It is typically diagnosed clinically, in patients with no risk factors for other causes, without vesicles in the ear, and with no other neurological signs. Recovery may be delayed in the elderly, or those with a complete paralysis. Lyme disease is treated with antibiotics. Reactivation of latent virus within the geniculate ganglion is associated with vesicles affecting the ear canal, and termed Ramsay Hunt syndrome type II. Management includes Antiviral drugs and oral steroids.
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It is typically diagnosed clinically, in patients with no risk factors for other causes, without vesicles in the ear, and with no other neurological signs. Recovery may be delayed in the elderly, or those with a complete paralysis.
Lyme disease is treated with antibiotics. Reactivation of latent virus within the geniculate ganglion is associated with vesicles affecting the ear canal, and termed Ramsay Hunt syndrome type II.
Management includes Antiviral drugs and oral steroids. Otitis media is an infection in the middle ear, which can spread to the facial nerve and inflame it, causing compression of the nerve in its canal. Antibiotics are used to control the otitis media, and other options include a wide myringotomy an incision in the tympanic membrane or decompression if the patient does not improve. Chronic otitis media usually presents in an ear with chronic discharge otorrhea , or hearing loss, with or without ear pain otalgia.
Once suspected, there should be immediate surgical exploration to determine if a cholesteatoma has formed as this must be removed if present. Inflammation from the middle ear can spread to the canalis facialis of the temporal bone - through this canal travels the facial nerve together with the statoacoustisus nerve.
In the case of inflammation the nerve is exposed to edema and subsequent high pressure, resulting in a periferic type palsy. Trauma[ edit ] In blunt trauma , the facial nerve is the most commonly injured cranial nerve. Understandably, the likelihood of facial paralysis after trauma depends on the location of the trauma. Most commonly, facial paralysis follows temporal bone fractures, though the likelihood depends on the type of fracture.
Patients may also present with blood behind the tympanic membrane, sensory deafness, and vertigo ; the latter two symptoms due to damage to vestibulocochlear nerve and the inner ear.
Patients may present with blood coming out of the external auditory meatus , tympanic membrane tear, fracture of external auditory canal , and conductive hearing loss.
In patients with severe injury, progress is followed with nerve conduction studies. The facial paralysis can follow immediately the trauma due to direct damage to the facial nerve, in such cases a surgical treatment may be attempted. In other cases the facial paralysis can occur a long time after the trauma due to oedema and inflammation.
In those cases steroids can be a good help. A tumor compressing the facial nerve anywhere along its complex pathway can result in facial paralysis. Common culprits are facial neuromas , congenital cholesteatomas , hemangiomas , acoustic neuromas , parotid gland neoplasms , or metastases of other tumours.
Typically, benign tumors should be removed in a fashion that preserves the facial nerve, while malignant tumors should always be resected along with large areas of tissue around them, including the facial nerve.
While this will inevitably lead to heightened paralysis, safe removal of a malignant neoplasm is worth the often treatable palsy that follows. A chronically discharging ear must be treated as a cholesteatoma until proven otherwise; hence, there must be immediate surgical exploration. Computed tomography CT or magnetic resonance MR imaging should be used to identify the location of the tumour, and it should be managed accordingly.
Stroke[ edit ] Central facial palsy can be caused by a lacunar infarct affecting fibers in the internal capsule going to the nucleus. The facial nucleus itself can be affected by infarcts of the pontine arteries.
Unlike peripheral facial palsy, central facial palsy does not affect the forehead, because the forehead is served by nerves coming from both motor cortexes.
Facial nerve paralysis
Trabajando en el desarrollo de movimientos conscientes, use equipo especial: marcos con bloques y varias cuerdas adheridas a la cama, bolas, expansores. El resultado generalmente se obtiene a una dosis en el rango de 30 a 75 mg diarios. Muy a menudo, se usa diazepam. Es decir, disminuye el tono, aumentando la debilidad muscular. Algunas veces, las operaciones apuntan a eliminar contracturas reflexivas. Sucede que las operaciones combinan elementos de todo tipo. Una cucharada de tintura de zumaque o de zumaque se prepara en 0,5 litros de agua hirviendo y se defiende durante una hora.
¿Qué es la PARÁLISIS FACIAL? y VÍDEO con EJERCICIOS