Cochrane · systematic review · CD007468
Surgical interventions for the early management of Bell's palsy
Menchetti, I, McAllister, K, Walker, D, et al. · Cochrane Database of Systematic Reviews · 2021 · Cochrane Library
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
4
current version
GRADE rated
3
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 1 · 25%Very low 3 · 75%Low 0 · 0%Moderate 0 · 0%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Current version onlySurgery for Bell's palsy versus medical treatment (oral prednisolone) or no treatment
Population: Bell's palsy
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Complete recovery of facial nerve function at 12 months Defined as: complete recovery HB grade I. Surgery for Bell's palsy vs medical treatment (oral prednisolone) or no treatment | RR 0.76 | 2 studies · 57 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Side effects and complications of treatmentMeasured by clinical assessment Surgery for Bell's palsy vs medical treatment (oral prednisolone) or no treatment | no estimate extracted | 2 studies · 57 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Early surgery versus late surgery for Bell's palsy
Population: people with Bell's palsy
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Complete recovery of facial nerve function at 12 months Defined as: complete recovery HB grade I. Early surgery vs late surgery | RR 0.47 [0.03, 6.6] | 1 study · 26 participants | Very low Downgraded: risk of bias, imprecision |
Side effects and complications of treatmentMeasured by clinical assessment Early surgery vs late surgery | no estimate extracted | 1 study · 26 participants | Ungraded |
Surgery for Bell's palsy versus medical treatment (oral prednisolone) or no treatment
Population: Bell's palsy
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Recovery of facial nerve function at 12 months Surgery for Bell's palsy vs medical treatment (oral prednisolone) or no treatment | no estimate extracted | 2 studies · 69 participants | Very low Downgraded: risk of bias, imprecision, publication bias |
Side effects and complications of treatment clinical assessment Surgery for Bell's palsy vs medical treatment (oral prednisolone) or no treatment | no estimate extracted | 2 studies · 69 participants | Very low Downgraded: risk of bias, imprecision |
Surgery for Bell's palsy
Population: Bell's palsy
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Recovery of facial nerve function at 12 months | no estimate extracted | 2 studies · 69 participants | Very low Downgraded: risk of bias, imprecision, publication bias |
Side effects and complications of treatment clinical assessment | no estimate extracted | 2 studies · 69 participants | Very low Downgraded: risk of bias, imprecision |