Bell's palsy Flashcards
What treatment options have been proposed for Bell’s palsy?
A variety of treatment options have been proposed including no treatment, prednisolone only, and a combination of antivirals and prednisolone.
What is the consensus regarding the treatment of Bell’s palsy?
All patients should receive oral prednisolone within 72 hours of onset of Bell’s palsy.
What is the ongoing debate concerning Bell’s palsy treatment?
There is an ongoing debate as to the value of adding antiviral medications.
Are antiviral treatments recommended alone for Bell’s palsy?
Antiviral treatments alone are not recommended.
What does UpToDate recommend for severe facial palsy?
UpToDate recommends the addition of antivirals for severe facial palsy.
Why is eye care important in Bell’s palsy?
Eye care is important to prevent exposure keratopathy.
What should be considered for eye care in Bell’s palsy patients?
Prescription of artificial tears and eye lubricants should be considered.
What should patients do if they are unable to close their eye at bedtime?
They should tape it closed using microporous tape.
What should be done if paralysis shows no improvement after 3 weeks?
Refer urgently to ENT.
When may a referral to plastic surgery be appropriate?
A referral to plastic surgery may be appropriate for patients with more long-standing weakness, e.g., several months.
What is the prognosis for most people with Bell’s palsy?
Most people with Bell’s palsy make a full recovery within 3-4 months.
What percentage of untreated patients may have permanent weakness?
If untreated, around 15% of patients have permanent moderate to severe weakness.
