Management of Peripheric Facial Paralysis: Bell’s Palsy and Treatment Algorithm

norosirurjiozel12-1-22kapak

Yetkin Zeki YILMAZa, Zülküf Burak ERDURb
aİstanbul Üniversitesi-Cerrahpaşa, Cerrahpaşa Faculty of Medicine, Department of Otorhinolaryngology, İstanbul, Türkiye
bOta-Jinemed Hospital, Clinic of Otorhinolaryngology, İstanbul, Türkiye

Yılmaz YZ, Erdur ZB. Management of peripheric facial paralysis: Bell’s palsy and treatment algorithm. In: Sanus GZ, Batıoğlu Karaaltın A, eds. Surgical Management of Facial Nerve Paralysis. 1st ed. Ankara: Türkiye Klinikleri; 2022. p.75-81.

Article Language: EN

ABSTRACT
The etiology of facial paralysis varies, but the most common cause of peripheric facial paralysis is Bell’s palsy. Bell’s palsy is a rapid onset, peripheric, self-limited, and usually unilateral facial paralysis. It leads to incomplete (partial) or complete paralysis of the facial muscles on the affected side of the face. The etiology of Bell’s palsy remains unclear and proposed causes are microcirculatory failure of the vasa nervorum, viral infection, ischemic neuropathy, and autoimmune reactions. Diagnosis is mainly based on history and physical examination but laboratory testing, radiological scanning, and electrophysiological testing could be used especially in complete paralysis. The main treatment goals for patients with Bell’s palsy include shortening recovery time and improving functional recovery of the facial nerve. Appropriate management should be provided with medical treatment with corticosteroids and antiviral agents, supportive eye care and various surgical approaches.

Keywords: Facial paralysis; Bell’s palsy; facial nerve; facial nerve diseases

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