{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T11:11:00Z","timestamp":1771931460620,"version":"3.50.1"},"reference-count":24,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T00:00:00Z","timestamp":1770768000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Neurol."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>In the present study, we aimed to evaluate the efficacy of steroid treatment on patients with severe refractory Bell\u2019s palsy in the recovery stage who had not been treated with steroids in the acute stage.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We performed a retrospective analysis of 122 patients with severe refractory Bell\u2019s palsy. These patients had a clinical course of 15\u201330\u202fdays, House-Brackmann (HB) grade \u2265 IV, and no history of steroid therapy. Of those, 65 patients who received steroid therapy after hospitalization were assigned to the steroid group and 57 patients who did not receive steroid therapy were assigned to the control group. Both groups received folic acid and mecobalamin, acupuncture, and mirror exercises as basic treatments. The primary outcome was the rate of grade I on the HB Grading Scale. The secondary outcome was the Sunnybrook Facial Grading system. All outcomes were assessed before treatment (baseline), at 2\u202fweeks of steroids treatment (2\u202fweeks), and at 8\u202fweeks after steroids treatment (10\u202fweeks).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The steroid group had a better recovery rate of facial-nerve function than the control group (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The use of steroids facilitate the recovery of severe refractory Bell\u2019s palsy in the recovery stage, who did not receive steroids in the acute stage.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fneur.2026.1760155","type":"journal-article","created":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T05:35:50Z","timestamp":1770788150000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Steroid administration facilitates recovery in severe refractory Bell\u2019s palsy patients who did not receive steroids in the acute stage: a retrospective study"],"prefix":"10.3389","volume":"17","author":[{"given":"Sha-Sha","family":"Ding","sequence":"first","affiliation":[{"name":"Department of Rehabilitation, Tianjin Nankai Hospital, Tianjin Medical University","place":["Tianjin, China"]},{"name":"Tianjin Key Laboratory of Acute Abdomen Disease Associated Organ Injury and ITCWM Repair","place":["Tianjin, China"]},{"name":"Institute of Integrative Medicine for Acute Abdominal Diseases","place":["Tianjin, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kai-Hua","family":"Song","sequence":"additional","affiliation":[{"name":"The First Clinical Medical College, Zhejiang Chinese Medical University","place":["Hangzhou, Zhejiang, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ying-Ying","family":"Zhang","sequence":"additional","affiliation":[{"name":"Children\u2019s Hospital, Zhejiang University School of Medicine","place":["Hangzhou, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fu","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Acupuncture and Moxibustion, The First Affiliated Hospital of Zhejiang Chinese Medical University","place":["Hangzhou, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Li-Hua","family":"Xuan","sequence":"additional","affiliation":[{"name":"Department of Acupuncture and Moxibustion, The First Affiliated Hospital of Zhejiang Chinese Medical University","place":["Hangzhou, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shou-Hai","family":"Hong","sequence":"additional","affiliation":[{"name":"Department of Acupuncture and Moxibustion, The First Affiliated Hospital of Zhejiang Chinese Medical University","place":["Hangzhou, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2026,2,11]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"S1","DOI":"10.1177\/0194599813505967","article-title":"Clinical practice guideline: bell\u2019s palsy","volume":"149","author":"Baugh","year":"2013","journal-title":"Otolaryngol Head Neck Surg"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"148","DOI":"10.7874\/jao.2017.00374","article-title":"Clinical characteristics of dizziness associated with acute peripheral facial palsy","volume":"22","author":"Song","year":"2018","journal-title":"J Audiol 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