DR AMAL ABUSERWIL

DIAGNOSIS
Aduilogical 
investigation
Radiological 
investigation
Steps of surgery
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Bell’s Palsy
 Incidence of 13-18 per 100,000
 Family tendency for onset
 Damage to the facial nerve
 Unilateral facial paralysis
 Etiology: from viral or bacterial infection,
tumor, swelling, injury
Facial Nerve – VII Cranial Nerve
 Innervates 7000 nerve
fibers
 Crosses the wall of the
middle ear space
 Carries impulses also to
tongue, saliva glands,
tear glands, stapes
 Symptoms
 Twitching, weakness, tearing, numbness on
one side
 Changes in taste – Chorda tympani nerve-
branch of the facial nerve
 Not a disease
 Rarely causes HL alone
 Differentiate from acoustic
 neuroma
Intervention
 ENT: Steroids esp within week after onset
 Recovery in 4-6 weeks may take up to 4
months for full recovery
 Eye patch at night
 Keep eye from drying out
 Permanent Facial Nerve paralysis:
surgical interventions
PT- facial retraining
Audiometric Results with Bell’s Palsy
 Degree:
 Type:
 Tympanogram:
 Reflexes:
 OAE:
 ABR: IWI
 Lowest level of wave V
 Overall latencies of wave V