Tuesday, 17 September 2013

BELL'S PALSY
 ITS A FACIAL PARALYSIS OF ACUTE ONSET PRESUMED TO BE DUE TO NON SUPPURATIVE INFLAMMATION OF UNKNOWN ETIOLOGY OF THE FACIAL NERVE WITHIN ITS CANAL ABOVE THE STYLOMASTOID FORAMEN.
CAUSES:
  • HISTORY OF EXPOSURE OF THE EAR TO EXTREME COLD
  • WATER RETENTION IN PREGNENCY
  • INFECTION OF THE EAR
  • HERPES ZOSTER INFECTION
  • UPPER RESPIRATORY TRACT INFECTION
  • IDIOPATHIC
INCIDENCE:
IT OCCURS ANY TIME FROM INFANCY TO OLD AGE
SIGNS AND SYMPTOMS:
NO SENSORY LOSS
FACIAL MUSCLES ARE PARALYSED
FEATURES:
  • DROOPING OF THE CORNER OF THE MOUTH
  • CREASES AND SKIN FOLD OF THE FACE BECOMES SMOOTHENED
  • THERE WILL BE DROOPING OF THE EYEBROWS AND WRINKLES OF THE BROW ARE SMOOTHENED OUT
  • FOREHEAD IS WITHOUT FURROWING
  • REACTION OF MOTH AND PURSING OF THE LIP IS NOT POSSIBLE
  • TASTE IS INTACT
  • PATIENT COMPLAINS OF HEAVINESS OR NUMBNESS OF THE FACE
  • LOSS OF TASTE SENSATION IN ANTERIOR TWO THIRD OF THE TONGUE
  • NERVE TO STAPEDIOUS IS INVOLVED THEN HYPERACUSIS DEVELOP
  • SPASM OF THE FACIAL MUSCLE DEVELOP
TREATMENT:
  1. RESOLVING THE  INFLAMMATION BY SWD OR IR THERAPY
  2. MAINTAINENCE OF MUSCLE PROPERTIES BY STIMULATION TO THE PARALYSED MUSCLES
  3. FACIAL MASSAGE
  4. TAPING OR SPLINTING
  5. EYE CARE
  6. FARADIC REEDUCATION
  7. VISUAL FEEDBACK EXERCISES
  8. STRENGTHENING EXERCISES
  9. CONTINUOUS MONITORING


 

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