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BELL’S PALSY

BELL’S PALSY. MEANING. BELL’S PALSY REFERS TO A PERIPHERAL FACIAL PARALYSIS, ACUTE BENIGN CRANIAL POLYNEURITIS. IT IS A DISORDER CHARACTERIZED BY DISRUPTION OF THE MOTOR BRANCHES OF THE FACIAL NERVE (CNVII) OR ONE SIDE OF THE FACE IN THE ABSENCE OF ANY OTHER DISEASES SUCH AS STROKE.

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BELL’S PALSY

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  1. BELL’S PALSY

  2. MEANING • BELL’S PALSY REFERS TO A PERIPHERAL FACIAL PARALYSIS, ACUTE BENIGN CRANIAL POLYNEURITIS. • IT IS A DISORDER CHARACTERIZED BY DISRUPTION OF THE MOTOR BRANCHES OF THE FACIAL NERVE (CNVII) OR ONE SIDE OF THE FACE IN THE ABSENCE OF ANY OTHER DISEASES SUCH AS STROKE.

  3. ETIOLOGY • UNKNOWN • LOCALIZED INFLAMMATORY REACTION • HERPES SIMPLEX VIRUS (HSV)

  4. PATHOPHYSIOLOGY DUE TO ETIOLOGICAL FACTORS: RAPID WEAKENING OR PARALYSIS OF THE FACIAL MUSCLE ON ONE SIDE OF THE FACE CREATES A MASK-LIKE APPEARANCE EYE ON AFFECTED SIDE TEARS CONSTANTLY AND SWELLING SECRETIONS FACIAL PARALYSIS

  5. CLINICAL MANIFESTATION • PAIN AROUND OR BEHIND THE EAR • FEVER • TINNITUS • HEARING DIFFICULTY • PARALYSIS OF FACIAL NERVE RESULTS IN FLACCIDITY OF AFFECTED SIDE OF THE FACE • DROOLING • INABILITY TO CLOSS THE EYELID • WIDENED PALPEBRAL FISSURE

  6. CONTINU… • FLATTENING OF THE NASOLABIAL GOLD • INABILITY TO SMILE • LOSS OF TASTE • LOSS OF TEARING OR EXCESSIVE TEARING • DECREASED MUSCLE MOVEMENT- ALTER CHEWING ABILITY

  7. COMPLICATION • MALNUTRITION • DEHYDRATION • PSYCHOLOGY WITHDRAWAL • MUCUS MEMBRANE TRAUMA • CORNEAL ABRASIONS • MUSCLE STRETCHING • FACIAL SPASM AND CONTRACTURES

  8. DIAGNOSIS • HISTORY COLLECTION • OBSERVATION • NEUROLOGIC EXAMINATION • EMG • CT • MRI • EEG

  9. MANAGEMENT • ELECTRICAL STIMULATION OF NERVE • MOIST HEAT • GENTLE MASSAGE • RELIEF OF SYMPTOMS • PREVENT COMPLICATIONS • CORTICOSTEROIDS: PREDISONE • PAIN MANAGEMENT: ANALGESICS • ANTI-HSV DRUG: ACYCLOVIR

  10. NURSING MANAGEMENT • MEDICATIONS • WET PACKS: REDUCE DISCOMFORT • FACE SHOULD PROTECTED FROM COLD • GOOD NUTRITION • CHEW IN UNAFFECTED SIDE • ORAL HYGIENE • SAFELY USE HEAT,MASSAGE AT HOME • PROTECT EYE FROM INFECTION

  11. THANK TOU…

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