|Bell's Palsy: Facial Droop|
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- Pain behind the ear that is followed by weakness and paralysis of the face
- Ringing sound in the ears
- Slight hearing impairment
- Slight increase in sensitivity to sound on the affected side
- Facial weakness or paralysis, most often on one side
- Numbness just before the weakness starts
- Drooping corner of the mouth
- Decreased tearing
Inability to close an eye, which can lead to:
- Dry, red eyes
- Ulcers forming on the eye
- Problems with taste on one side
- Sound sensitivity in one ear
- Slurred speech
- Long-lasting tightening of the facial muscles
- Tearing from eye while chewing
- Lubricant or eye drops
- Covering and taping your eye closed at night
- An eye patch to keep the eye closed
Centers for Disease Control and Prevention http://www.cdc.gov
National Institute of Neurological Disorders and Stroke http://www.ninds.nih.gov
Health Canada http://www.hc-sc.gc.ca
Public Health Agency of Canada http://www.phac-aspc.gc.ca
Bell's palsy . American Academy of Family Physicians Family Doctor website. Available at: http://familydoctor.org/familydoctor/en/diseases-conditions/bells-palsy.html. Updated April 2014. Accessed August 28, 2015.
Bell's palsy. American Academy of Otolaryngology—Head and Neck Surgery website. Available at: http://www.entnet.org/?q=node/1465. Updated February 2013. Accessed August 28, 2015.
Bell’s palsy. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated August 17, 2015. Accessed August 28, 2015.
Finsterer J. Management of peripheral facial nerve palsy. Eur Arch Otorhinolaryngol. 2008;265(7):743-752.
Grogan PM, Gronseth GS. Practice parameter: Steroids, acyclovir, and surgery for Bell’s palsy (an evidence based review): Report of the Quality Standards Subcommittee of the American Academy of Neurology. Neurology. 2001;56(7):830-6.
NINDS Bell’s palsy information page. National Institute of Neurological Disorders and Stroke website. Available at: http://www.ninds.nih.gov/disorders/bells/bells.htm. Updated April 16, 2015. Accessed August 28, 2015.
Quant EC, Jeste SS, Muni RH, et al. The benefits of steroids versus steroids plus antivirals for treatment of Bell's palsy: A meta-analysis. BMJ. 2009;339:b3354.
Schwartz SR, Jones SL, Getchius TS, Gronseth GS. Reconciling the clinical practice guidelines on Bell’s palsy from the AA-HNSF and the AAN. Neurology. 2014;82(21):1927-1929.
11/6/2007 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Sullivan FM, Swan IR, Donnan PT, Morrison JM, et al. Early treatment with prednisolone or acyclovir in Bell's palsy. N Engl J Med. 2007;357(16):1598-1607.
1/6/2009 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Engstrom M, Berg T, Stjernquist-Desatnik A, et al. Prednisolone and valaciclovir in Bell's palsy: A randomised, double-blind, placebo-controlled, multicentre trial. Lancet Neurol. 2008;7(11):993-1000.
9/15/2009 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Goudakos JK, Markou KD. Corticosteroids vs corticosteroids plus antiviral agents in the treatment of Bell palsy: A systematic review and meta-analysis. Arch Otolaryngol Head Neck Surg. 2009;135(6):558-564.
9/15/2009 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: de Almeida JR, Al Khabori M, Guyatt GH, et al. Combined corticosteroid and antiviral treatment for Bell palsy: a systematic review and meta-analysis. JAMA. 2009;302(9):985-993.
2/13/2014 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Baugh BF, Basura GJ, Ishii LE, et al. Clinical practice guideline: Bell's palsy. Otolaryngol Head Neck Surg. 2013;149(3 Suppl):S1-S27.
- Reviewer: Rimas Lukas, MD
- Review Date: 08/2015 -
- Update Date: 08/28/2015 -