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Remedies for facial paralysis

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xXx Pics Remedies for facial paralysis.

Facial palsy poses a diagnostic and therapeutic challenge to the doctor. Definite treatment modalities, medical, surgical and physical have evolved and can be used either singly or in combination to treat this condition successfully. All patients underwent physiotherapy to the paralysed face. Patients with Bell's palsy had The diagnostic approach, method of evaluation of degree of facial palsy based on clinical, electrodiagnostic tests and the various treatment modalities are discussed.

Facial palsy is one of the most distressing and disfiguring symptoms that can affect any Remedies for facial paralysis.

It affects all age groups and is usually sudden in onset. The long and tortuous course of the nerve and the complex anatomy of its intra temporal course with its anatomical variations contribute to the difficulties in treating this condition [ 1 ]. Better understanding of its anatomy and the electrophysiology of nerve conduction and regeneration have contributed to certain definite treatment policies [ 23 ].

Acute facial palsy poses a diagnostic challenge to the doctor. Definite treatment modalities, medical surgical and Remedies for facial paralysis have evolved and can be used either singly or in combination to treat this condition successfully. Twenty five patients with unilateral facial palsy seen at the Neurotology clinic of Armed Forces Medical College, Punc from July 94 to September 96 were included in this study.

They have been grouped into 4 categories based on the aetiology. These were Bell's palsy 6 patientschronic otitis media 3 Remedies for facial paralysisiatrogenic facial palsy 10 patients and facial palsy due to tumours 6 patients. Based on clinical assessment of facial function, the degree of facial weakness was graded using the grading system of House and Brackmann [ 4 Remedies for facial paralysis. The patients with complicated chronic otitis media had grade IV facial palsy.

Iatrogenic facial palsy cases had a more severe degree of paralysis of grade IV or V. The patients with tumours 4 with acoustic neuromas and 2 with glomus jugulare had grade II facial palsy. Facial nerve function was assessed by nerve excitability test and evoked electromyography. The former was used in cases of acute onset and the latter in delayed cases to assess recovery of function.

However, where the nerve was damaged during the primary mastoidectomy, skull base surgery and in cases of complicated CSOM with facial palsy, surgical repair of the nerve was done soon. Medical therapy consisted of physical, pharmacological and psychophysical therapy. Physiotherapy was done by application of warm towels, massaging the face and facial exercises. Reassurance of the patient, pain relief with non opiate analgesics and care of the eye were the components of psychophysical therapy.

Corneal damage to the exposed, anaesthetic and dry cornea due to combined facial and trigeminal palsy and absence of lacrimation as in cases following excision of acoustic neuroma 4 cases was prevented by tarsorraphy. Other patients with no loss of lacrimation and intact corneal sensation were given eye shade told to avoid rubbing the eye and prescribed antibiotic eye drops. Surgical repair of the facial nerve was done in all cases of iatrogenic facial palsy 10 cases after mastoidectomy and 2 cases after acoustic neuroma excision.

In complicated chronic otitis media with Remedies for facial paralysis palsy, the facial nerve was decompressed alter excision of the disease.


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