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Medical Health Encyclopedia
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Ptosis, drooping of the eyelid
Ptosis, drooping of the eyelid
Facial drooping
Facial drooping


Bell's palsy

Alternative Names:
Facial palsy

Treatment:

In many cases, no treatment is necessary. The goal of treatment is to relieve the symptoms.

Text Continues Below



Corticosteroids or antiviral medications may reduce swelling and relieve pressure on the facial nerve. These drugs must be given early to be most effective (preferably within 24 hours of the onset of paralysis).

Lubricating eye drops or eye ointments may be recommended to protect the eye if it cannot be closed completely. The eye may need to be patched during sleep to protect it.

Surgical procedures to decompress the facial nerve have not been shown to routinely benefit people with Bell's palsy.



Expectations (prognosis):

The outcome varies. Approximately 60% to 80% of cases resolve completely within a few weeks to months. Some cases result in permanent changes. The disorder is not a threat to life.



Complications:
  • Disfigurement from loss of facial movement
  • Damage to the eye (corneal ulcers and infections)
  • Chronic spasm of face muscles or eyelids
  • Chronic taste abnormalities
  • Synkinesis (abnormality in re-innervation of muscles resulting in tears when laughing or inappropriate salivation)


Calling your health care provider:

Call for an appointment with your health care provider if facial drooping or other symptoms of Bell's palsy occur. Only a trained health care provider can discriminate Bell's palsy from other, more serious conditions, such as stroke. If you develop signs of Bell's palsy, call your health care provider immediately so that a stroke can be ruled out as quickly as possible.




A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org).

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Copyright 2004 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.

 







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