Güneş Selçuk, Çelik Mustafa, Çolak Ceylan, Olgun Burak
Department of Otorhinolaryngology - Head and Neck Surgery.
Department of Radiology, Bakirköy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey.
J Craniofac Surg. 2018 Jun;29(4):e362-e365. doi: 10.1097/SCS.0000000000004350.
The aim is to investigate the impact of degree of mastoid pneumatization on the affected side of Bell palsy (BP).
Retrospective study in tertiary academic hospital.
In total, 52 patients who were diagnosed with as BP were included in the study. Each patient was staged using House-Brackmann (HB) staging system. All patients underwent temporal bone computed tomography imaging. House-Brackmann scores, side of the BP, and mastoid pneumatization of all of patients were evaluated in the present study.
Regarding the degree of the mastoid pneumatization, there were no significant differences between the affected side and the unaffected side (P = 0.439). The degree of the mastoid pneumatization of the affected side and the unaffected side did not differ between males and females (P = 0.918 for the affected side, P = 0.765 for the unaffected side, respectively). A negative correlation between the age and mastoid pneumatization of each side was found (P = 0.001, P = 0.025, respectively). There was no significant correlation between HB score and the degree of the mastoid pneumatization of each side (P = 0.789, P = 0.703).
As a conclusion, the degree of the mastoid pneumatization is not one of the risk factors for BP. Further randomized studies with larger numbers of patients are needed to confirm these findings.
旨在研究乳突气化程度对贝尔面瘫(BP)患侧的影响。
在三级学术医院进行的回顾性研究。
本研究共纳入52例被诊断为BP的患者。每位患者均采用House - Brackmann(HB)分期系统进行分期。所有患者均接受颞骨计算机断层扫描成像。本研究评估了所有患者的House - Brackmann评分、BP患侧以及乳突气化情况。
关于乳突气化程度,患侧与未患侧之间无显著差异(P = 0.439)。患侧和未患侧的乳突气化程度在男性和女性之间无差异(患侧P = 0.918,未患侧P = 0.765)。发现每侧的年龄与乳突气化之间呈负相关(分别为P = 0.001,P = 0.025)。HB评分与每侧乳突气化程度之间无显著相关性(P = 0.789,P = 0.703)。
总之,乳突气化程度不是BP的危险因素之一。需要进一步进行更大规模患者的随机研究来证实这些发现。