PMID: 2115651Jun 1, 1990Paper

Practical management of Bell's palsy

Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
G B Hughes

Abstract

Bell's palsy is an acute unilateral weakness or paralysis of the face resulting from peripheral facial nerve dysfunction. While there is no readily identifiable cause, there is some recovery of function within 6 months. This article offers practical guidelines for diagnosing and treating Bell's palsy. These guidelines are based on the author's experience with 63 patients over the last 8 years. Physical examination should reveal diffuse nerve involvement, normal otoscopic findings, and no skin blebs or blisters and parotid masses. Other cranial nerve palsies may be present. Diagnostic testing should include basic audiometry if available, and computed tomography or magnetic resonance imaging scanning if paralysis is present. Facial photography is recommended. Topognostic testing is not helpful because it no longer guides the surgical approach, and prognostic tests are not necessary if the face is not paralyzed. The only sufficiently sensitive test to determine the need for possible surgery is electroneurography. Eye care is critical in all but the mildest cases, and steroids may also be helpful. Surgery is rarely needed and should consist only of middle fossa total decompression; simple decompression of the tympanic and mastoid s...Continue Reading

References

Dec 1, 1986·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·G B HughesH M Tucker
Apr 1, 1985·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·J W House, D E Brackmann
Jun 1, 1980·Archives of Otolaryngology·U Fisch
Dec 1, 1983·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·J A Stankiewicz
Jul 1, 1982·American Journal of Otolaryngology·B J GantzU Fisch
Jan 1, 1981·Archives of Otolaryngology·U Fisch

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Citations

Jul 1, 1999·Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India·A K Bhattacharyya, S Ghosh
Apr 11, 1997·International Journal of Pediatric Otorhinolaryngology·W W QiuD K Hoasjoe
Aug 12, 1999·The Laryngoscope·B J GantzG G Woodworth
Aug 19, 2011·Annals of Indian Academy of Neurology·J M K Murthy, Amrit B Saxena
Oct 1, 1995·Behavioral Science·C Webster
Dec 4, 2019·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Hyo Geun ChoiJiwon Chang
Mar 10, 2001·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·N YanagiharaN Honda
Feb 9, 2010·Clinical Pediatrics·Josef ShargorodskyQuinton Gopen
Aug 1, 1991·Postgraduate Medicine·G J Petruzzelli, B E Hirsch
Dec 23, 2009·The Journal of Laryngology and Otology·H E ChaJ H Lee
Dec 11, 1999·Pediatric Neurology·E UnüvarA Kiliç
Nov 1, 1994·American Journal of Otolaryngology·S H Selesnick, A Patwardhan
May 1, 1997·Emergency Medicine Clinics of North America·J A Pfaff, G P Moore
Jul 30, 2021·Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·Mark ObermannUta Haeberle
Jun 1, 1993·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·M R PapazianS Nabi

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