Facial nerve paralysis (Bell's palsy)
The facial nerve runs through a narrow bony canal as it travels from the brain to the face. It is the only nerve in the human body that is surrounded by bone and therefore conditions that produce nerve swelling result in facial analysis.
The most common cause of facial paralysis is Bell's palsy, which is considered of viral etiology. Most patients with Bell's palsy undergo full recovery and only a small percentage of patients develops permanent facial weakness. Treatment with cortisone by mouth , and anti-viral medications seem to be helpful. Herpes zoster oticus is another cause of viral facial paralysis and is associated with shingles. Often times herpes zoster oticus is associated with dizziness and hearing loss. Other causes of facial paralysis include head injuries, ear infections and tumors.
Most cases of facial paralysis are treatable and therefore an otolaryngologist should be involved early on in the management of these patients. All types of facial reanimation procedures for restoration of facial paralysis are available in our department.
For an appointment with Dr. Sismanis concerning facial paralysis,
call (804) 628-4368 or (804) 323-0830.
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