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We hypothesize that FNP is a potentially unique sequalae associated with COVID\u201019 infections.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A systematic review of PubMed\u2010Medline, OVID Embase, and Web of Science databases from inception to November 2021 was conducted following the Preferred Reporting Items for Systematic Reviews and Meta\u2010Analyses guidelines.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>This search identified 630 studies with 53 meeting inclusion criteria. This resulted in 72 patients, of which 30 (42%) were diagnosed with Guillain\u2010Barr\u00e9 Syndrome (GBS). Non\u2010GBS patients were on average younger (36 vs. 53\u2009years) and more likely to present with unilateral FNP (88%) compared to GBS patients who presented predominantly with bilateral FNP (74%). Among non\u2010GBS patients, majority (70%) of FNP presented a median of 8 [IQR 10] days after the onset of initial COVID\u201019 symptom(s). Treatment for non\u2010GBS patients consisted of steroids (60%), antivirals (29%), antibiotics (21%), and no treatment (21%). Complete FNP recovery in non\u2010GBS patients was achieved in 67% patients within a median of 11 [IQR 24] days.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>FNP is a possible presentation post COVID\u201019 infections, associated with both GBS and non\u2010GBS patients. Although no causation can be assumed, the clinical course of isolated FNP associated with COVID\u201019 raises the possibility of a unique presentation differing from Bell's palsy, seen with higher proportion of patients developing bilateral FNP and a shorter duration to complete recovery. <jats:italic>Laryngoscope<\/jats:italic>, 133:1007\u20131013, 2023<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.30333","type":"journal-article","created":{"date-parts":[[2022,8,8]],"date-time":"2022-08-08T11:43:21Z","timestamp":1659959001000},"page":"1007-1013","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":28,"title":["Facial Nerve Paralysis and <scp>COVID<\/scp>\u201019: A Systematic Review"],"prefix":"10.1002","volume":"133","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6719-4589","authenticated-orcid":false,"given":"Amirpouyan","family":"Namavarian","sequence":"first","affiliation":[{"name":"Department of Otolaryngology Head and 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