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    Bell Palsy PPT Report PPT FINAL

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    Billy Betha Nagara

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    Bell Palsy PPT Report PPT FINAL

    Uploaded by

    Billy Betha Nagara
    79 views15 pages

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    61521498-Bell-Palsy-ppt-Report-ppt-FINAL

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    Copyright:

    © All Rights Reserved
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    Download as pptx, pdf, or txt
    79 views15 pages

    Bell Palsy PPT Report PPT FINAL

    Uploaded by

    Billy Betha Nagara

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    You are on page 1of 15

    Dr Rizal Daulay, SpOT, MARS

    Bell’s palsy (peripheral facial paralysis, acute benign cranial


    polyneuritis) is a disorder characterized by a disruption of the
    motor branches of the facial nerve (CN VII) it is usually
    temporary with most people making a full recovery within 2-3
    months. It comes on suddenly, and the cause is unknown.

    Bell's Palsy is diagnosed in approximately 25 of 100,000 people a


    year. Patients are usually between the ages of 15-60 years old.

     The facial nerve (seventh cranial nerve) supplies the muscles in
    your face. In Bell's palsy this nerve is affected, leading to
    weakness or paralysis of the muscles that control smiling,
    frowning, eating and closing of the eyelids. It can also affect your
    ability to taste.
    •• Bell’s palsy (facial paralysis) is due to
    unilateral inflammation of the 7th cranial
    nerve, which result to weakness or
    paralysis
    • The cause is unknown, although possible
    causes may include vascular ischemia,
    viral disease ( Herpes simplex, herpes
    zoster ) autoimmune disease or
    combination of all these factors.
    • Bell’s palsy is considered by some to
    present paralysis. The inflamed and
    edematous become compressed to the
    point of damage or it’s nutrient vessel is
    occluded, producing ischemic necrosis to
    the nerve.
    • Dizziness • Alteration of taste or hearing
    • Drooling unilateral loss of facial
    • Dry mouth movement as deadness,
    • loss of feeling, or numbness,.
    • Facial twitching • Pain behind the ear
    • Hypersensitivity to sound
    • Inability to blink or close the • Decreased tear output/poor tear
    eye, tearing, and dry eyes distribution
    • Impaired sense of taste • Excessive tearing
    • Hypersalivation
    • Impaired speaking
    • Weakness of the facial muscles
    • Poor eyelid closure
    • Aching of the ear or mastoid (60%)
    • Alteration of taste (57%)
    • Hyperacusis (30%)
    • Tingling or numbness of the cheek/mouth
    • Epiphora
    • Ocular pain
    • Blurred vision
    Bell’s palsy may have "myriad neurological
    symptoms" including
    • "facial tingling,
    • moderate or severe headache/neck pain
    • memory problems,
    • balance problems, ipsilateral limb
    paresthesias,
    • ipsilateral limb weakness,
    • and a sense of clumsiness" that are
    "unexplained by facial nerve dysfunction"
    Physical Examination
    • Initial inspection
    • Oral examination
    • Otologic examination
    • Oftalmology examination
    • Neurologic examination
    • Skin examination
    Magnetic resonance imaging(MRI)
    Electromyography
    • Electroneurography
    • Computed Tomography
    Medical management
    1. DRUG THERAPY
     Corticosteroids (prednisone)
     Antiviral (Acyclovir )
     Analgesic

    2.SURGICAL OPTIONS includes:


    – facial nerve decompression,
    – subocularis oculi fat (SOOF) lift,
    implantable devices placed into the
    eyelid,
    – transposition of the temporalis muscle
    – facial nerve grafting
    • Watch for adverse effects of steroids use
    • Apply moist heat to the affected side of the
    face-to reduce pain
    • Help the pt. maintain muscle
    tone :massaging the face with a gentle
    upward motion 2-3x daily 5-10mins.
    • Exercise by grimacing in front of a mirror
    • The prognosis for individuals with Bell's
    palsy is generally very good.
    • The extent of nerve damage determines
    the extent of recovery. With or without
    treatment, most individuals begin to get
    better within 2 weeks after the initial onset
    of symptoms and recover completely
    within 3 to 6 month

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