|Spanish Multimedia Encyclopedia|
Facial paralysis is the total loss of voluntary muscle movement of one side of the face.
Paralysis of the face
About 75% of all adult facial paralysis cases are due to Bell's palsy, a condition in which the facial nerve becomes inflamed.
Stroke may cause facial paralysis. When stroke is the cause of facial paralysis, the person may still be able to close the eye on the affected side, as well as wrinkle the forehead. People with Bell's palsy cannot do either of these. With a stroke, other muscles on one side of the body may also be involved.
In newborns, facial paralysis may result from birth trauma.
Treatment depends on the cause. Follow your health care provider's treatment recommendations. Sometimes steroids and acyclovir may be given depending on the cause.
If the eye cannot be fully closed, the cornea must be protected from drying out with prescription eye drops or gel.
Call your doctor if you have weakness or numbness in your face. Seek emergency medical help if you experience these symptoms along with a severe headache, seizure, or blindness.
The doctor will perform a physical exam and ask you questions about your medical history and symptoms, including:
Tests that may be done include:
The doctor may refer you to a physical, speech, or occupational therapist. If facial paralysis from Bell's palsy persists for more than 6 - 12 months, plastic surgery may be recommended to improve eye closure and facial appearance.
O'Handley JG, Tobin E, Tagge B. Otorhinolaryngology. In: Rakel RE. Textbook of Family Medicine. 7th ed. Philadelphia, Pa: Saunders Elsevier; 2007: chap 25.
Stettler B, Pancioli AM. Brain and cranial nerve disorders. In: Marx, JA, ed. Rosen's Emergency Medicine: Concepts and Clinical Practice. 6th ed. Philadelphia, Pa: Mosby Elsevier; 2006: chap 103.