Guo-Dong Liu1, Chun-Jing He. 1. Eighth Department, Research Institute of Surgery, Daping Hospital, Third Military Medical University , Chongqing.
Abstract
CONCLUSION:Stellate ganglion block (SGB) is effective for treatment of Bell's palsy in patients with diabetes mellitus. BACKGROUND:Corticosteroids are widely used for treatment of Bell's palsy in patients with diabetes mellitus but may induce complications like hyperglycemia, which calls for an alternative therapy. This study aimed to ascertain the effect of SGB on Bell's palsy in patients with diabetes mellitus. METHODS: This randomized and single-blinded clinical trial involved 96 diabetic patients with Bell's palsy that were randomly divided into a control group (n = 48) and a treatment group (SGB group, n = 48). The House-Brackmann scale and facial disability index (FDI, including FDIP and FDIS) were observed before treatment and at 1 and 3 months after treatment for assessment of the outcome. RESULTS: No statistically significant difference was found between the two groups before treatment as regards the House-Brackmann scale and FDI. There was a statistically significant difference in FDIP score in the two groups after treatment in comparison with before treatment. The FDIS score showed a statistical difference between the two groups after treatment.
RCT Entities:
CONCLUSION: Stellate ganglion block (SGB) is effective for treatment of Bell's palsy in patients with diabetes mellitus. BACKGROUND: Corticosteroids are widely used for treatment of Bell's palsy in patients with diabetes mellitus but may induce complications like hyperglycemia, which calls for an alternative therapy. This study aimed to ascertain the effect of SGB on Bell's palsy in patients with diabetes mellitus. METHODS: This randomized and single-blinded clinical trial involved 96 diabeticpatients with Bell's palsy that were randomly divided into a control group (n = 48) and a treatment group (SGB group, n = 48). The House-Brackmann scale and facial disability index (FDI, including FDIP and FDIS) were observed before treatment and at 1 and 3 months after treatment for assessment of the outcome. RESULTS: No statistically significant difference was found between the two groups before treatment as regards the House-Brackmann scale and FDI. There was a statistically significant difference in FDIP score in the two groups after treatment in comparison with before treatment. The FDIS score showed a statistical difference between the two groups after treatment.
Entities:
Keywords:
FDI; House-Brackmann scale; facial disability index
Authors: Deniz Demir; Sena Genç; Mehmet Güven; Mahmut Sinan Yılmaz; Ahmet Kara; Ünal Erkorkmaz Journal: J Int Adv Otol Date: 2020-04 Impact factor: 1.017