Recurrent Bell's Palsy; A Clinical Evaluation.

The incidence and prognosis of recurrent Bell's palsy were examined in a total of 418 patients with Bell's palsy. Bell's palsy was recurrent in 6.5%, 3.1% unilateral, and 1.7% bilateral alternating. The age at the first attack in patients with three or more recurrent palsies was significantly younger than that in those with non-recurrent palsy or with two attacks. The patients with two or more attacks had a worse prognosis than did those with no recurrence or a first recurrence. The stapedial reflex was of prognostic value in patients with both non-recurrent and recurrent palsies. However, the ENoG and NET examinations were not useful in the prediction of the prognosis of recurrent facial palsy.

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