Bell's palsy

Alternative names:

facial palsy

Treatment:

In many cases, no treatment is necessary. The goal of treatment is to relieve the symptoms.

Corticosteroids may reduce swelling and relieve pressure on the facial nerve for some persons. Corticosteroids must be given early to be most effective; preferably within 24 hours of the onset of paralysis.

Lubricating eye drops or eye ointments may be recommended to protect the eye if it cannot be closed completely. The eye may need to be patched during sleep to protect it.

Surgical procedures to decompress the facial nerve have not been shown to routinely benefit people with Bell's palsy.

Expectations (prognosis):

The outcome varies. Approximately 60% to 80% of cases resolve completely within a few weeks to months. Some cases result in permanent changes. The disorder is not a threat to life.

Complications:

• disfigurement from loss of facial movement
• damage to the eye (corneal ulcers and infections)
• chronic spasm of face muscles or eyelids
• chronic taste abnormalities

Calling your health care provider:

Call for an appointment with your health care provider if facial drooping or other symptoms of Bell's palsy occur.