BELLS PALSY

BELLS PALSY

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  Bells Palsy -LIVIN NJ
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  DEFINITION • Bells palsyis a form of facial paralysis resulting from a disfunction of the cranial nerve VII, that results in the inability to control facial muscles on the defected side.
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  ETIOLOGY • Cold soresand genital herpes[herpes simplex] • Chickenpox and shingles [herpes zoster] • Infectious mononucleosis [Epstein-Barr] • Cytomegalovirus infections • Respiratory illnesses • German measles [rubella]
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  ETIOLOGY • Mumps • Flu(influenza) • Hard foot and mouth disease • Middle ear infection • sarcoidosis
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  CLINICAL MANIFESTATION • Cold •Ear infection • Eye infection • Facial weakness • Inability to make facial expressions • Difficulty to pronouncing certain words • Loss of taste
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  RISK FACTORS • Pregnantwoman • Upper respiratory infection • Diabetes
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  Cont… • Dry eyeand mouth • Drooling • Sensitivity to sound • Difficulty eating and drinking • Muscle twitches in the face • Irritation of the eye on the involved side • Head ache
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  DIAGNOSIS STUDY • Historycollection • Physical examination • CT scan • MRI • Electromyography (EMG) • Nerve conduction test
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  MEDICAL MANAGEMENT • Lubricatingeyes • Corticosteroids • Antiviral drugs • Mild analgesics • Physiotherapy
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  NURSING MANAGEMENT • Teachingeye care • Teaching about maintaining muscle tone • Diet and nutrition
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  COMPLICATIONS • Eye sore •Irreversible damage to facial nerve • Abnormal regrowth of muscle fiber • Partial or complete blindness of eye
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  PREVENTION • There isno known way to prevent bell’s palsy