Evidence map›Paper›PMID 40786204›Full record

ReviewMedicine and pharmacy reports2025

Effectiveness of steroids and antiviral agents in the treatment of Bell's palsy.

Christos Sialakis, Aikaterini Frantzana, Christos Iliadis, Peter Ouzounakis, Lambrini Kourkouta

Abstract readReview
In one paragraph

Review in Medicine and pharmacy reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Christos SialakisOtorhinolaryngology Private Practice, Thessaloniki, Greece.
Aikaterini FrantzanaSchool of Sciences, Department of Health Sciences, School of Medicine, European University Cyprus, Nicosia, Cyprus; George Papanikolaou General Hospital of Thessaloniki, Greece.
Christos IliadisPrivate Diagnostic Health Center, Thessaloniki, Greece.
Peter OuzounakisGeneral Hospital of Alexandroupoli, Greece.
Lambrini KourkoutaNursing Department, International University of Greece, Thessaloniki, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: This study aims to investigate the effectiveness of steroids plus antivirals versus steroids alone in the treatment of Bell's palsy. Due to conflicting results in the existing literature, we conducted this meta-analysis to synthesize the available evidence and extract a more complete conclusion. Methods: We searched electronic databases PubMed, CINAHL, ScienceDirect, MEDLINE, OVID, and Scopus. The last search was performed on March 2024. In this study, 7 randomized controlled trials were included. We used random and fixed effects for sensitivity analysis for each outcome, and we further proceeded to perform a Bayesian meta-analysis using priors and calculate the posterior distribution. Results: Performing frequentist meta-analysis, both the random and fixed effects showed statistical significance, indicating the superiority of the combination treatment. The random log odds ratio was 0.5865 [95% CI: 0.0141 to 1.1589 and the Back-Transform Log Odds Ratio to Odds Ratio was 1.798 [95% CI: 1.014 to 3.186]. The fixed effect log odds ratio was 0.4377 [95%CI: 0.0819 to 0.7934] and the Back-Transform Log Odds Ratio to Odds Ratio was 1.549 [95% CI:1.085 to 2.211]. Neither the rank correlation nor the regression test in both models indicated any funnel plot asymmetry and publication bias.Performing Bayesian meta-analysis, in the posterior distribution the model-averaged log odds ratio was 0.26 [0.00 to 0.90], showing no statistically significant results, as the log odds ratio contains the zero. The inclusion Bayes Factor (BF) for the effect was 1.225 showing anecdotal supporting evidence for the combination treatment. The inclusion BF for the heterogeneity was 0.979, showing no support for its existence in the analysis and the inclusion BF for the publication bias was 0.622, a lower of 1, indicating evidence of its absence in the analysis. Conclusions: The combination of steroids plus an antiviral agent, is more efficacious than steroid monotherapy in treating Bell's palsy. This conclusion is supported by frequentist analysis, but not by the Bayesian approach as the Bayesian meta-analysis was inconclusive, suggesting some uncertainty in the effect size but this could be due to priors influence. Further research with advanced syntheses such as network and Bayesian meta-analysis is needed as well as more double-blinded randomized controlled trials.

Indexed as

acyclovirantiviral agentsBell’s palsyfamcicloviridiopathic facial nerve paralysisprednisolonerandomized controlled trialrecoverysteroidsvalacyclovir

Identifiers

PMID40786204
PMCPMC12334240

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.