$Unique_ID{BRK00329}
$Pretitle{Nervous System and Sense Organs}
$Title{Therapy and Treatment for Bell's Palsy}
$Subject{Bell's Palsy face nerve paralysis}
$Volume{F-2}
$Log{}

Copyright (c) 1991   Tribune Media Services, Inc.


Therapy and Treatment for Bell's Palsy


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QUESTION:  It is one of the most frightening things that has ever happened to
me.  The whole left side of my face has fallen down, and I can't even smile.
My doctor has diagnosed this as a bell palsy, and assures me that I'll soon be
better but I need more information.  Will you please help me?

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ANSWER:  When an entire half side of a face suddenly becomes weak and
unresponsive, the most common cause is "Bell's Palsy", the result of pressure
on the facial nerve.  Although the cause is unknown, it is felt to be a viral
or immune disease in which the facial nerve swells within the ear bone causing
a pressure which damages the nerve.  A number of tests are usually performed
to assure an accurate diagnosis, including a hearing test, a balance test, a
taste test, x-rays to locate infections, tumors or other abnormalities in the
bone, and an electrical test to check the function of the nerve.  Once all of
these have been carefully performed, the diagnosis of Bells is relatively
easy.  And in many cases, so is the treatment, for complete recovery within
several months invariably follows partial facial paralysis.  However, physical
therapy to maintain the tone of the affected muscles is often recommended.
Since the ability of the eye to blink is affected, the cornea of the eye may
become dry from lack of lubrication, and develop an ulcer.  Closing the eyelid
with your finger from time to time can help, and the frequent use of
artificial tears may also be recommended.  It may be necessary to place a
patch on the eye temporarily to protect the delicate corneal tissue, and the
use of glasses to prevent dust particles from blowing into an eye unprotected
by a blink reflex, is also a good tip.  Remain calm, and the chances are you
will be back to yourself in a few months.

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The material contained here is "FOR INFORMATION ONLY" and should not replace 
the counsel and advice of your personal physician.  Promptly consulting your 
doctor is the best path to a quick and successful resolution of any medical 
problem.
