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MEVSİMSEL FARKLILIKLARIN BELL’S PARALİZİSİ SIKLIĞI VE EVRESİ ÜZERİNDEKİ ETKİLERİ The Effect of Seasonal Changes on Frequency and Stage in Bell’s Palsy
2020
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ÖZET Amaç: Bu çalışmada Bell’s paralizisi (BP) geçiren hastaların House-Brackmann Skorlama (HBS) sistemine göre hastalık evrelerini değerlendirerek mevsimler arasında her hangi bir farklılığın olup olmadığını değerlendirmeyi amaçladık. Gereç ve Yöntem: Üçüncü basamak bir hastanenin Kulak Burun Boğaz polikliniklerinde muayeneleri yapılan ve BP olduğu tespit edilen, ağustos 2015- ağustos 2019 tarihleri arasında, 20- 80 yaş aralığında 222 hastanın verileri retrospektif olarak incelendi. HBS sistemine göre hastalık evreleri ve mevsimsel farklılıkları değerlendirildi. Bulgular: Çalışmamıza 105’ i (%47,3) kadın, 117’ si (%52,7) erkek olmak üzere toplam 222 hasta dâhil edildi. Hastaların ortalama yaşı 39,28±19,20 olarak tespit edildi. Çalışmamıza dâhil edilen hastalarda %36,5 ile en fazla 3. evrenin olduğu ve %13,9 oranında ise en az evre 2 olduğu belirlendi. Yapılan istatistiksel analizde mevsimsel farklılıklar ile evreler arasında anlamlı bir farklılığın olduğu görülmektedir (p<0.001). Sonbahar ve kış aylarında evre 4 ve evre 5 BP daha fazla görülmektedir. Sonuçlar: Sonuç olarak BP hastalık evresi mevsimsel farklılıklardan etkilenmektedir. Ayrıca ülkemizde bölgesel farklılıkların BP evresi üzerindeki etkinliği ile ilgili farklı bilimsel çalışmaların da yapılmasının literatüre katkı sağlayacağını düşünmekteyiz. Anahtar Kelimeler: Fasiyal paralizi Mevsimler Bell’s paralizisi ABSTRACT Aim: In this study, we aimed to investigate whether or not seasonal changes affected disease stages evaluated with House-Brackmann scoring (HBS) system in patients undergoing Bell’s palsy (BP). Materials and Methods: Data of 222 patients, between 20-80 years of age, who were examined and diagnosed with BP between August 2015 and August 2019 at a tertiary hospital Ears, Nose and Throat outpatient clinic were retrospectively evaluated. Grading according to HBS and seasonal changes were assessed. Results: A total of 222 patients, in which 105 were female and 117 were male, were included in the study. Mean patient age was 39.28±19.20 years. According to grading of the patients, most patients were Grade III (36.5%), while Grade II was least common (13.9%). According to statistical analysis, there was a significant difference between the grades based on seasonal changes. Grade IV and grade V were dominant in autumn and winter months. Conclusion: BP grading of disease ise affected by seasonal changes. In addition, we think that different scientific studies about the effect of regional differences on BP stage in our country will contribute to the literature. Keywords: Facial paralysis Seasons Bell’s palsy

Anahtar Kelimeler:

MEVSİMSEL FARKLILIKLARIN BELL’S PARALİZİSİ SIKLIĞI VE EVRESİ ÜZERİNDEKİ ETKİLERİ The Effect of Seasonal Changes on Frequency and Stage in Bell’s Palsy
2020
Yazar:  
Özet:

In this study, we aimed at assessing whether there is any difference between seasons by assessing the disease stages of patients with Bell's paralysis (BP) according to the House-Brackmann Scoring (HBS) system. Tools and Methods: The data of 222 patients in the age range of 20-80 years between August 2015 and August 2019 were examined retrospectively, which were examined in the clinics of a third stage of the hospital and found that it was BP. According to the HBS system, the disease stages and seasonal differences were assessed. Results: Our study included a total of 222 patients, including 105 (47.3%) women and 117 (52.7%) men. The average age of patients was 39.28±19.20. 36,5% of patients involved in our study. It was established that the universe was in stage 2, and that it was 13.9 percent. The statistical analysis found that there was a significant difference between seasonal differences and stages (p<0.001). In the autumn and winter months, stage 4 and stage 5 BP are seen more. Results: As a result, the stage of the disease of BP is affected by seasonal differences. We also believe that the conduct of various scientific studies on the effectiveness of regional differences on the BP stage in our country will contribute to literature. In this study, we aimed to investigate whether or not seasonal changes affected disease stages evaluated with House-Brackmann scoring (HBS) system in patients undergoing Bell's palsy (BP). Materials and Methods: Data of 222 patients, between 20-80 years of age, who were examined and diagnosed with BP between August 2015 and August 2019 at a tertiary hospital Ears, Nose and Throat outpatient clinic were retrospectively evaluated. Grading according to HBS and seasonal changes were assessed. Results: A total of 222 patients, in which 105 were female and 117 were male, were included in the study. Mean patient age was 39.28±19.20 years. According to the grading of the patients, most patients were Grade III (36.5%), while Grade II was least common (13.9%). According to statistical analysis, there was a significant difference between the degrees based on seasonal changes. Grade IV and Grade V were dominant in autumn and winter months. Conclusion: BP grading of disease is affected by seasonal changes. In addition, we think that different scientific studies about the effect of regional differences on BP stage in our country will contribute to the literature. Keywords: Facial paralysis; Seasons; Bell's palsy

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2020
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