Clinical Features And Prognosis Of Idiopathic Facial Paralysis In Children

Objective: To retrospectively analyze the clinical features and related prognostic factors of children with Idiopathic facial paralysis(IFP).Methods: 214 cases of IPF children inpatients in the last 6 years were grouped according to gender,Age,season of onset,number of days before treatment,affected cheeks,laboratory tests,EEG,brainstem,imaging,and analyze the clinical features,etiological characteristics of pathogenic microorganisms,imaging features and related prognosis.Results: Of the 214 idiopathic facial paralysis patients hospitalized between 2012 and 2017,120 children with facial paralysis on the right,94 children with left facial paralysis;119 women and 95 males;5 of them relapsed once,1 patient relapsed 2 times,and 1 patient relapsed 3 times;12 patients had a family history of idiopathic facial nerve palsy;the age of onset was 1-3 years old,with no significant seasonal differences.The etiology of 214 children with idiopathic facial nerve palsy revealed that MP infection was about 42.1%(n=90),CP infection was about 6.5%(n=14),viral infection was about 25.7%(n=55),MP associated virus infection was approximately 27.8%(n=25),and P<0.05,suggesting that viral infection was accompanied by MP infection.A total of 179 cases completed head MRI and & or facial MRI,of which 53 cases were surrounded by small blood vessels around the facial nerve.Contrast measurements of the level of the lateral segment of the contralateral side of the affected side of the child,no significant difference(P>0.05);horizontal diameter of the facial nerve with children age increases gradually.153 cases of children improved routine EEG,of which 17 cases of routine electroencephalography in children prompted slower background rhythm,14 cases were reviewed after 1 week of normal,the other 3 cases were reviewed after 1 month of normal;follow-up of 72 cases of idiopathic facial paralysis children,86.1%(n=62)of the children had good prognosis in the 6th month,and the prognosis was not related to the age and the infection of the child,P>0.05,it was related to the number of days before the treatment(?7 days).P<0.05.Conclusions: There is no seasonal difference in idiopathic facial paralysis in children.The incidence of children(1-3 years old)is predominant.The prevalence of Mycoplasma pneumoniae,Epstein-Barr virus and parainfluenza virus in children is slightly higher than that of other pathogens detected.Mycoplasma pneumoniae was accompanied by a single virus infection.There was no significant difference in the facial nerve diameter between the affected side and the contralateral side of the facial nerve MRI,but the horizontal diameter of the facial nerve was gradually thickened with age;the prognosis has not related to the age of onset of the child,the type of infection,and is related to the number of days before treatment.The prognosis of receiving treatment within 1 week is bette.