Evidence map›Paper›PMID 35917018›Full record

SynthesisActa neurologica Belgica2022

Epidemiology, clinical features, and treatment modalities of facial nerve palsy in COVID-19 patients: a systematic review.

Aya Turki, Kirellos Said Abbas, Abdelrahman M Makram, Mostafa Elfert, Mahmoud Elmarabea, Nahla Ahmed El-Shahat, Hassan Abdalshafy, Akua Sampong, Sirisha Chintalapati, Nguyen Tien Huy

Open access · bronzeAbstract readSystematic Review
In one paragraph

Synthesis in Acta neurologica Belgica, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Facial Nerve Palsy Amid the SARS-CoV-2 Pandemic: A Pooled Analysis.Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale
    Pooled it
  2. Article
  3. Article
  4. Analytical review of facial nerve palsy following SARS-CoV-2 vaccination: comprehensive assessment.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2025
    Review
  5. Review
  6. Article
  7. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 7 institutions in 4 countries.

Aya Turki *Faculty of Medicine, Cairo University, Cairo, Egypt.ORCID http://orcid.org/0000-0002-3238-8463
Kirellos Said Abbas *Online Research Club (https://www.onlineresearchclub.org/), Nagasaki, Japan.ORCID http://orcid.org/0000-0003-0339-9339
Abdelrahman M Makram *Online Research Club (https://www.onlineresearchclub.org/), Nagasaki, Japan.ORCID http://orcid.org/0000-0003-2011-8092
Mostafa ElfertOnline Research Club (https://www.onlineresearchclub.org/), Nagasaki, Japan.ORCID http://orcid.org/0000-0002-8898-2998
Mahmoud ElmarabeaOnline Research Club (https://www.onlineresearchclub.org/), Nagasaki, Japan.ORCID http://orcid.org/0000-0002-3752-9317
Nahla Ahmed El-ShahatOnline Research Club (https://www.onlineresearchclub.org/), Nagasaki, Japan.ORCID http://orcid.org/0000-0002-6756-1764
Hassan AbdalshafyFaculty of Medicine, Cairo University, Cairo, Egypt.ORCID http://orcid.org/0000-0002-9298-6940
Akua SampongOnline Research Club (https://www.onlineresearchclub.org/), Nagasaki, Japan.ORCID http://orcid.org/0000-0003-3202-5053
Sirisha ChintalapatiOnline Research Club (https://www.onlineresearchclub.org/), Nagasaki, Japan.ORCID http://orcid.org/0000-0003-1330-3804
Nguyen Tien HuyOnline Research Club (https://www.onlineresearchclub.org/), Nagasaki, Japan. tienhuy@nagasaki-u.ac.jp.ORCID http://orcid.org/0000-0002-9543-9440
American University of the Caribbean School of Medicine · SXCairo University · EGTanta University · EGAl-Azhar University · EGAlexandria University · EGOctober 6 University · EGUniversity of Nagasaki · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCoronavirus disease 2019 (COVID-19) is responsible for a wide variety of multi-system clinical features. Facial nerve palsy (FNP) is identified as one of the neurological complications of the virus. This work aims to systematically review the clinical picture, laboratory/imaging findings, treatment options, and prognostic factors of FNP in COVID-19 patients.

methodsUsing six online databases, a search was conducted to include all articles with patients infected with COVID-19 and presenting with unilateral or bilateral FNP. Screening for eligibility and data extraction were done by three and four independent reviewers, respectively. Descriptive analyses and data visualizations were done using Google Sheets. Survival analysis and Kaplan-Meier plotting were done by R software.

resultsThe data from 22 studies included 32 patients who were infected with COVID-19 and presented with clinical features of FNP. Fourteen patients were male while 18 were female. FNP affected 29 patients unilaterally and 3 patients bilaterally. The imaging findings confirmed that complications of FNP were COVID-19 related. Additionally, antivirals combined with steroids had the lowest median time (21, IQR = 8) to clinical improvement compared to steroid-only (30, IQR = 15) and antiviral-only (33, IQR = 3.5) treatments.

conclusionThis study has shown a potential correlation between the increased incidence of FNP and COVID-19. We have also found that combining antivirals with steroids may have better outcomes in patients with FNP and COVID-19 although the evidence to support this claim is not strong enough. Further studies are required to assess the extent of linkage between the two conditions and how to properly manage FNP when encountered in COVID-19 patients.

Indexed as

Bell PalsyCOVID-19Facial ParalysisAntiviral AgentsFacial NerveFemaleHumansMaleRetrospective StudiesAntiviral AgentsCOVID-19Cranial nerve VII palsyFacial nerve palsySARS-CoV-2

Identifiers

PMID35917018
PMCPMC9345018
OpenAlexW4289523326

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.