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IP Indian Journal of Anatomy and Surgery of Head, Neck and Brain


Clinical study of facial nerve Palsy - The causes and outcome at tertiary care centre


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Abstract

Facial paralysis causes physical as well as functional deformities and psychological problems that may lead to social and professional impairment. The most frequent cause is idiopathic other being trauma, tumours, infections, neurological, congenital or iatrogenic.
Objectives
1.        To identify the etiological factors causing facial nerve palsy.
2.        To compare the treatment modalities and recovery during follow up.
Materials and Method: 100 patents who suffered from facial nerve palsy were analysed. Detailed history was taken. Patients were subject to complete E. N.T, head and neck examination. Necessary investigations were done to confirm the diagnosis. Patients were treated either medically or surgically and facial nerve function was graded again during follow up after 1 week, 1 month and 3 months.
Results: The most common cause of facial nerve palsy is idiopathic (57%) followed by chronic suppurative otitis media (21%). Male preponderance was noted. At the end of three months 88% of patients recovered fully, 8% patients reduced to lower grades from presentation while 4% of patients did not recovered at all.

Keywords:
Facial nerve palsy, Facial nerve palsy management.

Doi No:-10.18231