{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T06:05:29Z","timestamp":1789538729317,"version":"build-2803163510"},"reference-count":17,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T00:00:00Z","timestamp":1789084800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T00:00:00Z","timestamp":1789084800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Nearly half of the acquired cases of peripheral facial nerve palsy (PFNP) are of unknown aetiology, a condition termed Bell's palsy (BP). PFNP in children can often be associated with acute otitis media (OM). Differences between the clinical course and prognosis in OM\u2010associated PFNP (OM\u2010PFNP) and BP in children are not well characterised.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Retrospective review of hospitalised children in a tertiary care children's hospital due to non\u2010traumatic and non\u2010surgery associated with PFNP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Out of 177 children hospitalised with facial nerve palsy, 46 were excluded. A total of 131 cases of PFNP were included in the study, 80 with OM\u2010PFNP and 51 with BP. Children with OM\u2010PFNP were younger at presentation (38.8\u2009\u00b1\u200950.4 vs. 96.6\u2009\u00b1\u200974.7\u2009months,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), presented more frequently during the winter months (32.5% vs. 25.5%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05), and had a higher CRP value [median (IQR): 1.3 (0.18\u20134.2) vs. 0 (0\u20130)\u2009mg\/dL,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.005]. There was no significant difference in the rate of use of systemic corticosteroids (87.5% vs. 84.9%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.87). Four children with OM\u2010PFNP (and none of the BP group) had an additional underlying pathology.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Children with OM\u2010PFNP are younger at presentation and should be assessed for the presence of a significant associated middle ear\/petrous bone pathology.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jpc.70585","type":"journal-article","created":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T02:18:37Z","timestamp":1789179517000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Paediatric Peripheral Facial Nerve Palsy\u2010The Role of Ear Pathology"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-3024-5435","authenticated-orcid":false,"given":"Tal","family":"Cozacov","sequence":"first","affiliation":[{"name":"Pediatrics Department B Schneider Children's Medical Center of Israel  Petach Tikva Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1653-8863","authenticated-orcid":false,"given":"Shiri","family":"Cooper","sequence":"additional","affiliation":[{"name":"Pediatrics Department B Schneider Children's Medical Center of Israel  Petach Tikva Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoav","family":"Vardy","sequence":"additional","affiliation":[{"name":"Pediatrics Department B Schneider Children's Medical Center of Israel  Petach Tikva Israel"},{"name":"Faculty of Medicine Tel Aviv University  Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vered","family":"Hoffer","sequence":"additional","affiliation":[{"name":"Pediatrics Department B Schneider Children's Medical Center of Israel  Petach Tikva Israel"},{"name":"Faculty of Medicine Tel Aviv University  Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5841-6664","authenticated-orcid":false,"given":"Yoel","family":"Levinsky","sequence":"additional","affiliation":[{"name":"Pediatrics Department B Schneider Children's Medical Center of Israel  Petach Tikva Israel"},{"name":"Faculty of Medicine Tel Aviv University  Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Ulanovski","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Tel Aviv University  Tel Aviv Israel"},{"name":"Pediatric Otolaryngology Unit Schneider Children's Medical Center of Israel  Petach Tikva Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eyal","family":"Raveh","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Tel Aviv University  Tel Aviv Israel"},{"name":"Pediatric Otolaryngology Unit Schneider Children's Medical Center of Israel  Petach Tikva Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5567-4083","authenticated-orcid":false,"given":"Oded","family":"Scheuerman","sequence":"additional","affiliation":[{"name":"Pediatrics Department B Schneider Children's Medical Center of Israel  Petach Tikva Israel"},{"name":"Faculty of Medicine Tel Aviv University  Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6347-7891","authenticated-orcid":false,"given":"Daniel","family":"Landau","sequence":"additional","affiliation":[{"name":"Pediatrics Department B Schneider Children's Medical Center of Israel  Petach Tikva 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