What is Bell's palsy
Bell's palsy (facial paralysis, facial neuropathy
nerve) - peripheral facial nerve damage caused by
the influence of various factors, and occurs mainly
dysfunction of the facial muscles.
cooling influence infection and other factors occurs
vascular spasms of the facial nerve, which leads to swelling and his inconsistency
diameters of the facial nerve and its channel. Perhaps the development of neuropathy
facial nerve without apparent reason, and against the background of a hypertensive crisis and diabetes.
The disease can cause damage to the facial nerve in all its
Over in lesions of the parotid gland, congenital narrowness of the bone
canal in the temporal bone, where the nerve, purulent otitis, fractures
base of the skull with the spread of the pyramid of the temporal bone, and
processes in the cerebellopontine angle (arachnoiditis,
acoustic neuroma). Neuritis of the facial nerve is sometimes
the first clinical symptom polyradiculoneuritis. described defeat
facial nerve in tuberculosis, syphilis, rheumatism, measles, scarlet fever, diphtheria.
neuropathy of the facial nerve in the idiopathic (independent
disease) and symptomatic (as a developing any symptom
How is the disease
facial paralysis typically relatively sharp growth disorders
the function of facial muscles. At the same time on the affected side are missing
wrinkles in the forehead, flattened nasolabial fold, lowered the angle of the mouth.
The patient can not wrinkle the forehead, frown, close the eyes ( "hare
Eye "), inflate the cheek, to whistle, to blow out a candle. When grin teeth
revealed the lack of movement on the affected side, here
It occurs more slowly and rarely blinking. On the side of muscle paralysis
strengthened salivation, from the corner of the mouth saliva flows. With the defeat of
peripheral nerve sections are often marked by pain in the face, which
may precede the development of paralysis of facial muscles. depending
from nerve injury level of motor impairment can be combined with
disorders of taste on the anterior half of the tongue and the aggravation of hearing.
"Rabbit" is often combined with an eye violation lacrimation (dry
acute illness, then for the first 2 weeks of state
It is beginning to improve. The lack of recovery movements of facial muscles
during the month of guards against the possibility of
irreversible changes in nerve. At the same time adverse symptom
is the development of keratitis (caused by the drying of the conjunctiva of the eye on
side paralysis) and contractures paralyzed muscles (highlights
nasolabial fold, resulting in reduction of orbicularis oculi muscle
eye narrows the gap observed myoclonic spasms
How is the treatment and prevention
preferably carried out in a hospital environment. Tactics of treatment depends on the
reasons, the period of the disease, the level of destruction of the nerve. When infectious
because the disease is recommended polupostelny mode for 2-3
days, apply anti-inflammatory therapy. In the early stages
diseases effectively treated with hormones -corticosteroids (prednisolone and its analogs). Due to the swelling of the nerve and its infringement in the bone canal use diuretics (furosemide, diakarb, triampur). Regardless of the cause of neuropathy are appointed by means of improving blood circulation in the nerve (nicotinic acid, komplamin).
To prevent dryness of the conjunctiva and the development of trophic disorders
2-3 times a day in the eyes need to dig sulfacetamide, vitamin
drops. With 5-7 days joins vitamin, on 7-10 day added
drugs that improve the conduct of the nerve and neuromuscular transmission (Neostigmine).
In the course of treatment must be included physical therapy: infrared rays,
the electric field UHF, laser, sinusoidal modulated
currents, ultrasound, massage neck area. From the first days of illness
appointed physiotherapy. In all forms of the disease
acupuncture is used.
As a precaution, the facial nerve lesions should avoid exposure to cold, infectious diseases, timely treat hypertension.