1. Bells Palsy By Lauren Viola, Andy horan, David Na, Camercon Zachary ^_________________^

2. What is Bells Palsy?

Temporary facial paralysis caused by damage to the 7 th cranial nerve (facial nerve)

Usually only one side of the face is affected and you have trouble closing your eye and producing tears, controlling drooling and movement of the mouth.

3. Who discovered Bells Palsy?

Named for Sir Charles Bell, a 19 thcentury surgeon

4. Signs and Symptoms

Facialdroop and difficulty making facial expressions

Pain behind or in front of your ear on the affected side

Changes in the amount of tears or saliva your body produces

Tingling around lips or eye

5. Signs and Symptoms

Headache

Loss of taste

Difficulty closing eye on affected side

Facial swellling

6. How Long are You Affected?

Most people start to improve in a few weeks and completely recover in 3-6 months

Some people average of recovering is6-8 weeks but continue to see symptoms and have reoccurrences throughout their life

7. Who Does it Affect?

About 40,000 people in US are affected per year

Affects approximately 1 in 65 persons in a life time

More common in people of Japanese decent and young adults.

8. Complications

Disfigurement from paralysis

Chronic Taste abnormalities

Spasm of eye and facial muscles

9. Complications

Damage to eye or infection

• Corneal ulcers- erosion or open sore in the outer layer of the cornea

Synkinesis -Involuntary movement accompanying a voluntary one

10. Cause of the Bells palsy

Inflamation that causes pressure on the Facial Nerve, which effect the Facial Muscles.

11. Triggers

Most common is HIV

Acoustic neuroma

Inner Ear Infection

Herpes Simple Virus (HSV-1)

Tumor

Skull Fracture

Exposure to certain Bacteria

• Otitis media

• Lyme Disease

12. Triggers

Herpes Simple Virus

13. Treatment for the Bells palsy

Three major ways of treating bells palsy

• If its minor, it could be fixed by itself.

• For virus, doctor subscribes antiviral drugs, such as acyclovir

• For inflammation, subscribe corticosteroids, such as prednisone

14. Minor Bells palsy

If its minor Bells palsy it usually goes away within three weeks

• First 2 weeks will be heal by itself, and than first the last week, it will heal to full recovery

• Patients just need well rest and nutrients food

Cautious about minor Bells Palsy

• Some patients will think that they have minor Bells palsy, but the problem is that, if its not, their face will paralyze and it wont be heal, such as like twitching lips, tearing eyes, or spasms of the face or eyelids.

15. Treatment: Virus

Doctor subscribes Antiviral drugs

• Acyclovir

• famciclovir

• Valacyclovir

Doctor use this so this drugs could destroy active virus that copy virus to other, and prevent much more danger to the facial nerve.

But there is nohundred percentresult that antiviral drugs will be affective for the treatment.

16. Treatment: inflammation

Other than causing by virus, it could also be caused by inflammation

doctor will subscribe corticosteroids to reduce inflammation

• Prednisone

17. Other treatment

Some patients can not close their eye, where they had been affected

• Doctor will prescribe artificial tears and using eye patch during the day to keep their eye moist.

At night patients have to use other things

• Doctor will recommend the use of eye lubricants or viscous ointments while taping the eye shut.

18. Other Treatment II

For some patients, it could develop permanent facial paralysis

• Surgery

• Physical therapy

Doctor may recommend surgery, if patients have bells palsy for 6 to 12 months with no improvement,

• Surgery could potentially help their appearance and part of the muscles

• • Transferring normal tissues to the affected place, such as lip

19. Occupations, who can treat patients

Family medicine physicians

Internists

Neurologists

Physician assistants

Nurse practitioners

20. Credit for EVERYTHING!!

http://www.bellspalsy.ws/treatment.htm

http://health.yahoo.com/nervous-treatment/bell-s-palsy-treatment-overview/healthwise--hw179238.html

Bupa

NINDS

Bells Palsy Information Site

WebMD