1 / 12

BELL’S PALSY BY: RANDY BONNELL

BELL’S PALSY BY: RANDY BONNELL. Pathophysiology. Actual pathophysiology is unknown A popular theory is the nerve increases in diameter and becomes compressed as it courses through the temporal bone. Frequency.

rhys
Download Presentation

BELL’S PALSY BY: RANDY BONNELL

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. BELL’S PALSY BY: RANDY BONNELL

  2. Pathophysiology • Actual pathophysiology is unknown • A popular theory is the nerve increases in diameter and becomes compressed as it courses through the temporal bone.

  3. Frequency • The incidence of Bell palsy in the United States is approximately 23 cases per 100,000 persons

  4. Clinical manifestations • There is usually an abrupt onset of numbness or a feeling of stiffness or drawing sensation of the face • The face appears asymmetric, with drooping of the mouth and cheek • Other symptoms may be…….

  5. More Clinical manifestations • Loss of taste • Reduction of saliva (on affected side) • Pain behind the ear • Ringing in the ear or other hearing loss • Difficulty swallowing

  6. Race/Sex/Age • Incidence of Bell palsy appears to be slightly higher in persons of Japanese descent • No difference exists in sex distribution in patients with Bell palsy • The incidence is highest in persons aged 15-45 years

  7. Lab Studies • No specific laboratory tests exist to confirm the diagnosis of Bell palsy

  8. Medical management • There is no specific therapy for bells palsy. • Electrical stimulation or warm moist heat along the course of the nerve may be helpful

  9. Nursing interventions • Protection of the eye when the eyelid does not close • Massage of the affected area is sometimes recommended • Do face exercises ( closing eyes, puffing out cheeks, wrinkling the forehead) • Keeping the affected eye moist

  10. Prognosis • Prognostically, patients fall into 3 groups with roughly equal numbers in each group. • Most patients develop an incomplete facial paralysis during the acute phase • Of patients with Bell palsy, 85% achieve complete recovery

  11. The groups are………. • Group 1 regains complete recovery of facial motor function without sequelae • Group 2 experiences incomplete recovery of facial motor function, but no cosmetic defects are apparent to the untrained eye • Group 3 experiences permanent neurologic sequelae that are cosmetically and clinically apparent

More Related