Clinical Case Database / Category: Clinical Care
Facial palsy
Publication details
Miss Gada Yassin MRCS (ENT) MBBS BSc DPMSA, Mr Alwyn R. D’Souza MBBS, FRCS (Oto), FRCS Ed, (ORL- HNS)
Foundation Years Journal, volume 7, issue 1, p.52 (123Doc Education, London, January 2013)
Abstract
Facial palsy can commonly present at the GP surgery, ENT clinic or emergency department. The loss of muscle tone, symmetry, and dynamics compromises facial aesthetics, non-verbal communication and eating; it also risks damage to the eye; thus causing physical morbidity to the patient. Moreover, these can result in significant social and psychological morbidity. It is important to examine the facial nerve in head and neck patients as well as those with otological or neurological complaints. This article describes a case of facial nerve palsy. It explains how to assess a patient presenting with facial nerve palsy, the management and the relevant anatomy of the facial nerve.
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Authors
Miss Gada Yassin MRCS (ENT) MBBS BSc DPMSA
Surgery Education Fellow at Birmingham
Heartlands Hospital, Birmingham, United Kingdom
gada.yassin@doctors.org.uk
Mr Alwyn R. D’Souza MBBS, FRCS (Oto), FRCS Ed, (ORL- HNS)
ENT and Facial Plastics Consultant at University
Hospital Lewisham, London, United Kingdom
References
1. Royal College of Optometrists clinical management guidelines. Facial Palsy (including Bell’s Palsy). http://www.college-optometrists.org/download. cfm/docid/63AD5CC8-EB0F-41CB-89508DC2D43560FB
2. El-Hawrani AS, Eng CY, Ahmed SK et al. General practitioner’s referral pattern for children with acute facial paralysis. J Laryngol Otol, 2005, 119(7): 540-542
3. de Almeida JR, Al Khabori M, Guyatt GH et al. Combined corticosteroid and antiviral treatment for Bell palsy: a systematic review and meta-analysis. JAMA 2009, 302:985.
4. Quant EC, Jeste SS, Muni RH, et al. The benefits of steroids versus steroids plus antivirals for treatment of Bell’s palsy: a meta-analysis. BMJ 2009, 339:b3354.
5. Sullivan FM, Swan IR, Donnan PT, et al. Early treatment with prednisolone or acyclovir in Bell’s palsy. N Engl J Med 2007, 357:1598.
6. Engström M, Berg T, Stjernquist-Desatnik A, et al. Prednisolone and valaciclovir in Bell’s palsy: a randomised, double-blind, placebo-controlled, multicentre trial. Lancet Neurol 2008, 7:993.
7. Corbridge R and Steventon N. Oxford handbook of ENT and head and neck surgery, 1st edition, New York: Oxford University Press, 2006, p.422
8. Ramakrishnan Y, Alam S, Kotecha A, et al. Reanimation following facial palsy: present and future directions. J Laryngol Otol, 2010, 124(11):1146-1152
9. House JW, Brackmann DE. Facial nerve grading system. Otolaryngol Head Neck Surg, 1985, 93(2):146-7.
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Conflict Of Interest
The Journal requires that authors disclose any potential conflict of interest that they may have. This is clearly stated in the Journal’s published “Guidelines for Authors”. The Journal follows the Guidelines against Conflict of Interest published in the Uniform Requirements for Manuscripts Submitted to Biomedical Journals (http://www.icmje.org/urm_full.pdf).
Financial Statement
The authors of this article have not been paid. The Journal is financed by subscriptions and advertising. The Journal does not receive money from any other sources. The decision to accept or refuse this article for publication was free from financial considerations and was solely the responsibility of the Editorial Panel and Editor-in-Chief.
Patient Consent statement
All pictures and investigations shown in this article are shown with the patients’ consent. We require Authors to maintain patients’ anonymity and to obtain consent to report investigations and pictures involving human subjects when anonymity may be compromised. The Journal follows the Guidelines of the Uniform Requirements for Manuscripts (http://www.icmje.org/urm_full.pdf). The Journal requires in its Guidelines for Authors a statement from Authors that “the subject gave informed consent”.
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When reporting experiments on human subjects, the Journal requires authors to indicate whether the procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the HelsinkiDeclaration of 1975, as revised in 2008.
About the Clinical Cases Database
The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
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