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Related Experiment Video

Updated: Apr 4, 2026

Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
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Considerations and complications after Bells' palsy.

Arie Y Nemet1, Shlomo Vinker2

  • 1Department of Ophthalmology, Meir Medical Center, 59 Tchernichovsky Street, Kfar Sava 44281, Israel.

Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia
|August 29, 2015
PubMed
Summary

Bells palsy (BP) affects 87 per 100,000 annually, increasing with age. While treatments like steroids and antivirals are common, they did not reduce the low rate of ophthalmic complications, which are more frequent in older patients.

Keywords:
Antiviral agentsBell’s palsyIdiopathic peripheral facial nerve paresisKeratitisLagophthalmosOphthalmic complications

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Area of Science:

  • Ophthalmology
  • Neurology
  • Epidemiology

Background:

  • Bells palsy (BP) is a common neurological condition affecting facial nerves.
  • BP can lead to various complications, including ophthalmic issues.
  • Understanding the incidence, treatment patterns, and outcomes of BP is crucial for patient care.

Purpose of the Study:

  • To investigate the incidence and clinical characteristics of Bells palsy (BP).
  • To evaluate treatment patterns with steroids and antiviral agents in the acute phase of BP.
  • To determine the rate and risk factors for ophthalmic complications following BP.

Main Methods:

  • Retrospective observational study of 4463 patients diagnosed with BP between 2003-2012.
  • Analysis of patient visits to general physicians and specialists (otolaryngologists, ophthalmologists, neurologists).
  • Evaluation of prescribed medications (steroids, antivirals) and ophthalmic diagnoses (lagophthalmos, keratitis).

Main Results:

  • The incidence of BP was 87.0 per 100,000 person-years, rising with age.
  • Patients experienced increased specialist visits 6 months post-BP.
  • Steroids (50.4%) and antivirals (65.5%) were frequently prescribed, particularly in older females; however, these treatments did not reduce ophthalmic complications (lagophthalmos 3.45%, keratitis 0.63%).

Conclusions:

  • Bells palsy occurs at a notable incidence, with higher rates in older individuals.
  • Ophthalmic complications, though infrequent, are more common in elderly patients.
  • Current steroid and antiviral treatments for BP do not appear to mitigate the risk of ophthalmic complications.