BELL’s PALSY

FERRY DAMARJATA
20 MARCH 2020
INTRODUCTION

 Palsy  term if the nerve not working properly

 Is a condition where there is weakness of facial muscle on one side of the face
 Result of (thought to be) inflammation on facial nerve (CN VII)
 Affect :
 Muscle for facial lexpressione
 Eyelid closure
 Sensatio/taste front part of the tongue
AETIOLOGY/CAUSE

 Not fully understood

 May cause of N VIII swelling
May be cause by :
 Trauma
 Ear infection
 Mastoiditis
 Parotitis
 Herpes virus (Ramsay Hunt Syndrome)
FACIAL NERVE ANATOMY

Please refer to this site below:

https://teachmeanatomy.info/head/cranial-nerves/facial-nerve/
SIGN & SYMPTOMPS

 May be for hours  days

 Trouble with smiling, chewing or raise eyebrow
 Unable close eye properly
 Mild facial pain or pain behind the ear
 More sensitive to sound

 Vesicle (ear canal, tongue or roof of the mouth)  Ramsay Hunt syndrome
MANAGEMENT

 95 of case fully recover without treatment

(children better than adult)
 Steroid(prednisolone) still controversies

 Medication given for

 Keratitis/dry eyes  artificial tear drop
 Ramsay Hunt  Antiviral(Acyclovir)
 Mastoiditis/parotitis  Antibiotics
TAKE HOME MESSAGES

 BELL’S PALSY COMMON IN CHILDREN

 CAUSE IS NOT FULLY UNDERSTOOD
 FACIAL PALSY WITH NO KNOWN CAUSE CALLED BELL’S PALSY
 USUALY NO NEED TREATMENT
THANK YOU
 REFERENCES

 HUSSAIN N, KHAN A, GOSALAKKAL. BELL’S PALSY IN CHILDREN-A R

EVIEW. https://www.researchgate.net/publication/233993535_Bells_Palsy_in_Ch
ildren_-_A_review
 NELSON TEXTBOOK OF PEDIATRIC.