In Reply We thank de Ru and Bayoumy for their comments regarding our article.1 We agree that a large proportion of patients with Bell palsy who have mild paralysis recover spontaneously, and that the combination of steroid and antiviral agents is more effective than steroids alone, particularly in patients with severe Bell palsy.2 Therefore, we appreciate the intention of de Ru and Bayoumy in their response to our article, as they have studied the outcomes of patients with Bell palsy treated with different methods.