What are the chances of a patient presenting in the UK with Ball’s Palsy having Lyme disease? Should anyone presenting with Bell’s Palsy have serology for Lyme disease (2010) [ATTRACT]

Is there any evidence of any therapy to improve a residual facial weakness following Bell's palsy in a 45 yr old woman who was treated with steroids and aciclovir on presentation 6 months ago? (2009) [ATTRACT]


Patient Information

Bell's palsy (2012)[NHS Choices] updated

Bell's Palsy (2012) [BUPA Health Information] updated


Important

1. If you are a Welsh Primary Care Professional with a clinical query send it to ATTRACT online or email us at questions@attract.wales.nhs.uk or call 01495 332343.
2. If you would like to comment on this CME topic, or suggest a new topic for ATTRACTcme, go to the comments hyperlink below.

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