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Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer

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Bell Palsy: Rapid Evidence Review.

Sarah N Dalrymple¹, Jessica H Row¹, John Gazewood¹

¹University of Virginia, Charlottesville, Virginia.

American Family Physician

|April 13, 2023

Summary

This summary is machine-generated.

Bell palsy, a sudden facial paralysis, often resolves spontaneously, especially in children and pregnant women. Early corticosteroid treatment is recommended, with antivirals potentially reducing nerve regrowth issues.

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Structured Motor Rehabilitation After Selective Nerve Transfers

Structured Motor Rehabilitation After Selective Nerve Transfers

Published on: August 15, 2019

Area of Science:

Neurology
Otolaryngology

Background:

Bell palsy presents as acute, unilateral facial weakness or paralysis, often affecting the forehead.
Idiopathic facial nerve paralysis typically has a favorable prognosis with spontaneous recovery in over two-thirds of cases.
Recovery rates can reach 90% in pediatric and pregnant populations.

Purpose of the Study:

To outline diagnostic criteria for Bell palsy.
To review current treatment guidelines for Bell palsy.
To discuss the efficacy of various therapeutic interventions.

Main Methods:

Diagnosis relies on clinical presentation, excluding other neurological causes.
Laboratory tests and imaging are generally not required for typical Bell palsy diagnosis.
Treatment strategies include oral corticosteroids and, in some cases, antiviral medications and physical therapy.

Main Results:

Over two-thirds of patients experience complete spontaneous recovery from Bell palsy.
Oral corticosteroids are the primary treatment, with a specific dosage regimen recommended.
Combination therapy with corticosteroids and antivirals may decrease the incidence of synkinesis.

Conclusions:

Bell palsy diagnosis is primarily clinical, with a generally good prognosis.
Corticosteroids are the first-line treatment; antiviral monotherapy is ineffective.
Physical therapy can be a valuable adjunct for severe paralysis cases.