Materiały źródłowe

• #1 Bell’s palsy | Beacon Health System

  https://www.beaconhealthsystem.org/library/diseases-and-conditions/bells-palsy?content_id=CON-20370010

  Bell’s palsy is a condition that causes sudden weakness in the muscles on one side of the face. Often the weakness is short-term and improves over weeks. The weakness makes half of the face appear to droop. Smiles are one-sided, and the eye on the affected side is hard to close. […] Symptoms usually start to improve within a few weeks, with complete recovery in about six months. A small number of people continue to have some Bell’s palsy symptoms for life. Rarely, Bell’s palsy occurs more than once. […] Symptoms of Bell’s palsy come on suddenly and may include: Mild weakness to total paralysis on one side of the face occurring within hours to days. Facial droop and trouble making facial expressions, such as closing an eye or smiling. Drooling. Pain around the jaw or pain in or behind the ear on the affected side. Increased sensitivity to sound on the affected side. Headache. Loss of taste. Changes in the amount of tears and saliva produced. […] Mild symptoms of Bell’s palsy typically disappear within a month. Recovery from more-complete facial paralysis can vary.

• #2 Bell’s Palsy: What It Is, Causes, Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/5457-bells-palsy

  Bells palsy temporarily weakens or paralyzes facial muscles. People with Bells palsy develop a droopy appearance on one or sometimes both sides of their face. The condition usually isnt serious and often goes away in a few months without treatment. […] Bells palsy is a condition that causes temporary facial paralysis (palsy). It usually only affects the muscles on one side of your face. You may have a lopsided smile or an eyelid that you cant fully close. It rarely affects both sides of your face. […] The main sign of Bells palsy is facial muscle paralysis usually on one side of your face. It looks like one side of your face is drooping. […] Symptoms of Bells palsy tend to come on suddenly and reach peak severity within 48 to 72 hours. Some people develop mild facial muscle weakness. Others experience total muscle paralysis in their face.

• #2 Bell’s Palsy: What It Is, Causes, Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/5457-bells-palsy

  Its difficult to make full expressions with Bells palsy. Wrinkling your forehead, blinking and grimacing may be difficult or impossible on the affected side. Your face may feel numb or heavy. But you can still feel touch and temperatures (like heat and coolness) on the affected side of your face. […] Bells palsy can last a few weeks to six months. Symptoms usually start to gradually improve in three weeks. Up to 80% of people fully recover and show no signs of Bells palsy within three months. […] Most cases of Bells palsy arent permanent. After some time, youll likely regain your full normal facial muscle function. This happens in about 80% of cases. […] For others, facial weakness can be long-lasting. The longer the recovery, the more likely youll have lasting issues. The risk factors that are associated with poor outcomes include: Complete facial paralysis. Being over 60. Having decreased salivation or taste.

• #3 Bell Palsy – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK482290/

  Bell palsy is the most common paralysis of the seventh cranial nerve, with an onset that is typically rapid and hemifacial. The condition affects 15 to 40 of every 100,000 people annually and recurs in approximately 10% of cases. In addition to unilateral facial paralysis, Bell palsy often also involves a prodrome of otalgia, and many patients additionally report ipsilateral xerophthalmia, epiphora, hyperacusis, nasal obstruction, and dysgeusia. The facial asymmetry accompanying Bell palsy may cause dysarthria, oral incompetence, and difficulty expressing emotions nonverbally, resulting in social isolation and emotional distress. […] Fortunately, 70% to 80% of patients will recover completely even without treatment, and over 95% recover with prompt pharmacological therapy. […] When Bell palsy occurs, patients typically present complaining of weakness and often „numbness” of one side of the face, usually preceded 1 to 2 days prior by a dull ache behind or within the ipsilateral ear. Patients may report a dry eye over the course of the day prior to presentation, noting drooling while brushing their teeth before going to bed, and potentially numbness of the tongue or a metallic taste in the mouth.

• #3 Bell Palsy – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK482290/

  Fortunately, over 80% of patients with Bell palsy will recover on their own, with 90% to 97% improving if provided with appropriate medical management in a timely fashion. […] Patients with House-Brackmann grade V paralysis evolve into synkinesis in 17% of patients and House-Brackmann grade VI paralysis does so in 40% of patients; conversely, no patients with a severity of House-Brackmann grade II developed synkinesis in their series. […] Bell palsy resolves completely without treatment in approximately 80% of cases, with the remaining patients developing synkinesis to some degree. Oral corticosteroids with or without antivirals increase the chance of recovery from 90% to 97%. Recurrence does occur in 8% to 12% of affected individuals, with a mean latency of 10 years between episodes.

• #4 Bell’s Palsy | National Institute of Neurological Disorders and Stroke

  https://www.ninds.nih.gov/health-information/disorders/bells-palsy

  Symptoms of Bells palsy include: Sudden weakness or paralysis on one side of the face […] A drooping eyebrow and mouth […] Drooling from one side of the mouth […] Difficulty closing one eyelid, which causes eye dryness. Most often these symptoms lead to significant facial distortions. People living with Bell’s palsy also may develop: Facial pain or abnormal sensations […] Excessive tears in one eye […] Problems with taste […] Sensitivity to loud noises […] Pain around the jaw and behind the ear […] Problems eating or drinking. In rare cases, Bell’s palsy can affect both sides of the face. Symptoms appear suddenly over a 48- to 72-hour period and generally begin to improve after a few weeks. The symptoms vary from person to person and can be mild to severe. People with Bells palsy usually recover some or all facial function within a few weeks to six months. Sometimes, the facial weakness may last longer or be permanent.

• #5 Bell’s Palsy: Causes, Symptoms, and Treatment

  https://www.webmd.com/brain/understanding-bells-palsy-basics

  Symptoms of Bell’s palsy come on suddenly. You may go to bed one night feeling fine and wake up the next morning with one side of your face weak or drooping. […] You might find it hard to close your eye on that side or make facial expressions like smiling. Your face may even be completely paralyzed on that side. Its rare, but Bells palsy can sometimes affect the nerves on both sides of your face. […] Besides the weakness and drooping of your facial muscles, other symptoms of Bell’s palsy may include: Drooling, Pain in your jaw or behind your ear, Headache, Less sense of taste, Dry eye and mouth, Ringing in your ears (tinnitus), Low tolerance for loud sounds, Difficulty talking, Trouble eating and drinking, Difficulty closing your eye, Problems smiling, Facial twitches. […] Once your symptoms start, they usually get worse over the next 48-72 hours. But, over the next few weeks, you should begin to see improvements in both the feeling and movement in your face. After 3 months, you’ll probably be able to move your face like normal again. […] The first signs that you’re healing are usually evident in your muscle tone. You may notice the droopy side of your face looking less droopy. Next, your facial movements should start to return to normal. […] Remember, most people recover fully from Bell’s palsy in time.

• #6 Bell Palsy – Brain, Spinal Cord, and Nerve Disorders – Merck Manual Consumer Version

  https://www.merckmanuals.com/home/brain-spinal-cord-and-nerve-disorders/cranial-nerve-disorders/bell-palsy

  Bell palsy (a type of facial nerve palsy) is sudden weakness or paralysis of muscles on one side of the face due to malfunction of the 7th cranial nerve (facial nerve). […] People may feel pain behind the ear, then one side of the face may become weak or completely paralyzed, and they may be unable to taste with the front of the tongue on the affected side. […] In Bell palsy, pain behind the ear may be the first symptom. Facial muscles weaken suddenly, usually within hours. The effect ranges from mild weakness to complete paralysis. By 48 to 72 hours, the weakness is as severe as it will be. Only one side of the face is affected. […] However, when only one side is affected, people often feel as though the face is twisted because the muscles on the unaffected side tend to pull the face to that side every time they make a facial expression. Wrinkling the forehead, blinking, and grimacing may be difficult or impossible on the affected side. For most people, the face feels numb or heavy, even though sensation remains normal.

• #6 Bell Palsy – Brain, Spinal Cord, and Nerve Disorders – Merck Manual Consumer Version

  https://www.merckmanuals.com/home/brain-spinal-cord-and-nerve-disorders/cranial-nerve-disorders/bell-palsy

  Closing the eye on the affected side may be difficult. People may be unable to close the eye completely, and they blink less frequently. The eye also tends to turn upward when it is closed. […] The production of saliva and tears may be impaired. People may have dry eyes and mouth, or they may drool. […] People may be unable to taste with the front part of the tongue on the affected side. The ear on the affected side may perceive sounds as abnormally loud (a condition called hyperacusis) because the muscle that stretches the eardrum is paralyzed. […] When facial paralysis is partial, most people recover completely within several months whether they are treated or not. […] When the paralysis is total, the outcome varies. Tests (nerve conduction studies and electromyography) can be done to help predict the likelihood of recovery. Some people do not recover completely. The facial muscles may remain weak, causing the face to droop. […] Recovery occurs when nerve fibers regrow. However, nerves may regrow in the wrong place—for example, to the eyes rather than lower face. As a result, unexpected muscles may contract when people make facial expressions or people may shed tears (called crocodile tears) when they eat.

• #7 Bell palsy Information | Mount Sinai – New York

  https://www.mountsinai.org/health-library/diseases-conditions/bell-palsy

  Bell palsy is a disorder of the nerve that controls movement of the muscles in the face. This nerve is called the facial or seventh cranial nerve. […] Damage to this nerve causes weakness or paralysis of these muscles. Paralysis means that you cannot use the muscles at all. […] Symptoms most often start suddenly, but may take 2 to 3 days to become fully developed. They do not become more severe after that. […] Symptoms are almost always on one side of the face only. They may range from mild to severe. […] Many people feel discomfort behind the ear before weakness is noticed. The face feels stiff or pulled to one side and may look different. […] Other signs can include: Difficulty closing one eye, Difficulty eating and drinking because food falls out of one side of the mouth, Drooling due to lack of control over the muscles of the face, Slurring your words (dysarthria) due to lip weakness, Drooping of the face, such as the eyelid or corner of the mouth, Problems smiling, grimacing, or making facial expressions, Twitching or weakness of the muscles in the face.

• #8 Bell’s Palsy: Diagnosis and Management | AAFP

  https://www.aafp.org/pubs/afp/issues/2007/1001/p997.html

  Bell’s palsy is a peripheral palsy of the facial nerve that results in muscle weakness on one side of the face. Affected patients develop unilateral facial paralysis over one to three days with forehead involvement and no other neurologic abnormalities. Symptoms typically peak in the first week and then gradually resolve over three weeks to three months. […] Patients with Bell’s palsy usually progress from onset of symptoms to maximal weakness within three days and almost always within one week. A more insidious onset or progression over more than two weeks should prompt reconsideration of the diagnosis. Left untreated, 85 percent of patients will show at least partial recovery within three weeks of onset. […] Approximately 70 to 80 percent of patients will recover spontaneously; however, treatment with a seven-day course of acyclovir or valacyclovir and a tapering course of prednisone, initiated within three days of the onset of symptoms, is recommended to reduce the time to full recovery and increase the likelihood of complete recuperation.

• #9 Bell Palsy Clinical Presentation: History, Physical Examination, Grading

  https://emedicine.medscape.com/article/1146903-clinical

  Symptoms of Bell palsy include the following: […] Acute onset of unilateral upper and lower facial paralysis (over a 48-hr period) […] The onset of Bell palsy is typically sudden, and symptoms tend to peak in less than 48 hours. […] Progression of the paresis is possible, but it usually does not progress beyond 710 days. A progression beyond this point suggests a different diagnosis. […] Many patients report numbness on the side of the paralysis. […] One third of patients may experience hyperacusis in the ear ipsilateral to the paralysis, which is secondary to weakness of the stapedius muscle. […] While only one third of patients report taste disorders, 80% of patients show a reduced sense of taste. […] The paralysis must include the forehead and lower aspect of the face. The patient may report the inability to close the eye or smile on the affected side. […] If a patient has gradual onset of facial paralysis, weakness of the contralateral side, or a history of trauma or infection, other causes of facial paralysis must be strongly considered.

• #10 Bell’s Palsy: Causes, Symptoms, Diagnosis, Treatment, Outlook

  https://www.healthline.com/health/bells-palsy

  Bells palsy is a condition that causes a temporary weakness or paralysis of the muscles in the face. […] The condition causes one side of your face to droop or become stiff. You may have difficulty smiling or closing your eye on the affected side. In most cases, Bells palsy is temporary, and symptoms usually go away within a few weeks or months. […] The symptoms of Bells palsy can vary in severity, from mild weakness to total paralysis. The more inflammation and compression the facial nerve is exposed to, the more severe the paralysis tends to be, and the longer it takes for the nerve to heal and regain function. […] The symptoms usually appear abruptly, and you may notice them when you wake up in the morning or when you try to eat or drink. […] Bells palsy is marked by a droopy appearance on one side of the face and the inability to open or close your eye on the affected side. In rare cases, Bells palsy may affect both sides of your face.

• #10 Bell’s Palsy: Causes, Symptoms, Diagnosis, Treatment, Outlook

  https://www.healthline.com/health/bells-palsy

  Other signs and symptoms of Bells palsy include: facial weakness, a droopy mouth, an inability to make facial expressions, such as smiling or frowning, difficulty pronouncing certain words, dry eye and mouth, altered taste, drooling, sensitivity to sound, difficulty eating and drinking, muscle twitches in the face, irritation of the eye on the involved side, headache. […] In most cases, Bells palsy symptoms improve without treatment. However, it can take several weeks or months for the muscles in your face to regain their normal strength. […] The outlook for people with Bells palsy is usually good. Recovery time can vary depending on the severity of nerve damage. […] If the nerve damage is mild, you may start seeing an improvement within 2 to 3 weeks of the initial onset of symptoms. If the nerve damage is more severe, it could take 3 to 6 months to start noticing an improvement. In rare cases, symptoms may continue to return or may be permanent.

• #11 Bell’s palsy – Wikipedia

  https://en.wikipedia.org/wiki/Bell%27s_palsy

  Inability to move the facial muscles on one side, change in taste, pain around the ear. […] Symptoms can vary from mild to severe. […] They may include muscle twitching, weakness, or total loss of the ability to move one or, in rare cases, both sides of the face. […] Other symptoms include drooping of the eyebrow, a change in taste, and pain around the ear. Typically symptoms come on over 48 hours. […] The condition normally gets better by itself, with most achieving normal or near-normal function. […] Often signs of improvement begin within 14 days, with complete recovery within six months. […] A few may not recover completely or have a recurrence of symptoms. […] Most people with Bell’s palsy start to regain normal facial function within three weeks—even those who do not receive treatment.

• #11 Bell’s palsy – Wikipedia

  https://en.wikipedia.org/wiki/Bell%27s_palsy

  After a follow-up of at least one year or until restoration, complete recovery had occurred in more than two-thirds (71%) of all patients. […] Recovery was judged moderate in 12% and poor in only 4% of patients. […] Another study found that incomplete palsies disappear entirely, nearly always in one month. […] The patients who regain movement within the first two weeks nearly always remit entirely. […] When remission does not occur until the third week or later, a significantly greater part of the patients develop sequelae. […] Major possible complications of the condition are chronic loss of taste (ageusia), chronic facial spasm, facial pain, and corneal infections. […] Around 9% of people have some sort of ongoing problems after Bell’s palsy, typically the synkinesis already discussed, or spasm, contracture, tinnitus, or hearing loss during facial movement or crocodile-tear syndrome.

• #12 Bell Palsy Symptoms | Northwestern Medicine

  https://www.nm.org/conditions-and-care-areas/ent-ear-nose-throat/bells-palsy/symptoms

  Symptoms of Bell palsy appear suddenly and can range from mild facial weakness to complete paralysis. Symptoms may worsen for the first two days, then slowly fade away over the next two weeks to six months. In rare cases, the symptoms are permanent. […] Symptoms vary widely from one patient to another, but they often include: […] Twitching […] Weakness […] Drooping eyelid or trouble closing one eye […] Drooping mouth on one side […] Drooling […] Dry eye or excessive tearing […] Dry mouth […] Impaired sense of taste […] Headache or pain in the jaw or behind the ear […] Sensitivity to sound […] Ringing in the ears […] Dizziness […] Facial paralysis […] Difficulty speaking, eating or drinking. […] The symptoms of Bell’s palsy can be similar to those of a stroke. Know when to seek immediate medical attention.

• #13 Bell’s palsy overview – Harvard Health

  https://www.health.harvard.edu/pain/bells-palsy-overview

  Symptoms come on suddenly, sometimes preceded by a day or two of pain behind the ear. About half of all people who get Bell’s palsy have partial or full paralysis of the face within 48 hours; the rest develop it within five days. Bells palsy symptoms include: drooping of one corner of the mouth […] flattening of the creases and folds in the skin […] inability to close one eyelid […] a sagging lower eyelid, letting tears spill onto the cheek […] heaviness or numbness on the affected side. The paralysis can cause food to collect between the teeth and lips, and saliva may dribble from the corner of the mouth. Some people with Bell’s palsy become painfully sensitive to loud sounds.

• #14 Bell’s palsy recovery: Signs, stages, and tips

  https://www.medicalnewstoday.com/articles/bells-palsy-recovery-signs

  The flaccid stage occurs when symptoms begin and may include the following: the facial muscles become weak, lose tension, and become floppy; weakened facial muscles cause features, such as the eyebrows, to droop; the eye may not be able to close properly or blink, which may make it sore and dry; the corner of the mouth may droop, making it difficult to eat, drink, or speak as usual. […] During the paretic stage, the facial nerves begin to recover. As the facial muscles become firmer and regain their typical shape, a persons facial symmetry may improve. People may experience: an improvement in facial expressions, although this may worsen over the day as the facial muscles tire easily; facial muscles that improve at different rates they may be able to close an eye but find it difficult to smile, for example; tingling in the face, which may indicate nerve recovery.

• #14 Bell’s palsy recovery: Signs, stages, and tips

  https://www.medicalnewstoday.com/articles/bells-palsy-recovery-signs

  For delayed recovery, the synkinetic stage is the final stage and causes involuntary movements. During this stage, people may experience: closing the eyes or lifting the eyebrows may cause the cheek to lift involuntarily, or vice versa; on the affected side, the cheek may feel stiff or tight, and the eye may appear smaller; headaches; neck pain. […] While people with Bells palsy often recover within a few weeks, full recovery can take up to 9 months. People should speak with a doctor as soon as they notice symptoms of the condition. […] If people do not show improvement in the first few weeks, they may have a longer recovery time. In some cases, individuals may need medical procedures and rehabilitation to help regain facial function.

• #14 Bell’s palsy recovery: Signs, stages, and tips

  https://www.medicalnewstoday.com/articles/bells-palsy-recovery-signs

  Most people with Bells palsy recover within a few weeks. An improvement in facial expressions or facial tingling may indicate recovery. However, if there is severe damage to the facial nerve, recovery may take longer. […] Bells palsy is a disorder that affects the facial nerve, leading to weakness or paralysis on one side of the face. Symptoms include drooping of the eyebrow and mouth, drooling, and difficulty closing one eye. […] In most cases, Bells palsy is temporary, and people will show signs of recovery within a few weeks. In severe cases, recovery may take longer, and individuals may need surgery or rehabilitation to improve facial symmetry and function. […] Of people presenting with initial symptoms of Bells palsy, 71% show obvious signs of recovery within 3 weeks. If individuals do not improve in the first few weeks, their recovery may take longer. The United Kingdoms National Health Service (NHS) states that in most cases, full recovery can take up to 9 months.

• #15 Bell’s Palsy

  https://www.healthhub.sg/a-z/diseases-and-conditions/bells-palsy-facial-nerve-paralysis

  Bell’s palsy is a paralysis of the facial nerve resulting in inability to control facial muscles on the affected side. […] Bells palsy symptoms include: Facial drooping on the affected side Difficulty with facial expression such as smiling and frowning Difficulty with blinking and closing of the eye Dry eyes Altered lacrimation function (lack of tearing or excessive tearing) Sensitivity to light and sound Altered salivation function (lack or excessive salivation) Pain in or near the ears Drooling […] Very quickly. Most people either wake up to find they have Bell’s palsy, or have symptoms such as a dry eye or tingling around their lips that progress to classic Bell’s palsy during that same day. Occasionally symptoms may take a few days to be recognisable as Bells palsy. The degree of paralysis should peak within several days of onset never longer than two weeks (or three weeks for Ramsay Hunt syndrome). A warning sign may be neck pain, or pain in or behind the ear prior to palsy, but it is not usually recognised in first-time cases.

• #16 Bell’s Palsy: It’s All About Time

  https://www.rwjbh.org/blog/2021/november/bell-s-palsy-it-s-all-about-time/

  Initial symptoms of Bells palsy may present similarly to a stroke, and will present over 24-72 hours. […] Symptoms vary individually, but may include: Weakness from mild to total paralysis of facial muscles on one side of the face, Changes in taste, Dryness and/or excessive tearing of the affected eye, Drooling from the affected corner of the mouth, Difficulty with certain speech sounds. […] Most cases of Bells palsy will spontaneously recover within the first three to six months. However, with more severe cases, some symptoms such as facial weakness or tightness may persist. The most common long term side effect post-Bells palsy is synkinesis, which is an involuntary co-contraction of a facial muscle that occurs during an unrelated voluntary movement.

• #17 Quick Bell’s Palsy Recovery (with photos) • Crystal Touch Bell’s Palsy Clinic

  https://crystal-touch.nl/quick-bells-palsy-recovery-timeline/

  Your facial palsy begins and the full paralysis of one side of the face takes place. This happens due to conduction block resulting from damaged myelin sheath. […] Most likely, there will still not be any visible movements. […] Somewhere around these days, the first signs of recovery should appear. It can be some tingling, tickling, vibrating sensations in your facial muscles. The tonus of the facial muscles can start to return (the face will appear less droopy). Most likely there will not be any noticeable movements yet. […] The first movements should appear. Facial palsy now ends. You are entering the recovery period. It may still take some time for the myelin sheath to recover fully. At this stage, after you see the first movements, the rest of the movements should return within the next 10 days approximately.

• #18 Expert Diagnosis and Treatment for Bell’s Palsy | Facial Paralysis | Ear, Nose & Throat Services | University Hospitals | Cleveland, OH | University Hospitals

  https://www.uhhospitals.org/services/neurology-and-neurosurgery-services/conditions-and-treatments/neuromuscular/bells-palsy

  Bells palsy is the most common, and usually temporary, cause of one-sided facial paralysis. The paralysis typically occurs suddenly (over 3 days or less) and may cause limited or full paralysis of the affected side of the face. Commonly, it will present with ear pain, changes in hearing, facial numbness, limited eye closure, and dryness of the ear. The most notable outward symptoms include limitations in facial expression, speech, vision, eating and drinking. […] The prognosis for recovery of facial function with Bells palsy is good, with most people experiencing a complete recovery within 3-6 weeks. However, for some patients, complete recovery can take 3-4 months and still others (approximately 20 percent) will experience an incomplete recovery in which some abnormal facial movements persist after recovery. […] Symptoms of an incomplete recovery may include: Tightness around the eye, mouth and/or neck, Synkinesis abnormal coordination of the facial muscles. An example of this would be eye closure with mouth movement or vice versa.

• #19 Bell s Palsy

  https://www.brainfacts.org/diseases-and-disorders/neurological-disorders-az/diseases-a-to-z-from-ninds/bell-s-palsy

  Bell’s palsy is a form of temporary facial paralysis resulting from damage or trauma to one of the facial nerves. Symptoms of Bell’s palsy usually begin suddenly and reach their peak within 48 hours. Symptoms vary from person to person and can range in severity from mild weakness to total paralysis. These symptoms include twitching, weakness, or paralysis, drooping eyelid or corner of the mouth, drooling, dry eye or mouth, impairment of taste, and excessive tearing in the eye. […] Most individuals begin to get better within 2 weeks after the initial onset of symptoms and recover completely within 3 to 6 months.

• #20 Bell’s palsy

  https://www.nhs.uk/conditions/bells-palsy/

  Bell’s palsy is temporary weakness or lack of movement that usually affects 1 side of the face. Treatment with steroids can help and most people get better within 6 months. […] Symptoms of Bell’s palsy include: weakness on 1 side of your face, or not being able to move 1 side of your face this usually happens over a few days, a drooping eyelid or corner of your mouth, drooling, a dry mouth, loss of taste, a dry or watering eye. […] Your Bell’s palsy symptoms should get better within 6 months, but it can take longer for some people. […] Some people can have permanent facial weakness and symptoms such as: pain in their face, around the jaw and behind the ear, a constantly watering eye, difficulty eating and drinking, changes in their sense of taste, difficulty with loud sounds. […] You’ll usually only get Bell’s palsy once, but rarely it can come back, sometimes years later.

• #21 Bell’s Palsy Facial Paralysis & Synkinesis in Adults & Children – Shai M. Rozen, M.D., F.A.C.S.

  https://www.drshairozen.com/facial-paralysis/bells-palsy/

  The term Bells palsy is used synonymously with facial paralysis, often incorrectly. The basic definition of Bells palsy is an acute onset of peripheral facial paralysis of an unknown cause. It usually affects one side of the face. This can result in all of the typical symptoms and signs of facial paralysis, including but not limited to: […] Bells palsy always develops quickly over a period of 24 to 48 hours. It may sometimes appear before or after feeling pain in the ear, neck, or head. […] The majority of patients diagnosed with Bells palsy will recover over the following 3 months. This can be a very frustrating period, but the first signs of recovery will appear as: Increased facial tone (the symmetry of the face seems to improve). Small motion around the eyes and mouth. Gradual increased facial function.

• #21 Bell’s Palsy Facial Paralysis & Synkinesis in Adults & Children – Shai M. Rozen, M.D., F.A.C.S.

  https://www.drshairozen.com/facial-paralysis/bells-palsy/

  If no motion is observed within 3 months, full recovery is unlikely. This doesn’t mean that recovery is not possible. At this point, the patient should consult with a surgeon who is a facial nerve specialist and is an expert in facial reanimation. […] Although most patients with Bells palsy recover fully, there is a group of patients who initially recover but then overshoot in their recovery and begin experiencing synkinesis (abnormal, involuntary facial movements). […] Initially, patients experience twitches around the eyes. With time, some patients will progress to involuntary motion. Most commonly, the corner of the mouth moves when closing the eye (ocular-oral synkinesis), and conversely the eye closes when attempting to smile (oral-ocular synkinesis).

• #22 Bell’s Palsy – Bell’s Palsy Symptoms and Treatment

  https://facialparalysisinstitute.com/conditions/bells-palsy/

  In many instances, symptoms disappear on their own within three months of an initial diagnosis. However, if Bells palsy symptoms linger for eight months or longer, Dr. Babak Azizzadeh and The Facial Paralysis Institute team can help. […] In approximately 85% of cases, Bells palsy will go away on its own and the patient will regain full facial movements. […] The extent of facial nerve damage associated with Bells palsy can impact the recovery time after treatment. […] When discussing recovery from Bells palsy, there are three groups of patients recovering from Bells palsy: Full Recovery: 85 percent of Bells palsy patients will recover from Bells palsy without any lingering health issues. […] Partial Recovery: 10 percent of Bells palsy patients will suffer synkinesis and partial facial paralysis. […] Complete Facial Paralysis: The remaining 5 percent of Bells palsy patients will require comprehensive Bells palsy treatment.

• #23 What Is Bell’s Palsy? | University of Utah Health

  https://healthcare.utah.edu/the-scope/health-library/all/2023/02/what-bells-palsy

  About 94% of those will completely recover in six months. […] For patients who have complete paralysis and weakness, about 70% of those will recover completely in six months. So alternatively, 30% of those patients who start with complete weakness will continue to have some weakness in the long term or other disabilities. […] Most patients will recover, so hopefully there’s always some comfort in knowing that for any patient who comes in with Bell’s Palsy, the majority will get better.

• #24 Bell Palsy: Practice Essentials, Background, Anatomy

  https://emedicine.medscape.com/article/1146903-overview

  Approximately 80-90% of patients with Bell palsy recover without noticeable disfigurement within 6 weeks to 3 months. […] Most patients who suffer from Bell palsy have neurapraxia or local nerve conduction block. These patients are likely to have a prompt and complete recovery of the nerve. […] The risk factors thought to be associated with a poor outcome in patients with Bell palsy include (1) age greater than 60 years, (2) complete paralysis, and (3) decreased taste or salivary flow on the side of paralysis (usually 10-25% compared with the patients normal side). […] Patients aged 60 years or older have an approximately 40% chance of complete recovery and have a higher rate of sequelae. […] The sooner the recovery, the less likely are the chances that sequelae will develop […] If no recovery occurs by 4 months, then the patient is more likely to have sequelae from the disease, which include synkinesis, crocodile tears, and (rarely) hemifacial spasm. […] Bell palsy recurs in 4-14% of patients, with one source suggesting a recurrence rate of 7%.

• #25 Bell’s Palsy | UNC Facial Nerve Center

  https://www.med.unc.edu/ent/facialnervecenter/conditions/bells-palsy/

  Patients typically experience an improvement in facial tone (i.e., resting symmetry) and then will begin to see facial movements return. Many times, the regenerating facial nerve establishes proper connections with the facial muscles and the recovery is complete. However, sometimes the facial nerve makes abnormal connections with facial muscles as it regenerates (aka aberrant nerve regeneration), which results in long-term sequelae of Bells palsy: Facial asymmetry, Smile asymmetry, Facial synkinesis: Involuntary facial movements such as eye closing with smile, Narrowing of the eye, Facial tightness, Neck tightness, Deep nasolabial fold (aka smile lines), Chin dimpling, Platysma banding.

• #26 Residual Effects | Bells Palsy

  http://bellspalsy.ws/residual-effects/

  Most people who develop Bells palsy will recover completely and spontaneously (i.e. without any physical therapy) within 3 months. […] Generally, the longer the recovery takes beyond the initial three months, the more severe the residual effects. […] For the person who has facial paralysis after Bells palsy there are typically 2 stages of recovery. In the first stage (first 3 months) there may be no facial movement at all. […] The affected side of the face may droop. The eye may be unable to close or blink and tearing may be decreased. […] As nerve recovery takes place you may notice small facial movements beginning. […] If recovery is delayed you may begin to notice movements in areas of the face that you are not even trying to move. […] This condition is known as synkinesis. It is characterized by uncoordinated or unsynchronized facial movements that occur along with normal movements.

• #26 Residual Effects | Bells Palsy

  http://bellspalsy.ws/residual-effects/

  Synkinesis can affect any of the facial muscles, in any imaginable pattern. […] An easy to see example is eye closure during a smile. […] The inability to smile. […] On casual observation, it can appear that the smile muscle is simply not working because the corner of the mouth does not go up during a smile. […] The facial muscles are designed differently than other muscles in the body. […] Different combinations of muscle contractions move the skin in various directions (more than 2000 distinct facial expressions have been catalogued!). […] The vector of the smile muscle generally pulls the corner of the mouth up toward the cheekbone. […] If the smile muscle is pulling up the corner of the mouth and the platysma is pulling it down, where does it wind up? Usually stuck, going nowhere.

• #26 Residual Effects | Bells Palsy

  http://bellspalsy.ws/residual-effects/

  The first step is to accurately identify which muscles are contracting both normally and abnormally. […] The next step is to learn how to inhibit the activity of the muscles that are contracting out of sequence. […] Treatment for residual synkinesis can be effective at any time after it is noticed. […] That is because the focus of the treatment is on re-coordinating rather than stimulating muscles. […] Even an abnormal movement is still a movement! So even many years after synkinesis develops it is possible to restore more normal movement patterns and expression with specific, appropriate training.

• #27 Bell’s palsy: Causes, treatment, and symptoms

  https://www.medicalnewstoday.com/articles/158863

  The severity of symptoms can range from mild weakness to complete paralysis. […] Research shows that symptoms tend to appear and progress over 72 hours or so, after which they stabilize. In most cases, symptoms will resolve without treatment over time, but they can take months or years to disappear completely. […] Some 71% of people with Bells palsy eventually make a full recovery. Medical tests show improvements within 3 weeks in 85% of cases, according to NINDS. […] It can take months or even years to recover fully, but most recover within 9 months. It can happen again, however, with around 12% of people experiencing a recurrence. […] Bells palsy is rare in children and usually resolves without treatment. […] Symptoms develop over several hours or days and peak around 72 hours. […] Most people make a full recovery, but this may take months or weeks.

• #28 Some things you may not have known about Bell’s palsy

  https://www.samitivejhospitals.com/article/detail/bells-palsy-causes

  Symptoms could potentially worsen to the extent that it becomes obvious to those around them, as they struggle to speak, smile or blink. Some may even have trouble moving their lips, closing their eyes and raising their eyebrows, while others may experience problems with speech, as well as being unable to whistle or drink through a straw. […] The symptoms of Bells palsy tend to go away within 48 weeks, but around 10% of sufferers are at risk of the condition recurring. If the condition comes back, it may affect the opposite side of the face. Alternatively, it may affect a single area of the face, but will continue to do so for an extended period of time or even for the rest of that persons life.

• #29 Bell’s palsy – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/bells-palsy/diagnosis-treatment/drc-20370034

  Most people with Bell’s palsy recover fully with or without treatment. […] Corticosteroids may work best if they’re started within several days of when symptoms start. Steroids started early improve the likelihood of complete recovery. […] Paralyzed muscles can shrink and shorten, which may be permanent. […] If your eye won’t close completely, try these tips: Use your finger to close your eye repeatedly throughout the day. Use lubricating eye drops. Wear eyeglasses during the day to protect your eye. Wear an eye patch at night.

• #30 Bell’s Palsy | The University of Kansas Health System

  https://www.kansashealthsystem.com/care/conditions/bells-palsy

  Bell’s palsy is a condition that causes the sudden onset weakness of muscles on one side of the face. This can cause difficulty eating, smiling and closing an eye. Some patients have associated pain with the condition as well as sensitivity to loud noises and altered taste sensation. […] The majority of patients who experience a Bells palsy episode will have a complete recovery with return of normal facial function. However, some will develop long-standing difficulties with involuntary facial movements, facial tightness and spasms, referred to as synkinesis. These symptoms can significantly impact quality of life, leading to mental and behavioral health disorders including depression. […] Symptoms are similar to stroke or related conditions. If you’re experiencing symptoms, call 911 to seek immediate assistance. […] By seeking immediate medical care, you can get an accurate diagnosis for the cause of facial paralysis and begin treatment, which may improve outcomes for complete recovery of facial function and movement.

• #31

  https://abc7.com/post/bells-palsy-recognizing-symptoms-facial-paralysis-early-key/14884787/

  Bell’s Palsy can cause partial facial paralysis and recognizing the signs early is key to treatment. […] If Bell’s Palsy isn’t treated early, recovery could take much longer and in some cases the damage could be permanent. […] „I was not able to raise my eyebrows, I was not able to smile. I was not able to eat,” she said. […] „The issues are that someone can’t close their eyes. People can get corneal abrasions,” said neurologist Dr. Clifford Segil with Providence Saint John’s Health Center. […] The condition can last for two weeks or up to six months. […] While it’s difficult to prevent, Segil said the earlier patients can get treatment, the faster they recover. […] „As soon as I started taking the prednisone, just that day itself, I could see significant improvements in my condition,” Maharana said. […] It’s important to see a neurologist to rule out other serious conditions. Segil said if you have any sign of facial weakness or paralysis see a doctor right away.

• #32 Bell’s Palsy: Symptoms, Risks, Diagnosis and Treatment

  https://www.allaboutvision.com/conditions/related/bells-palsy/

  With this in mind, its important to know that the possibility of a full and quick recovery depends on the severity of symptoms and the level of nerve damage. Those who experience complete muscle paralysis will likely have a longer recovery period. […] If you notice stiffness, tingling or numbness on one side of your face, its recommended that you seek medical attention. The sooner you seek medical attention for your Bells palsy symptoms, the better your chance is for a quick and full recovery.

• #33 Bell’s Palsy – Child Neurology Foundation

  https://www.childneurologyfoundation.org/disorder/bells-palsy/

  A small percentage of children have incomplete recovery. This means that they continue to have facial weakness after several months. Some children have long-term mild facial weakness that is barely noticeable. A few children have more severe facial weakness that does not go away. […] If symptoms continue to worsen after 3 weeks or if there is no improvement by 4 months, the child’s doctor may run additional tests.

• #34 Bell’s Palsy FAQs | Otolaryngology | Head and Neck Surgery

  https://ohns.ucsf.edu/facialnerve/facial-nerve-disorders/bells-palsy

  Bells palsy is characterized by rapid onset, lower motor neuron facial deficit, and can be unilateral, partial or complete paralysis of the face. […] Sudden onset facial weakness or immobility that can progress rapidly to full paralysis over 72 hours. […] Roughly 70% of patients with Bells Palsy will present with complete paralysis and 30% will present with incomplete paralysis. […] Even without treatment, most people will make a spontaneous recovery, but up to about 30% will have delayed or incomplete recovery.

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