Bell Palsy

What is bell pulse?

What is Bell palsy: Bell's paralysis is the most common cause of facial paralysis. Facial palsy is often confused with Bell's palsy. Bell paralysis is the underlying tumor, trauma, etc. It is called idiopathic (unknown cause) short-term temporary facial paralysis for no apparent reason. It is thought to be the result of squeezing in the narrow bone canals it passes through as a result of edema and swelling in the facial nerve. Unilateral facial paralysis due to Bell's paralysis occurs rapidly. In about 3 days, the disease table settles. It is a common condition, especially between the ages of 20-40.

Bell paralizisindeki tipik hikaye yüz (7. kranyal) sinirinin viral bir enfeksiyon sonucunda kişinin yüz mimik kaslarına sinyal gitmesini geçici olarak engelleycek şekilde ödemlenmesidir, %90 geçici bir durumdur. Bell paralizisi tanısı dışlama (ekartasyon) tanısıdır: diğer sebepler dışlanmadan bir hastaya 'Bell paralizisi' tanısı konulmamalıdır. Özellikle uzun sürede (haftalar veya aylar içerisinde) yüz felci yavaş yavaş ilerleyerek artan hastalarda diğer altta yatan sebepler dışlanmalıdır.

Bell paralysis symptoms

The onset of facial paralysis is sudden and symptoms may worsen. Facial palsy is a progressive disease in Bell's paralysis and reaches its maximum severity in a few hours or days. Usually, symptoms maximize within 2-3 days.

Common symptoms:

• Muscle weakness / paralysis, immobility in half of the face
• Sagging in the general appearance of the face
• Difficulty blinking
• Difficulty speaking
• Difficulty eating / drinking
• Increase / decrease in saliva
• Facial swelling
• Drooling
• Taste disturbance

Eye symptoms:

• Insufficient eye closure, eye closure
• Sensitivity to light
• Lower eyelid drooping / drooping
• Sagging / falling at the eyebrow level
• Excessive tearing
• Dry eyes

Bell palsy treatment:

Starting treatment as soon as possible after the onset of the disease accelerates the recovery. Facial paralysis treatment in the first time going to emergency requires. It is not a condition that can be treated with natural remedies at home and can be delayed and neglected by researching Google and websites.

Eye-protective measures in addition to comprehensive treatment, including antiviral therapy, cortisone, gastric-protective therapy. In addition, close monitoring. The treatment should be arranged by a doctor.

The course of the disease in Bell Palsy

Facial paralysis patients due to Bell's paralysis are divided into three groups:

1.  Hastaların %85'inde komple iyileşme görülür, kalıcı bir problem oluşmaz.
2. In 10%, facial nerve weakness and synkinesis (involuntary muscle movements) are seen, the part of which requires physical therapy and follow-up.
3. In %5 of patients permanent facial paralysis or partial facial paralysis and synkinesis (involuntary muscle movements) can be seen.

It should be investigated whether there is another underlying cause of facial paralysis different from Bell palsy, especially in the 3rd group of patients. In patients where bell palsy causes permanent facial paralysis, treatment options available. The priority is eye protection: eye closure May cause dry eyes, stinging, infection and corneal damage. In patients with facial paralysis that does not go away facial paralysis surgery options are available.