TY - JOUR
T1 - Clinical practice guideline
T2 - Bell's Palsy executive summary
AU - Baugh, Reginald F.
AU - Basura, Gregory J.
AU - Ishii, Lisa E.
AU - Schwartz, Seth R.
AU - Drumheller, Caitlin Murray
AU - Burkholder, Rebecca
AU - Deckard, Nathan A.
AU - Dawson, Cindy
AU - Driscoll, Colin
AU - Gillespie, M. Boyd
AU - Gurgel, Richard K.
AU - Halperin, John
AU - Khalid, Ayesha N.
AU - Kumar, Kaparaboyna Ashok
AU - Micco, Alan
AU - Munsell, Debra
AU - Rosenbaum, Steven
AU - Vaughan, William
N1 - Funding Information:
Competing interests: Seth R. Schwartz, Cochlear Corporation research grant; Caitlin Murray Drumheller, salaried employee of AAO-HNSF; Colin Driscoll, surgeon advisor and board member for Cochlear Corporation, Advanced Bionics, MED-EL Corporation; M. Boyd Gillespie, grant support/consultant–sleep apnea for Gyrus-Olympus, Medtronic, Inspire Medical; John Halperin, stockholder in Abbott, Bristol Myers, Johnson & Johnson, Merck; expert witness in defending physicians in medical malpractice cases; editorial board, The Neurologist; Ayesha N. Khalid, Acclarent fellowship research training grant (2008-2009); Kaparaboyna Ashok Kumar, consultant, Southeast Fetal Alcohol Spectrum Disorders Training Center, Meharry Medical College, and speaker (teach hospitalist procedures), National Procedures Institute; Alan Micco, Speakers Bureau, Alcon Labs; Steven Rosenbaum, stockholder in Pfizer, Johnson & Johnson, GlaxoSmithKline, Sanofi, Celgene Corporation.
PY - 2013/11
Y1 - 2013/11
N2 - The American Academy of Otolaryngology - Head and Neck Surgery Foundation (AAO-HNSF) has published a supplement to this issue featuring the new Clinical Practice Guideline: Bell's Palsy. To assist in implementing the guideline recommendations, this article summarizes the rationale, purpose, and key action statements. The 11 recommendations developed encourage accurate and efficient diagnosis and treatment and, when applicable, facilitate patient follow-up to address the management of long-term sequelae or evaluation of new or worsening symptoms not indicative of Bell's palsy. There are myriad treatment options for Bell's palsy; some controversy exists regarding the effectiveness of several of these options, and there are consequent variations in care. In addition, there are numerous diagnostic tests available that are used in the evaluation of patients with Bell's palsy. Many of these tests are of questionable benefit in Bell's palsy. Furthermore, while patients with Bell's palsy enter the health care system with facial paresis/paralysis as a primary complaint, not all patients with facial paresis/paralysis have Bell's palsy. It is a concern that patients with alternative underlying etiologies may be misdiagnosed or have an unnecessary delay in diagnosis. All of these quality concerns provide an important opportunity for improvement in the diagnosis and management of patients with Bell's palsy.
AB - The American Academy of Otolaryngology - Head and Neck Surgery Foundation (AAO-HNSF) has published a supplement to this issue featuring the new Clinical Practice Guideline: Bell's Palsy. To assist in implementing the guideline recommendations, this article summarizes the rationale, purpose, and key action statements. The 11 recommendations developed encourage accurate and efficient diagnosis and treatment and, when applicable, facilitate patient follow-up to address the management of long-term sequelae or evaluation of new or worsening symptoms not indicative of Bell's palsy. There are myriad treatment options for Bell's palsy; some controversy exists regarding the effectiveness of several of these options, and there are consequent variations in care. In addition, there are numerous diagnostic tests available that are used in the evaluation of patients with Bell's palsy. Many of these tests are of questionable benefit in Bell's palsy. Furthermore, while patients with Bell's palsy enter the health care system with facial paresis/paralysis as a primary complaint, not all patients with facial paresis/paralysis have Bell's palsy. It is a concern that patients with alternative underlying etiologies may be misdiagnosed or have an unnecessary delay in diagnosis. All of these quality concerns provide an important opportunity for improvement in the diagnosis and management of patients with Bell's palsy.
KW - Bell's palsy
KW - facial nerve disorder
KW - facial nerve pathophysiology
KW - idiopathic facial nerve paralysis
KW - idiopathic facial nerve paresis
KW - otolaryngology
UR - http://www.scopus.com/inward/record.url?scp=84887415047&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84887415047&partnerID=8YFLogxK
U2 - 10.1177/0194599813506835
DO - 10.1177/0194599813506835
M3 - Article
C2 - 24190889
AN - SCOPUS:84887415047
SN - 0194-5998
VL - 149
SP - 656
EP - 663
JO - Otolaryngology - Head and Neck Surgery (United States)
JF - Otolaryngology - Head and Neck Surgery (United States)
IS - 5
ER -