{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T19:15:12Z","timestamp":1767899712097,"version":"3.49.0"},"reference-count":19,"publisher":"Cambridge University Press (CUP)","issue":"8","license":[{"start":{"date-parts":[[2021,5,12]],"date-time":"2021-05-12T00:00:00Z","timestamp":1620777600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215121001353_sec_a1\"><jats:title>Background<\/jats:title><jats:p>Bell's palsy is a lower motor neurone facial weakness of unknown aetiology, although reactivation of a virus within the facial nerve has been proposed.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215121001353_sec_a2\" sec-type=\"methods\"><jats:title>Methods<\/jats:title><jats:p>A prospective study was conducted of Bell's palsy cases presenting to our paediatric ENT unit over a 19-week period, from February to June 2020. Patients were invited for severe acute respiratory syndrome coronavirus-2 antibody testing. A text-message questionnaire was sent to other ENT centres to determine their observational experience.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215121001353_sec_a3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>During the study period, 17 children presented with Bell's palsy, compared with only 3 children in the same time period in the previous year (<jats:italic>p<\/jats:italic> &lt; 0.0001). Five patients underwent severe acute respiratory syndrome coronavirus-2 antibody testing, the results of which were all negative. Four out of 15 centres questioned perceived an increased incidence in paediatric Bell's palsy.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215121001353_sec_a4\" sec-type=\"conclusions\"><jats:title>Conclusion<\/jats:title><jats:p>Clinicians are encouraged to be vigilant to the increase in paediatric Bell's palsy seen during the coronavirus disease 2019 pandemic, which may represent a post-viral sequela of coronavirus disease 2019.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215121001353","type":"journal-article","created":{"date-parts":[[2021,5,12]],"date-time":"2021-05-12T03:46:41Z","timestamp":1620791201000},"page":"668-670","source":"Crossref","is-referenced-by-count":9,"title":["Increased incidence of idiopathic paediatric facial palsy during the coronavirus disease 2019 pandemic"],"prefix":"10.1017","volume":"135","author":[{"given":"E S","family":"Hogg","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T","family":"Hampton","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"I","family":"Street","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R","family":"Clarke","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K","family":"Wright","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S","family":"De","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S D","family":"Sharma","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2021,5,12]]},"reference":[{"key":"S0022215121001353_ref13","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMc2009191"},{"key":"S0022215121001353_ref11","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000009863"},{"key":"S0022215121001353_ref19","doi-asserted-by":"publisher","DOI":"10.1038\/s41590-020-00826-9"},{"key":"S0022215121001353_ref1","first-page":"77","article-title":"Bells palsy in children \u2013 a review","volume":"3","author":"Khan","year":"2011","journal-title":"J Pediatr Sci"},{"key":"S0022215121001353_ref7","unstructured":"7 Health Research Authority. 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