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Related Experiment Video

Updated: May 4, 2026

Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
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Modified Stennert's Protocol in Treating Acute Peripheral Facial Nerve Paralysis: Our Experience.

S G Mahesh1, D R Nayak1, R Balakrishnan1

  • 1Department of ENT and Head & Neck Surgery, Kasturba Medical College, Manipal, 576104 Karnataka India.

Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India
|January 16, 2014
PubMed
Summary

The modified Stennert

Keywords:
Bell’s palsyDextranElectroneuronographyHydrocortisoneModified Stennert’s protocolPentoxyphyllinePost traumatic facial nerve paralysis

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Area of Science:

  • Neurology
  • Otolaryngology

Background:

  • Facial nerve paralysis, including Bell's palsy and post-traumatic cases, presents a significant clinical challenge.
  • Prompt and effective treatment is crucial to minimize long-term sequelae.

Purpose of the Study:

  • To evaluate the efficacy of a modified Stennert's protocol in treating Bell's palsy and delayed-onset post-traumatic facial nerve paralysis.
  • To assess the recovery rates and reduction in residual defects associated with this treatment regimen.

Main Methods:

  • A retrospective study was conducted on 26 patients diagnosed with facial nerve paralysis.
  • Nineteen patients had Bell's palsy (idiopathic facial nerve paralysis), and seven had delayed-onset post-traumatic facial nerve paralysis.
  • All patients received the modified Stennert's protocol; some post-traumatic cases also underwent facial nerve decompression.

Main Results:

  • Significant symptomatic improvement was observed in 18 out of 19 Bell's palsy patients within one month.
  • Fifteen Bell's palsy patients showed clinical improvement by day 10.
  • Five out of seven patients with delayed post-traumatic facial nerve paralysis showed significant improvement within one month, with three requiring additional decompression.

Conclusions:

  • The modified Stennert's protocol demonstrates a favorable response in sudden-onset facial paralysis, irrespective of the etiology.
  • This regimen appears to expedite recovery and reduce the incidence of residual defects in patients with facial nerve paralysis.
  • Early administration of the modified Stennert's protocol is recommended for managing both Bell's palsy and traumatic facial nerve paralysis.