|Bell's Palsy: Facial Droop|
|Copyright © Nucleus Medical Media, Inc.|
- Tumors or cancers pressing on the nerve
- Trauma from head or facial injuries
- 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
- Sound sensitivity in one ear
- Slurred speech
- Long-lasting tightening of the facial muscles
- Tearing from eye while chewing
- Blood tests
- Hearing test
- Lumbar puncture to test the fluid around the spine and brain
- Electrical test (NCM/EMG)
- Balance test
- Tear test
- Lubricant or eye drops
- Covering and taping eye closed at night
- An eye patch to keep the eye closed
Facial Paralysis & Bell's Palsy Foundation http://www.facialparalysisfoundation.org
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 Otolaryngology—Head and Neck Surgery website. Available at: http://www.entnet.org/HealthInformation/bellsPalsy.cfm . Updated December 2010 . Accessed June 26, 2013.
Bell’s palsy. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed/what.php . Updated April 22, 2013. Accessed June 26, 2013.
Bell’s palsy fact sheet. National Institute of Neurological Disorders and Stroke website. Available at: http://www.ninds.nih.gov/disorders/bells/bells.htm . Updated September 4, 2012. Accessed June 26, 2013.
Finsterer J. Management of peripheral facial nerve palsy. Eur Arch Otorhinolaryngology . 2008;265:743-752.
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;56:830-6.
Bell's palsy . American Academy of Family Physicians Family Doctor website. Available at: http://familydoctor.org/familydoctor/en/diseases-conditions/bells-palsy.html . Updated February 2011. Accessed June 26, 2013.
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.
11/6/2007 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed/what.php : 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;357:1598-1607.
1/6/2009 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed/what.php : 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;7:993-1000.
9/15/2009 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed/what.php : 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;135:558-564.
9/15/2009 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed/what.php : 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;302:985-993.
- Reviewer: Rimas Lukas, MD; Michael Woods, MD
- Review Date: 06/2013 -
- Update Date: 00/62/2013 -