Role of Oral Steroid Alone Versus Oral Steroid Plus Intratympanic Steroid Injection in Bell's Palsy
Not Applicable
Not yet recruiting
- Conditions
- Bell Palsy
- Interventions
- Drug: Corticosteroid
- Registration Number
- NCT06213415
- Lead Sponsor
- Assiut University
- Brief Summary
intratympanic steroid injection bell's palsy
- Detailed Description
Role of oral steroid alone versus oral steroid plus intratympanic steroid injection in Bell's palsy
Recruitment & Eligibility
- Status
- NOT_YET_RECRUITING
- Sex
- All
- Target Recruitment
- 42
Inclusion Criteria
-
Mean Aged 18 years or more.
- Acute unilateral facial palsy without skin lesions which developed within a 72-hour period and is present for 21 days or less.
- Moderate to severe facial palsy [House-Brackmann grade IV or greater]
Exclusion Criteria
-
Another cause of facial nerve paralysis that is not idiopathic.
- Otologic disease including otitis media, temporal bone fracture, a previous history of facial nerve palsy in either side, history of otologic surgery, and suspected Ramsay Hunt syndrome.
- Systemic disease including history of tuberculosis, history of head and neck cancer, other neurological disorders, recent use of ototoxic medications, liver or renal dysfunction, and other illnesses that would contraindicate the use of high-dose steroid therapy.
- Pregnancy
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Oral steroids Corticosteroid Oral steroids only Oral steroids plus intratympanic injections Corticosteroid Oral steroids plus intratympanic injections
- Primary Outcome Measures
Name Time Method Success or failure of procedure to treat Bell's palsy 6 months Degree of regaining function to facial nerve Unit of measurement : nerve conduction study
Measurement tool :endoscopic injection by ear microscope
- Secondary Outcome Measures
Name Time Method