Pyarali Maheen, Adeel Maira, Nawaz Ahmad, Uneeb Saher, Fazal Dad Ayesha-Bibi, Amir Saniya
Department of Otorhinolaryngology-Head and Neck Surgery.
Liaquat National Hospital, Karachi, Pakistan.
Iran J Otorhinolaryngol. 2024 Jul;36(4):527-535. doi: 10.22038/IJORL.2024.69721.3364.
Bell's palsy is one of the most concerning complications of the COVID vaccine that has impacted vaccine acceptance among the general population. These vaccines were introduced to provide immunity against the SARS-CoV-2 coronavirus and have been found to be quite effective. Little did we know that Bell's palsy could be one of its serious complications.
We used various search engines to gather data in the form of a case series and case reports related to patients who were affected by the vaccine and had developed Bell's palsy.
A total of eleven case reports and 4 case series were included in the analysis. The vaccines mentioned in the case reports were Pfizer, Moderna, Sinovac, AstraZeneca, and Janssen, while the case series included Pfizer and Sinovac. The majority of patients were female and aged between 31-40 years. Right-sided laterality was observed in 45.45% of patients, left-sided laterality in 45.45% of patients, and bilateral laterality in 9.1% of patients. Three patients had a history of Bell's palsy or stroke. After treatment, three patients showed partial improvement, six patients fully recovered, and the status of two patients was unknown.
Bell's palsy is a rare complication that can occur after receiving the COVID-19 vaccine. This review aims to increase awareness about this rare adverse event of the vaccine so that it can be properly addressed and managed. Additionally, it will serve as a foundation for future research on the administration of the COVID-19 vaccine.
贝尔氏面瘫是新冠疫苗最令人担忧的并发症之一，影响了普通民众对疫苗的接受度。这些疫苗旨在提供针对严重急性呼吸综合征冠状病毒2（SARS-CoV-2）的免疫力，并且已被证明相当有效。我们几乎不知道贝尔氏面瘫可能是其严重并发症之一。
我们使用了各种搜索引擎，以病例系列和病例报告的形式收集与受疫苗影响并患上贝尔氏面瘫的患者相关的数据。
分析共纳入了11份病例报告和4个病例系列。病例报告中提及的疫苗有辉瑞、莫德纳、科兴、阿斯利康和杨森，而病例系列包括辉瑞和科兴。大多数患者为女性，年龄在31至40岁之间。45.45%的患者为右侧面瘫，45.45%的患者为左侧面瘫，9.1%的患者为双侧面瘫。3名患者有贝尔氏面瘫或中风病史。治疗后，3名患者部分改善，6名患者完全康复，2名患者的状况未知。
贝尔氏面瘫是接种新冠疫苗后可能出现的罕见并发症。本综述旨在提高对这种罕见疫苗不良事件的认识，以便能够妥善处理和管理。此外，它将为未来新冠疫苗接种的研究奠定基础。
