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Bell's Palsy Bell's palsy is the most common condition resulting
in facial nerve weakness or paralysis. The condition is named after
Sir Charles Bell, who first described the condition. The underlying
cause of Bell's palsy is, at present, considered to be due to a herpes
virus infection of the nerve. The herpes virus is dormant in our nervous
system and then reactivates to cause Bell's palsy. The virus causes
swelling of the facial nerve in its tight bony canal through the temporal
bone of the earl. This swelling results in pressure on the nerve fibers
and the nerve's blood vessels. Therefore, electrical impulse cannot
travel along the nerve, and a weakness or paralysis of the face develops.  Left-sided Bell's palsy. Treatment of Bell's Palsy Treatment of Bell's Palsy is designed
to decrease swelling and restore circulation around the nerve, so that
the nerve fibers may again function normally. Medical treatment involves
oral steroids (to reduce swelling) and, in some cases, oral antiviral
pills (to prevent viral replication). Facial muscle exercises are also
prescribed. Surgical treatment for
Bell's palsy is considered within the first 14 days of
the onset of complete facial paralysis if the following
criteria are met:
- Unilateral, complete facial paralysis present
- ENoG testing indicates a poor prognosis (> 90%
degeneration compared to normal side)
- Onset of complete facial paralysis developed within
the past 14 days
- General health adequate to undergo general anesthesia
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