ENT Evaluation and management of Bell's palsy Chunfu dai Otolaryngology Department Fudan University 复且大学眼耳科医院
Evaluation and management of Bell’s palsy Chunfu Dai Otolaryngology Department Fudan University
ENT Definition Rapid onset of the facial palsy Minimal associated symptoms Spontaneous recovery(80%) The diagnosis is made after the exclusion of other possibility
Definition ◼ Rapid onset of the facial palsy ◼ Minimal associated symptoms ◼ Spontaneous recovery (80%) ◼ The diagnosis is made after the exclusion of other possibility
ENT Etiology Vascular congestion with secondary ischemia to the nerve u Vasospasm would lead to ischemia, nerve edema, and secondary compression within the fallopian canal Viral polycranioneuropathy Herpes simplex virus and herpes zoster virus
Etiology ◼ Vascular congestion with secondary ischemia to the nerve ◼ Vasospasm would lead to ischemia, nerve edema, and secondary compression within the fallopian canal. ◼ Viral polycranioneuropathy ◼ Herpes simplex virus and herpes zoster virus
ENT Clinic features Less common before the age of 15y The incidence in men and women is similar Approximately 6-9% develop recurrent Bell's Palsy Facial paresis alone occurred in 31%0 Completely paralysis in 69%
Clinic features ◼ Less common before the age of 15y ◼ The incidence in men and women is similar ◼ Approximately 6-9% develop recurrent Bell’s Palsy ◼ Facial paresis alone occurred in 31% ◼ Completely paralysis in 69%
ENT Clinic features 71% of patients with completely paralysis achieve a H-B G1 13%aH-b 2 J The remaining 16%in this complete paralysis group have a fair to poor recovery(H-B 3-5)
Clinic features ◼ 71% of patients with completely paralysis achieve a H-B G1 ◼ 13% a H-B G2 ◼ The remaining 16% in this complete paralysis group have a fair to poor recovery (H-B 3-5)