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'''For the WikiDoc page for this topic, click [[Facial nerve paralysis|here]]'''
'''For the WikiDoc page for this topic, click [[Facial nerve paralysis|here]]'''
{{Infobox_Disease
| Name          = {{PAGENAME}}
| Image          = Paralisis_facialMOCHE.jpg
| Caption        = Moche. Culture Representation of Facial Paralysis. 300 A.D. Larco Museum Collection, Lima, Peru.
| DiseasesDB    =
| Width          = 220px
| ICD10          =
| ICD9          = {{ICD9|351}}
| ICDO          =
| OMIM          =
| MedlinePlus    =
| eMedicineSubj  = plastic
| eMedicineTopic = 522
| MeshID        = D005158
}}
{{Facial nerve paralysis (patient information)}}


{{SI}}
{{CMG}}; {{AOEIC}} {{JW}}


{{CMG}}; Jinhui Wu, MD
==Overview==
Facial nerve paralysis is a nervous system disorder in which a damaged nerve in the skull affects the movement of the muscles of the face. Usual causes include face [[trauma]], toxins, nervous system disease, [[infection]] in the ear or face, [[diabetes mellitus]] and [[tumor]]s. The most common sign of facial nerve paralysis are changes in the appearance of the face, such as facial droop, difficulty closing one eye, difficulty with fine movements of the face and difficulty making expressions. Other symptoms include that face feels pulled to one side and stiff, eyes and mouth fell dry, [[headache]], [[pain]] behind the ear, and [[hyperacusis]]. The changes in the appearance of the face can supply clues for the diagnosis. Head images may help identify the cause of your facial nerve paralysis. Treatment depends on the underlying causes. Anti-inflammatory drugs and antiviral drugs may be used if the condition is caught early enough. Surgical facial nerve decompression is controversial. Facial nerve paralysis can make changes in the appearancce of the face and take much trouble in your life. The effective preventive measurements include that keep a good life-style, regular check of your glucose for patients with [[diabetes]], avoid face trauma and [[infection]]s, and keep far away from toxins. The pragnosis of facial nerve paralysis varies from person to person. Some patients can be cured.


{{EJ}}
==What are the symptoms of Facial nerve paralysis?==
 
==What is facial nerve paralysis?==
 
==How do I know if I have facial nerve paralysis and what are the symptoms of facial nerve paralysis?==
Damaged nerve leads to facial muscle paralysis. Patients with facial nerve paralysis may show the following signs:
Damaged nerve leads to facial muscle paralysis. Patients with facial nerve paralysis may show the following signs:
*Change in the appearance of the face
*Change in the appearance of the face
Line 23: Line 36:
*[[Hyperacusis]]
*[[Hyperacusis]]


==Who is at risk for facial nerve paralysis?==
==Who is at highest risk?==
:*Trauma: such as skull base fractures, facial injuries, or surgical trauma.  
:*Trauma: such as skull base fractures, facial injuries, or surgical trauma.  
:*Nervous system disease, such as [[Millard-Gubler syndrome]]  
:*Nervous system disease, such as [[Millard-Gubler syndrome]]  
Line 31: Line 44:
:*Toxins, such as [[alcohol abuse]], carbon monoxide poisoning.  
:*Toxins, such as [[alcohol abuse]], carbon monoxide poisoning.  
:*idiopathic, such as [[Bell's palsy]]
:*idiopathic, such as [[Bell's palsy]]
==How to know you have facial nerve paralysis?==
:*Appearance of your face and [[physical examination]]
:*Head images such as [[CT]] or [[MRI]]: The goal of these tests is to exclude brain diseases such as [[stroke]] that can cause facial nerve parelysis.


==When to seek urgent medical care?==
==When to seek urgent medical care?==
Call your health care provider if you find any signs of facial nerve paralysis. Early treatment is helpful to cure your changes in the face.
Call your health care provider if you find any signs of facial nerve paralysis. Early treatment is helpful to cure your changes in the face.
==Diagnosis==
:*Appearance of your face and [[physical examination]]
:*Head images such as [[CT]] or [[MRI]]: The goal of these tests is to identify whether some brain diseases lead to facial nerve paralysis.


==Treatment options==
==Treatment options==
Treatment of facial nerve paralysis depends on the underlying cause.
:*Treating the underlying cause, such as removal of the nervous tomors that press on the facial nerve.
:*Anti-inflammatory drugs such as [[cortisone]] medications and antiviral drug [[acyclovir]] may be used if the condition is caught early enough.
:*[[Surgery]]: Surgical facial nerve decompression is controversial and is recommend by some physicians during the first two weeks in patients.
:*Protecting the eyes: Eye drops or artificial tears may help protect your eyes. Also, you may recommended to wear protective glasses and eye ointments.


==Diseases with similar symptoms==
==Diseases with similar symptoms==
:*[[Guillain-Barre syndrome]]


==Where to find medical care for facial nerve paralysis?==
==Where to find medical care for Facial nerve paralysis?==
[http://maps.google.com/maps?f=q&hl=en&geocode=&q={{urlencode:{{#if:{{{1|}}}|{{{1}}}|facial nerve paralysis}}}}&sll=37.0625,-95.677068&sspn=65.008093,112.148438&ie=UTF8&ll=37.0625,-95.677068&spn=91.690419,149.414063&z=2&source=embed Directions to Hospitals Treating facial nerve paralysis]


==Prevention of facial nerve paralysis==
[http://maps.google.com/maps?q={{urlencode:{{#if:{{{1|}}}|{{{1}}}|map+top+hospital+Facial nerve paralysis}}}}&oe=utf-8&rls=org.mozilla:en-US:official&client=firefox-a&um=1&ie=UTF-8&sa=N&hl=en&tab=wl Directions to Hospitals Treating Facial nerve paralysis]
:*Keep a healthy life-style: Stop [[alcohol abuse]], eat a low-lipid diet, take regular exercises
 
==Prevention of Facial nerve paralysis==
:*Keep a healthy life-style: Stop [[alcohol abuse]], eat a low-lipid diet and do regular exercises
:*Keep a good glucose level for patients with [[diabetes]]
:*Keep a good glucose level for patients with [[diabetes]]
:*Avoid facial trauma
:*Avoid facial [[trauma]]
:*Avoid to contact with toxins
:*Avoid to contact with toxins
:*Treat [[infection]] in the ear or face early
:*Treat [[infection]] in the ear or face early


==What to expect (Outlook/Prognosis)?==
==What to expect (Outlook/Prognosis)?==
The pragnosis of facial nerve paralysis varies from person to person. It depends on:
:*The underlying cause: Prognosis of patients with facial nerve paralysis caused by tumors is poorer than other causes.
:*The severity of facial nerve injuries
:*Whether the patient is treated early or not: Early treatment may be helpful to recover. Some patient experiencing early treatment leave behind no change in the face.


==Copyleft Sources==
==Sources==
http://emedicine.medscape.com/article/1290547-overview
 
http://www.nlm.nih.gov/medlineplus/ency/article/000794.htm
http://www.nlm.nih.gov/medlineplus/ency/article/000794.htm
http://www.medicinenet.com/facial_nerve_problems/article.htm
{{WH}}
{{WH}}
{{WS}}
{{WS}}
[[Category:Patient Information]]
 
[[Category:Neurology]]
[[Category:Neurology patient information]]
[[Category:Patient information]]
[[Category:Overview complete]]
[[Category:Template complete]]
[[Category:Disease]]

Latest revision as of 20:15, 9 December 2011

For the WikiDoc page for this topic, click here

Facial nerve paralysis (patient information)
Moche. Culture Representation of Facial Paralysis. 300 A.D. Larco Museum Collection, Lima, Peru.
ICD-9 351
eMedicine plastic/522 
MeSH D005158

Facial nerve paralysis

Overview

What are the symptoms?

Who is at highest risk?

When to seek urgent medical care?

Diagnosis

Treatment options

Diseases with similar symptoms

Where to find medical care for Facial nerve paralysis?

Prevention of Facial nerve paralysis

What to expect (Outlook/Prognosis)?

Facial nerve paralysis On the Web

Ongoing Trials at Clinical Trials.gov

Images of Facial nerve paralysis

Videos on Facial nerve paralysis

FDA on Facial nerve paralysis

CDC on Facial nerve paralysis

Facial nerve paralysis in the news

Blogs on Facial nerve paralysis

Directions to Hospitals Treating Facial nerve paralysis

Risk calculators and risk factors for Facial nerve paralysis

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Jinhui Wu, M.D.

Overview

Facial nerve paralysis is a nervous system disorder in which a damaged nerve in the skull affects the movement of the muscles of the face. Usual causes include face trauma, toxins, nervous system disease, infection in the ear or face, diabetes mellitus and tumors. The most common sign of facial nerve paralysis are changes in the appearance of the face, such as facial droop, difficulty closing one eye, difficulty with fine movements of the face and difficulty making expressions. Other symptoms include that face feels pulled to one side and stiff, eyes and mouth fell dry, headache, pain behind the ear, and hyperacusis. The changes in the appearance of the face can supply clues for the diagnosis. Head images may help identify the cause of your facial nerve paralysis. Treatment depends on the underlying causes. Anti-inflammatory drugs and antiviral drugs may be used if the condition is caught early enough. Surgical facial nerve decompression is controversial. Facial nerve paralysis can make changes in the appearancce of the face and take much trouble in your life. The effective preventive measurements include that keep a good life-style, regular check of your glucose for patients with diabetes, avoid face trauma and infections, and keep far away from toxins. The pragnosis of facial nerve paralysis varies from person to person. Some patients can be cured.

What are the symptoms of Facial nerve paralysis?

Damaged nerve leads to facial muscle paralysis. Patients with facial nerve paralysis may show the following signs:

  • Change in the appearance of the face
  • Facial droop, paralysis in one side
  • Difficulty closing one eye and difficulty with fine movements of the face
  • Difficulty making expressions, grimacing
  • Difficulty eating
  • Face feels pulled to one side and stiff
  • Felling dryness in the eye or the mouth
  • Headache
  • Pain behind the ear
  • Alteration of taste on the affected side
  • Hyperacusis

Who is at highest risk?

When to seek urgent medical care?

Call your health care provider if you find any signs of facial nerve paralysis. Early treatment is helpful to cure your changes in the face.

Diagnosis

  • Appearance of your face and physical examination
  • Head images such as CT or MRI: The goal of these tests is to identify whether some brain diseases lead to facial nerve paralysis.

Treatment options

Treatment of facial nerve paralysis depends on the underlying cause.

  • Treating the underlying cause, such as removal of the nervous tomors that press on the facial nerve.
  • Anti-inflammatory drugs such as cortisone medications and antiviral drug acyclovir may be used if the condition is caught early enough.
  • Surgery: Surgical facial nerve decompression is controversial and is recommend by some physicians during the first two weeks in patients.
  • Protecting the eyes: Eye drops or artificial tears may help protect your eyes. Also, you may recommended to wear protective glasses and eye ointments.

Diseases with similar symptoms

Where to find medical care for Facial nerve paralysis?

Directions to Hospitals Treating Facial nerve paralysis

Prevention of Facial nerve paralysis

  • Keep a healthy life-style: Stop alcohol abuse, eat a low-lipid diet and do regular exercises
  • Keep a good glucose level for patients with diabetes
  • Avoid facial trauma
  • Avoid to contact with toxins
  • Treat infection in the ear or face early

What to expect (Outlook/Prognosis)?

The pragnosis of facial nerve paralysis varies from person to person. It depends on:

  • The underlying cause: Prognosis of patients with facial nerve paralysis caused by tumors is poorer than other causes.
  • The severity of facial nerve injuries
  • Whether the patient is treated early or not: Early treatment may be helpful to recover. Some patient experiencing early treatment leave behind no change in the face.

Sources

http://www.nlm.nih.gov/medlineplus/ency/article/000794.htm Template:WH Template:WS