{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T10:46:31Z","timestamp":1777632391074,"version":"3.51.4"},"reference-count":18,"publisher":"Cambridge University Press (CUP)","issue":"10","license":[{"start":{"date-parts":[[2020,10,1]],"date-time":"2020-10-01T00:00:00Z","timestamp":1601510400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2020,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215120002121_sec_a1\"><jats:title>Objective<\/jats:title><jats:p>An increase in spontaneous lower motor neuron facial nerve (VIIth cranial nerve) palsies was seen during the severe acute respiratory syndrome coronavirus 2 outbreak in our emergency clinic. This led us to perform a single-centre cohort review.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215120002121_sec_a2\" sec-type=\"methods\"><jats:title>Methods<\/jats:title><jats:p>A retrospective review was conducted of VIIth cranial nerve palsies from January to June 2020 and the findings were compared to those cases reviewed in the previous year. The severe acute respiratory syndrome coronavirus 2 incidence of the cohort was compared with that of the Liverpool population.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215120002121_sec_a3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>Our VIIth cranial nerve palsy incidence in the 2020 period was 3.5 per cent (30 out of 852), 2.7 higher than last year's rate of 1.3 per cent (14 out of 1081), which was a statistically significant difference (<jats:italic>p<\/jats:italic> &lt; 0.01). Two of the 17 patients in our cohort tested positive for severe acute respiratory syndrome coronavirus 2 (11.8 per cent), contrasting with Liverpool's severe acute respiratory syndrome coronavirus 2 incidence (0.5 per cent).<\/jats:p><\/jats:sec><jats:sec id=\"S0022215120002121_sec_a4\" sec-type=\"conclusions\"><jats:title>Conclusion<\/jats:title><jats:p>Severe acute respiratory syndrome coronavirus 2 may be responsible for an increased number of facial nerve palsies; it is important for clinicians to be aware that this may being an initial presentation of the disease.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215120002121","type":"journal-article","created":{"date-parts":[[2020,10,1]],"date-time":"2020-10-01T06:31:00Z","timestamp":1601533860000},"page":"905-908","source":"Crossref","is-referenced-by-count":28,"title":["A rise in facial nerve palsies during the coronavirus disease 2019 pandemic"],"prefix":"10.1017","volume":"134","author":[{"given":"M","family":"Zammit","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Markey","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C","family":"Webb","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2020,10,1]]},"reference":[{"key":"S0022215120002121_ref18","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2017.03.051"},{"key":"S0022215120002121_ref3","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(20)30221-0"},{"key":"S0022215120002121_ref5","doi-asserted-by":"publisher","DOI":"10.1001\/jamaneurol.2020.1127"},{"key":"S0022215120002121_ref17","doi-asserted-by":"publisher","DOI":"10.1007\/s00415-019-09282-4"},{"key":"S0022215120002121_ref11","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMc2009191"},{"key":"S0022215120002121_ref7","unstructured":"7 Public Health England. Coronavirus (COVID-19) in the United Kingdom. In: https:\/\/coronavirus-staging.data.gov.uk\/cases [25 July 2020]"},{"key":"S0022215120002121_ref12","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000009619"},{"key":"S0022215120002121_ref8","unstructured":"8 United Kingdom's Office for National Statistics. Population estimates for the UK, England and Wales, Scotland and Northern Ireland: mid-2019, using April 2020 local authority district codes. In: https:\/\/www.ons.gov.uk\/peoplepopulationandcommunity\/populationandmigration\/populationestimates\/datasets\/populationestimatesforukenglandandwalesscotlandandnorthernireland [25 July 2020]"},{"key":"S0022215120002121_ref2","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(20)30120-1"},{"key":"S0022215120002121_ref9","doi-asserted-by":"publisher","DOI":"10.7573\/dic.2020-5-1"},{"key":"S0022215120002121_ref16","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000009863"},{"key":"S0022215120002121_ref1","doi-asserted-by":"publisher","DOI":"10.1111\/dth.13591"},{"key":"S0022215120002121_ref10","doi-asserted-by":"publisher","DOI":"10.1016\/j.bbi.2020.03.031"},{"key":"S0022215120002121_ref14","doi-asserted-by":"publisher","DOI":"10.5811\/cpcem.2020.6.48683"},{"key":"S0022215120002121_ref4","article-title":"Neurological manifestations of patients with COVID-19: potential routes of SARS-CoV-2 neuroinvasion from the periphery to the brain","author":"Li","year":"2020","journal-title":"Front Med"},{"key":"S0022215120002121_ref6","first-page":"447","article-title":"Bell's palsy","volume":"23","author":"Reich","year":"2017","journal-title":"Continuum (Minneap Minn)"},{"key":"S0022215120002121_ref15","article-title":"Coronavirus 2019 complicated with Bell's palsy: a case report","author":"Wan","year":"2020","journal-title":"Research Square"},{"key":"S0022215120002121_ref13","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocn.2020.04.062"}],"container-title":["The Journal of Laryngology &amp; Otology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0022215120002121","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,3,10]],"date-time":"2021-03-10T09:02:27Z","timestamp":1615366947000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215120002121\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,10]]},"references-count":18,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2020,10]]}},"alternative-id":["S0022215120002121"],"URL":"https:\/\/doi.org\/10.1017\/s0022215120002121","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,10]]}}}