by andywalsh | March 12, 2019 10:57 pm
It is defined as a disorder in which there is an involvement of the facial nerve. It is the nerve which leads to pain and other function disabilities. It controls the muscles of one side of face. It helps in the smile, cry and other expressions. There are multiple treatments which can be done to treat this condition. It is the seventh cranial nerve. There are two facial nerves on each side of the face. This nerve is present along with the hearing nerve. It is present near the parotid gland. It divides here and it helps in the functions of face.
It includes the paralysis of face, weakness and a dryness seen in the eye or a mouth. The taste is altered on the affected side. These features are not unique of the facial nerve paralysis. One must consult a physician in order to have a proper diagnosis.
It includes the identification of causes. There can be a specific treatment if the cause is known. There are few tests which can be used to diagnose this condition. It includes the hearing tests, balance and tear tests. The other tests could be taste tests, salivation and imaging tests. It is followed by the electrical tests.
The hearing tests involve the use of a reflex of the ear which helps to evaluate the branch of facial nerve which supplies muscles in the middle ear. They know about the status of auditory nerve.
The balance tests involves the use of auditory nerve involvement.
The tear tests involves the use of tears which help to know about the location of lesion of facial nerve.
The taste tests involve the use of taste buds in the front location of the tongue to know about the location of lesion of facial nerve.
The salivation tests involve the use of flow of saliva to know about the location of lesion of facial nerve.
The imaging tests involve the use of CT or MRI scan so that the infection, tumor or ant type of fracture of bone can be known.
The electric tests involve the use of electrical currents to know if the muscle cells contract or not. The outcome of the disease can be known.
It includes the trauma such as birth trauma, injuries on the face, middle ear and a trauma due to the surgery. The other reason could be a disorder of the nervous system. It can also be an infection of the eye or ear. The metabolic disorder can be diabetic or pregnancy. There can be excess intake of alcohol or poisoning due to carbon monoxide. There are few tumors also which can lead to this type of palsy.
The underlying medical condition must be known and treated. The cortisones are the best medicines to treat this condition. It is used for all the patients. Its dose is 1 mg per kilo gram of body weight. An anti viral drug acyclovir has also proved to be effective. If the results are supportive than the use of acyclovir is stopped and the use of steroids is decreased. One can also go for a physical therapy along with a electro therapy but there results have not proved to be effective. The use of surgery in case of facial nerve decompression has not been recommended. In very severe cases one can go for the option of surgery.
The patients with this disorder also have a problem in keeping their eye closed. It happens as the muscles which help in the closure of eyes do not work. The cornea of eye can become very dry. It can be treated with the help of glasses which prevent the dust to enter the eye and one can also use the artificial tears which keep the eye lubricated. The patient must use the back part of finger to clear the eye and eye must be closed with the help of paper tape when the patient is sleeping. One can also use the ointment.
The surgical options involve the use of repair in the nerve, transposition of nerve and a muscle transposition. There is a transfer of muscle along with a oral procedures. The regeneration of facial nerve occurs at the rate of 1 mm per day. The tongue nerve can be connected to the facial nerve.
Source URL: https://alldiseases.org/bells-palsy/
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