Please enable JavaScript.
Coggle requires JavaScript to display documents.
Bell’s Palsy 🛎 Most Common cause of Facial Paralysis (Clinical Features…
Bell’s Palsy 🛎
Most Common cause of
Facial Paralysis
Acute , Idiopathic Paresis / Palsy of Facial Nerve
⬆️Age
Diabetics
Pregnancy 🤰
Etiology
Viral Infection
Herpes Zoster
Herpes Simplex
Epstein Barr Virus
Vascular Ischemia due to Coo / Emotional Stress
➡️ Ischemic Neuropathy
Heredity ➡️ Narrow FALLOPIAN / Facial Canal
➡️ Nerve Compression
Autoimmune Diseases
Clinical Features
Sudden Onset
Unable to Close the eyes 👀 & Attempting that ➡️ Eyeball turns up & Out ( BELL PHENOMENON)
Dribbling of Saliva from Mouth
Asymmetrical Face
NOISE INTOLERANCE ( Stapedial Paralysis )
Loss of Taste ( Involvement Of Chorda tympani Nerve )
Ear Pain 👂
Epiphora
Diagnosis
All other causes of Peripheral Facial Paralysis should be excluded out.
Nerve Excitability Tests ➡️ Monitoring Nerve Lesion
Topodiagnosis ➡️ To localise the site of Lesion
Useful in Determine the Etiology & Site Of Surgical Decompression
Treatment
Reassurance
Analgesics ➡️ Relief of Ear Pain
Eye Care ➡️ Temporary Tarsorrhaphy / Suturing Gold Weight implant to prevent Exposure Keratitis
➡️ Artificial Tears Drops
➡️ Protective Covering Of Eye During Night
Physiotherapy Of Facial Muscle For Psychological Support
Medical Treatment
Steroids
Combined With ACYCLOVIR ( in Herpes Zoster Oticus & Bell Palsy
Prednisolone
1 mg / Kg / Day For 5 Days
( 2 Dose ➡️ 1 in Morning & Another in Evening )
If Recovery ➡️ Dose Tapering Over 5 Days
If Doesn’t Recover ➡️ Continue for next 10 Days
➡️ Tapering of Dose over next 5 Days
Surgical Treatment ➡️ Nerve Decompression ( Of Tympanic , Vertical & Labyrinthine Segment )
Good Prognosis in Incomlete Paralysis ( 95% Recovery)