During the COVID-19 pandemic, the number of facial paralysis increased

Jul 17, 2024

Recently, a multicenter joint study has revealed that the risk of facial paralysis during the COVID-19 pandemic has increased.

According to the research team, the incidence of facial paralysis increased the most in elderly diabetics.

Facial paralysis is a disease in which the face is unable to move at will due to neurological dysfunction, and muscles are paralyzed, including Bell's palsy and Ramsay Hunt's syndrome. The exact cause of facial paralysis has not yet been identified, but it is known to be related to viral infection such as simple porcine virus. Recently, as facial paralysis has been reported as an early symptom of COVID-19 infection, interest in the association between the COVID-19 virus and facial paralysis has increased.

In response, a joint research team led by Lee Jong-dae and Lee Se-ah, an otolaryngologist at Soonchunhyang University Bucheon Hospital (Kak Min-young and Kim Jin, Lee Ho-yoon, an otolaryngologist at Ewha Womans University, Jeong Joon-hee, an otolaryngologist at Catholic University Bucheon St. Mary's Hospital, Jeong Jae-ho, an otolaryngologist at Hanyang University, and an otolaryngologist at Uijeongbu St. Mary's Hospital at Catholic University, Yeo Seung-geun and Kim Sang-hoon conducted a multicenter retrospective cohort study based on data from 943 patients treated for. The research team compared and analyzed the incidence, recovery, and recurrence rates of facial paralysis before and after the COVID-19 pandemic (2017-2019) (2020-2022).

As a result, the incidence of Bell's palsy has increased by about 8.3 percentage points from 75.3% before the COVID-19 pandemic to 83.6% since then. The full recovery rate decreased from 88.2% to 73.9%, and the recurrence rate increased from 2.9% to 7.5%. The average age of Bell palsy patients increased from 47 to 53 years and the proportion of patients with diabetes increased from 8.5% to 24.2%, indicating a significant increase in the risk of Bell palsy in elderly patients with diabetes. On the other hand, patients with Ramsay Hunt syndrome did not change significantly.

Professor Lee Jong-dae said, `This study suggests that the COVID-19 virus or vaccination may have directly or indirectly affected the onset of facial paralysis.' `Further research is needed to determine the association and pathological mechanism between COVID-19 and facial paralysis in the future.'

Meanwhile, the results of this study were published in the recent issue of the Journal of Korean Medical Science (IF: 3.0), an international academic journal of the Korean Society.



During the COVID-19 pandemic, the number of facial paralysis increased
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