Treatment for facial palsy

1968 ◽  
Vol 6 (7) ◽  
pp. 25-26
Keyword(s):  
Facial Nerve ◽  
Facial Palsy ◽  
Nerve Conduction ◽  
Conduction Block ◽  
Bell’S Palsy ◽  
Bell's Palsy ◽  
Facial Muscles ◽  
Nerve Conduction Block

There is controversy on the management of the idiopathic facial nerve palsies (Bell’s palsy). About two out of every three patients have a nerve conduction block alone and recover completely in less than one month.1 The rest develop denervation of the facial muscles to a varying degree and never recover completely. In addition, contracture of the facial muscles may occur, with severe disfigurement. About 10% of all patients with facial palsy have complete denervation and serious sequelae.2 Using electromyography3 and measurement of the anodal galvanic threshold4 an accurate prognosis can be given within the first week.

Prednisolone for idiopathic (bell’s) facial palsy

1973 ◽  
Vol 11 (18) ◽  
pp. 69-70
Keyword(s):  
Facial Nerve ◽  
Facial Palsy ◽  
Bell’S Palsy ◽  
Bell's Palsy ◽  
Facial Muscles ◽  
Oral Corticosteroids ◽  
Aberrant Regeneration

When we discussed facial palsy in 19681 corticotrophin therapy was advocated. Since then oral corticosteroids have been tried and this article discusses their efficacy. Permanent clinical denervation of the affected facial muscles occurs in about a third of patients after Bell’s palsy2 3 and leads to persistent weakness. Some of the patients develop associated movements, or very rarely crocodile tears, due to aberrant regeneration. The movements can be very distressing. The incidence and severity of permanent denervation is related both to the severity of the damage to the facial nerve and to the age of the patient. It is very common over the age of 70 years, but rare below the age of 10 years.

scholarly journals Nerve Conduction Study in Bell's Palsy

2017 ◽  
Vol 15 (1) ◽  
pp. 44-45
Author(s):  
Sanjib Kumar Shah ◽  
R. P. Kothari ◽  
S. D. Bassi
Keyword(s):  
Facial Nerve ◽  
Nerve Injury ◽  
Nerve Conduction Study ◽  
Nerve Conduction ◽  
Axonal Injury ◽  
Bell’S Palsy ◽  
Nerve Damage ◽  
The State ◽  
Bell's Palsy ◽  
Normal Side

 Background: Nerve conduction study (NCS) is an important electrophysiological tool that can be used for the measurement of the latency and amplitude of the facial nerve. The NCS helps in predicting the prognosis of patients with Bell's palsy. Evaluation of NCS of patients with Bell's palsy may have contribution in counselling and management of the patient. Objective: The study was aimed to study the state of nerve damage in patients with Bell's palsy. Methods: The latency and amplitude of facial nerve stimulating bilateral Orbicularis Oculi and Orbicularis Oris muscles were assessed and noted in 24 patients of Bell's palsy. Results: 15(62.5%) of the patients had significant axonal injury affecting one side and only 1(4.16%) patient had demyelinating injury. The total of 8(33.33%) patients had insignificant axonal injury of the facial nerve in comparision with the normal side. Conclusions: Nerve conduction study shows predominant axonal type of facial nerve injury in patients with Bell's palsy and hence provides valuable information regarding the prognosis and the state of nerve damage in patients with Bell's palsy.

The maximal stimulation and facial nerve conduction latency tests: Predicting the outcome of bell's palsy

1994 ◽  
Vol 104 (S1) ◽  
pp. 1-6 ◽  
Author(s):  
John M. Ruboyianes ◽  
Kedar K. Adour ◽  
David Q. Santos ◽  
Peter G. Von Doersten
Keyword(s):  
Facial Nerve ◽  
Nerve Conduction ◽  
Bell’S Palsy ◽  
Bell's Palsy ◽  
Maximal Stimulation

scholarly journals Intratemporal Facial Nerve Paralysis- A Three Year Study

2016 ◽  
Vol 24 (2) ◽  
pp. 94-99
Author(s):  
Anirban Ghosh ◽  
Sankar Prasad Bera ◽  
Somnath Saha
Keyword(s):  
Facial Nerve ◽  
Facial Palsy ◽  
Bell’S Palsy ◽  
Facial Nerve Paralysis ◽  
Bell's Palsy ◽  
Prospective Longitudinal Study ◽  
Nerve Paralysis ◽  
Excellent Outcome ◽  
Stapedial Reflex ◽  
Prospective Longitudinal

Introduction This study on intratemporal facial paralysis is an attempt to understand the aetiology of facial nerve paralysis, effect of different management protocols and the outcome after long-term follow-up. Materials and Methods A prospective longitudinal study was conducted from September 2005 to August 2008 at the Department of Otorhinolaryngology of a medical college in Kolkata comprising 50 patients of intratemporal facial palsy. All cases were periodically followed up for at least 6 months and their prognostic outcome along with different treatment options were analyzed. Result Among different causes of facial palsy, Bell’s palsy is the commonest cause; whereas cholesteatoma and granulation were common findings in otogenic facial palsy. Traumatic facial palsies were exclusively due to longitudinal fracture of temporal bone running through geniculate ganglion. Herpes zoster oticus and neoplasia related facial palsies had significantly poorer outcome. Discussion Otogenic facial palsy showed excellent outcome after mastoid exploration and facial decompression. Transcanal decompression was performed in traumatic facial palsies showing inadequate recovery. Complete removal of cholesteatoma over dehiscent facial nerve gave better postoperative recovery. Conclusion The stapedial reflex test is the most objective and reproducible of all topodiagnostic tests. Return of the stapedial reflex within 3 weeks of injury indicates good prognosis. Bell’s palsy responded well to conservative measures. All traumatic facial palsies were due to longitudinal fracture and 2/3rd of these patients showed favourable outcome with medical therapy.

Distribution of Facial Nerve Conduction Velocities in Patients with Bell’s Palsy

1994 ◽  
pp. 514-516 ◽  
Author(s):  
M. Aoyagi ◽  
O. Saito ◽  
H. Tojima ◽  
H. Maeyama ◽  
Y. Koike
Keyword(s):  
Facial Nerve ◽  
Nerve Conduction ◽  
Bell’S Palsy ◽  
Bell's Palsy ◽  
Conduction Velocities

scholarly journals Clinical Case of Facial Muscles Function Recovery in a Patient With Idiopathic Lesions of the Facial Nerve With Unfavorable Myographic Predictors

2021 ◽  
Vol 10 (1) ◽  
pp. 216-223
Author(s):  
K. I. Chekhonatskaya ◽  
L. B. Zavaliy ◽  
M. V. Sinkin ◽  
L. L. Semenov ◽  
G. R. Ramazanov ◽  
...  
Keyword(s):  
Facial Nerve ◽  
Clinical Case ◽  
Complete Recovery ◽  
Correct Choice ◽  
Clinical Situation ◽  
Bell’S Palsy ◽  
Negative Consequences ◽  
Bell's Palsy ◽  
Facial Muscles ◽  
Choice Of Treatment

The facial nerve (fn) palsy is a disease of the peripheral nervous system that leads to aesthetic, organic and functional disorders. The causes of the disease are different, the most common is the idiopathic form bell’s palsy. With a conservative approach to therapy, up to 80% of patients note the complete recovery of the lost functions of facial muscles, the others have the likelihood of severe consequences. Electroneuromyography is used to assess the risk of a negative outcome of the disease. In cases of confirmation of severe nerve damage, surgical treatment is suggested. The article presents a clinical case of complete recovery of the function of facial muscles in a patient with severe damage to the a nerve and an unfavorable prognosis. The course of the disease, complications of bell’s palsy and methods of their correction are described. Timely correct choice of treatment tactics and prevention of complications minimizes negative consequences. When working with a patient, a differentiated approach is important depending on the clinical situation.

scholarly journals Patients’ Profile Regarding Physiatric Management of Facial Palsy in a Tertiary Care Hospital

2018 ◽  
Vol 36 (1) ◽  
pp. 16-19
Author(s):  
Prasanta Kumar Chakraborty ◽  
Md Jahidul Islam ◽  
Md Shahadat Hossain ◽  
Md Nadimul Hasan ◽  
Md Nazmul Hasan Khandker ◽  
...  
Keyword(s):  
Nervous System ◽  
Facial Nerve ◽  
Facial Palsy ◽  
Tertiary Care ◽  
Bell’S Palsy ◽  
Care Hospital ◽  
Disease Group ◽  
Bell's Palsy ◽  
Disease Pattern ◽  
Therapy Strategies

Introduction: Facial palsy is commonly treated by various physical therapy strategies and devices, but there are many questions about the profile of patients with facial nerve palsy. The aim of the study was to outline profile of patients with facial palsy receiving Physiatric management.Materials and Methods: A retrospective hospital recordsbased study was carried out at the department of Physical Medicine and Rehabilitation (PMR) in National Institute of Neurosciences and Hospital (NINS&H), Dhaka for the period of two year from 1st July 2013 to 30th June 2015.Results: Total 5240 patients were studied, of which 58.87% were male and 41.13% were female. Maximum patients Journal of Bangladesh College of Physicians and Surgeons Vol. 36, No. 1, January 2018 (26.58%) belong to 31-40 years of age. Maximum patients (72.36%) came from Dhaka city and most of the studied patients were housewife (31.68%). Largest disease group was Bell’s palsy (56.2%). Regarding disease pattern, 61.18% of patients peripheral nervous system (PNS) and 38.82% central nervous system (CNS) condition. Among etiologies of Facial palsy, 56.2% Bell’s palsy, 36.95% stroke, 3.40% Guillain-Barre’ syndrome, 2% traumatic, 0.52% were Ramsay-Hunt syndrome.Conclusion: Profile of patients should be considered for Physiatric management of Facial nerve palsy.J Bangladesh Coll Phys Surg 2018; 36(1): 16-19

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