Bell's Palsy: Current Status by Avinash Shankar in TBSND - Juniper Publishers
Bell's palsy, an acute ipsilateral peripheral facial weakness equally affect both sexes, both side of the face and its incidence is 20 people per lakh of population, lowest <10 years age and highest >70 years. Female during 3rd month of pregnancy is more prone as HSV susceptibility is more during the period while children are more susceptible during winter. In life time 1 in 65 persons suffers with Bell's palsy and 7% patient may have recurrence in mean gap of 9-10 years of first episode [1-6].
Normally Bell’s palsy start to regain its motor function of its own within 3 weeks but commonly fails to recover completely and presents with sequel like- Chronic loss of taste (Ageusia), Chronic facial spasm, Facial pain, Corneal injury, Synkinesis, Tinitus and gestational sweating. In addition abnormal nerve regeneration may present with-Crocodile tear (Lacrimation of ipsilateral eye during chewing) and jaw winking (Closure of the ipsilateral eye lid on opening the jaw) [7,8].
The medical literature affirm that 33% patient present with incomplete recovery and associated sequel. The commonly used therapeutic constitutes Antiviral, steroid, neurovitamin andphysical therapy but fails to achieve complete cure and presents with sequel even after 6 months of therapy [9,10].
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