{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T18:27:50Z","timestamp":1785522470203,"version":"3.56.0"},"reference-count":24,"publisher":"Springer Science and Business Media LLC","issue":"8","license":[{"start":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T00:00:00Z","timestamp":1779321600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T00:00:00Z","timestamp":1779321600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100014801","name":"Ankara Y\u0131ld\u0131r\u0131m Beyaz\u0131t University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100014801","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur Arch Otorhinolaryngol"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Bell\u2019s palsy (BP) is an acute facial nerve disorder characterized by rapid-onset unilateral paralysis, in which inflammatory and immune-mediated processes are implicated. The Dietary Inflammatory Index (DII) quantifies the inflammatory potential of the diet and reflects systemic inflammatory burden. However, its association with BP has not been previously investigated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective case\u2013control study included 30 patients with newly diagnosed BP and 30 age- and sex-matched controls without a history of facial paralysis. Dietary intake was assessed using a validated food frequency questionnaire, and DII scores were calculated using standardized methodology. Group differences were analyzed using appropriate statistical tests. Multivariable logistic regression evaluated the association between DII and BP after adjustment for age, sex, and body mass index. Receiver operating characteristic (ROC) analysis assessed discriminatory performance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Patients with BP had significantly higher DII scores than controls (2.54\u2009\u00b1\u20091.86 vs. 1.18\u2009\u00b1\u20091.33;\u00a0\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.002). The BP group also exhibited higher intakes carbohydrates, total fat, saturated fat, monounsaturated fat, and sodium (all\u00a0\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01). Each 1-unit increase in DII score was independently associated with BP (adjusted OR\u2009=\u20091.70; 95% CI: 1.18\u20132.47;\u00a0\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.005). ROC analysis demonstrated moderate discriminatory ability (AUC\u2009=\u20090.753; 95% CI: 0.626\u20130.879).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Higher dietary inflammatory potential is associated with Bell\u2019s palsy, indicating a more pro-inflammatory dietary profile; however, causality cannot be inferred.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00405-026-10305-w","type":"journal-article","created":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T03:06:48Z","timestamp":1779332808000},"page":"5275-5282","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Association between dietary inflammatory index and Bell\u2019s palsy: a retrospective case\u2013control study"],"prefix":"10.1007","volume":"283","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4708-9749","authenticated-orcid":false,"given":"Burak","family":"Celik","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Basak","family":"Yalciner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,5,21]]},"reference":[{"key":"10305_CR1","doi-asserted-by":"publisher","first-page":"1896","DOI":"10.1007\/S00415-019-09282-4","volume":"267","author":"W Zhang","year":"2020","unstructured":"Zhang W, Xu L, Luo T, Wu F, Zhao B, Li X (2020) The etiology of Bell\u2019s palsy: a review. 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Ethics approval was obtained from the Ethics Committee of Bilkent City Hospital (Approval No: TABED 2-25-1362, Date: 06.08.2025).","order":1,"name":"Ethics","label":"Ethics statement","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Artificial intelligence tools were used solely for language editing and enhancement during the writing process of this manuscript; all data analysis, result interpretation, and scientific content development were conducted by the authors.","order":2,"name":"Ethics","label":"Statement on the use of generative artificial intelligence and AI-assisted technologies in the writing process","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors do not have any conflict of interest to declare.","order":3,"name":"Ethics","label":"Conflict of interest","group":{"name":"EthicsHeading","label":"Declarations"}}]}}