m
  


m


 

 

- is due to unilateral
inflammation of the 7th
cranial nerve, which results
in weakness or paralysis of
the facial muscles on the
affected side.
Ô 
— ’nknown
— Possible Causes:
Vascular ischemia
Viral disease (Herpes simplex,
Herpes Zoster)
Autoimmune Disease
Or Combination of all these factors




—J -
cases per J,

—ncreases with age and

among pregnant women in
the third trimester
—Considered by some
to represent a type of
pressure paralysis
—{he inflamed, edematous
nerve becomes
compressed to the point of
damage, or its nutrient
vessel is occluded,
producing ischemic
necrosis of the nerve
½  ½
— Distortion of face
— ncreased lacrimation (tearing)
— Painful sensations in the face,
behind the ear, and in the eye
— Speech difficulties
— nability to eat on the affected
side
Ô   
Objective
—Ôaintain muscle tone of the
face
—Prevent or minimize
denervation
Ô   

—0eassure patient that no

stroke had occurred
—Spontaneous recovery
occurs to 5 weeks in
most patients
Ô 
  
— Prednisone
— 0educes inflammation and
edema
— 0educes vascular
compression and permits
restoration of blood circulation
to the nerve
—ëarly administration of
corticosteroid therapy
appears to diminish the
severity of the disease,
relieve pain, and prevent
or minimize denervation.
 
 
 
—Control facial pain
Ê 

—Apply on involved side to

promote comfort and
blood flow through the
muscles
ë

 

½

— Prevent muscle atrophy.
½ 

 
     




—uor patients suspected of

having tumor or for surgical
decompression of the facial
nerve and for surgical
treatment of the paralyzed
face
  Ê 
 Ô 
m Ô
{ 
  ½
Ô
—ëyes
Protective shield
Ointment
ëye patch
Wrap-around sunglasses or
googles
Ô   Ô
— Ôassage the face several times
daily
— uacial exercises: wrinkling the
forehead, blowing out the
cheeks, and whistling
— ëxposure of the face to cold and
drafts is avoided