Premium
Bell's palsy: The steroid controversy revisited
Author(s) -
Burgess Lawrence P. A.,
Yim Donald W. S.,
Lepore Michael L.
Publication year - 1984
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1288/00005537-198411000-00016
Subject(s) - bell's palsy , palsy , medicine , series (stratigraphy) , psychology , pediatrics , alternative medicine , pathology , biology , paleontology
The treatment of Bell's palsy with steroids is controversial. Several series of patients have shown steroids to be beneficial to a statistically significant degree; however, their experimental design was of poor quality and made this data less clinically valuable. The negative trials showing no benefit with steroids did not examine enough patients to have a chance to show a clinically important difference. These series must be considered as partially completed studies and not as conclusive negative trials. A Type I error analysis is the accepted method of statistically analyzing the data of these trials. After reviewing the evidence, it becomes clear that further scientific research is needed.