1. Bell's Palsy InfoSite & Forums: Bells Palsy / Facial Paralysis FAQs Bells palsy, Ramsey Hunt syndrome and facial paralysis information Causes, symptoms, residual effects, treatment and exercises. Active Bell s Palsy forum http://www.bellspalsy.ws/

Visitor# WHAT IS BELL'S PALSY? Bells palsy is a condition that causes the facial muscles to weaken or become paralyzed. It's caused by trauma to the 7th cranial nerve, and is not permanent. WHY IS IT CALLED BELL'S PALSY? The condition is named for Sir Charles Bell, a Scottish surgeon who studied the nerve and its innervation of the facial muscles 200 years ago. HOW COMMON IS BELL'S PALSY? Bells palsy is not as uncommon as is generally believed. Worldwide statistics set the frequency at just over .02% of the population (with geographical variations). In human terms this is 1 of every 5000 people over the course of a lifetime and 40,000 Americans every year. IS BELL'S PALSY ALWAYS ON THE SAME SIDE? The percentage of left or right side cases is approximately equal, and remains equal for recurrences. IS THERE ANY DIFFERENCE BECAUSE OF GENDER OR RACE? The incidence of Bells palsy in males and females, as well as in the various races is also approximately equal. The chances of the condition being mild or severe, and the rate of recovery is also equal. WHAT CONDITIONS CAN INCREASE THE CHANCE OF HAVING BELL'S PALSY?

2. Bell's Palsy Home Page - National Centers For Facial Paralysis - Specialists In Bells Palsy Treastments The National Centers For facial paralysis, Inc. (Specialists in the Rehabilitation of Paralyzed Facial Muscle), http://www.bellspalsy.com/

Specialists in the Rehabilitation of Paralyzed Facial Muscle Contact BPRF This site was last modified: May 03, 2002 800 x 600 resolution FastCounter by bCentral Website: Hayden Web Design

3. Spring1998 The Pittsburgh center describes relaxation techniques and tips for improving photographs of the paralyzed face. Also biographies of staff members at the time the newsletter was published. http://www.upmc.edu/FacialNerve/Newsletters/spring_1998.htm

Spring 1998 Vol . 1, No. 2 In this issue: Who's Who? Loosen Up: Four Techniques to Promote Facial Muscle Relaxation "Seen:" from the Facial Nerve Center To Be Presenting: ... Announcements Who's Who? Dr. Ernest K. Manders recently served as Professor of Surgery and Pediatrics in the College of Medicine of the Pennsylvania State University in Hershey. He is currently Professor of Surgery at the University of Pittsburgh. Dr. Manders was born in Ocean Falls, British Columbia, Canada, and immigrated to the United States. He is now a naturalized US citizen. Dr. Manders received his undergraduate education at Harvard College and then attended Harvard Medical School. After a surgical internship at the University of Michigan, he worked for two years as a Research Associate in the Laboratory of Viral Oncology at the National Institutes of Health. He then returned to the University of Michigan where he completed his training in general surgery and plastic surgery. He joined the faculty at Penn State in 1981, and the University of Pittsburgh faculty in 1997. His wife Sandra and he have four children, three sons and a daughter, of whom they are very proud. Mrs. Manders served on the local school board. Dr. Manders is a member of the American College of Surgeons, the American Society of Plastic and Reconstructive Surgeons, the American Association of Plastic Surgeons, the Plastic Surgery Research Council, and is an honorary member of the Society of Plastic and Reconstructive Surgeons of Southern Africa, and the Brazilian Society of Plastic and Reconstructive Surgeons.

4. Eyelid Surgery In Facial Paralysis (Bell's Palsy) of some surgical procedures currently available. Site is accessible for people with low vision....... http://www.eyelid.com/paralysis-bell's.html

Neigel Center for Cosmetic and Laser Surgery Please go to our redesigned web site by clicking here. Eyelid Surgery in Facial Paralysis (Bell's Palsy) Patients with facial paralysis either from Bell's Palsy or neurosurgery such as for acoustic neuroma can certainly benefit from eyelid surgery. The facial paralysis, usually on just one side of the face, can cause many different problems of the eyelid and facial skin and muscles. Because the forehead on the paralyzed side of the face has no wrinkles and is unable to raise that eyebrow, the eyebrow droops, which tends to push the eyelid tissues down either over the eyelashes or over the eye. Although the eyelid itself can open, it has difficulty closing, leading to exposure of the eye, decreased blink, dry eye and in severe cases, corneal ulcers and loss of the eye with perforation from infection. The lower eyelid, because it lacks muscle tone from the loss of nerve stimulus, droops and may even start to turn out (ectropion). The cheek and mouth muscles also droop, which can lead to drooling and trouble with eating and drinking, not to mention loss of the smile on the affected side. Some of these conditions can be corrected with eyelid surgery.

5. Bell's Facial Paralysis And Traditional Chinese Medicine In China Describes in detail how TCM practitioners in China solve Bell's facial paralysis with traditional Chinese strategies and herbs. http://www.tcmtreatment.com/images/diseases/facial-paralysis.htm

TCM Hospital: Bell's Facial Paralysis And Traditional Chinese Medicine In China Bell's facial paralysis is one of the commonest peripheral facial paralyses which occurs suddenly and mostly after exposure to cold wind. 85¡ª90% of the patients get recovered spontaneously. If falls into the category of "zhen zhong feng" (true wind-stroke) in TCM. Main Points of Diagnosis 1. It often occurs in autumn and winter or between spring and summer, mostly in the middle-aged. The disease usually attacks one side of the face. 2. The attack comes all of a sudden. At the beginning the patient feels numb at one side of the face, pain around the ear and tenderness in the mastoidale region. The mouth becomes wry, the nasolabial groove no longer seen and the facio-buccal region relaxed and strengthless. It is impossible to have the cheeks blown up. The eyeballs are still exposed when the eyes are shut. It is difficult to frown and speak. Salivation comes down from the corners of the mouth. The sense of taste is lost but the sense of hearing is hypersensitive. Differentiation and Treatment of Common Syndromes 1. Internal Treatment.

6. Helping Patients With Facial Paralysis: 12/97 Article by Tim Stephens on reconstructive surgery for a patient with facial paralysis. Relevant to the small proportion of people with Bell's palsy who do not regain normal facial movement. http://www.stanford.edu/dept/news/report/news/december3/facial.html

Issue of December 3, 1997 Saving face: Specialized surgery helps patients with facial paralysis BY TIM STEPHENS Gary Torresani grew up with a lopsided face, the result of a facial nerve accidentally severed during an ear operation when he was three months old. Surgeons reattached the cut ends of the nerve during a subsequent operation in 1952, when the boy was five years old, but he never regained full movement on the left side of his face. For most of his life, Torresani simply coped with his impairment, thinking there was nothing more to be done for it. By the mid-1980s, however, the facial paralysis had worsened so much he had a hard time speaking clearly and holding liquids in his mouth. He had also suffered some hearing loss. In 1987, a doctor referred him to Dr. Richard Goode, a professor of surgery (otolaryngology/head and neck) at Stanford who runs a clinic for treating facial nerve injuries. Goode has now operated on Torresani twice ­ first in 1987 and again in 1997 ­ and the improvements both times were dramatic, said Torresani, who lives in Los Gatos. "The operation in 1987 profoundly changed the things I could do," he said. "If I had known about this and had been able to do it even five years earlier, it might have drastically changed my life."

7. Bell's Palsy Information Page National Institute Of Neurological Information sheet on Bell's Palsy (facial paralysis) compiled by NINDS, the National Institute of Neurological Disorders and Stroke. http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

8. Facial Paralysis Diagram of the Facial Nerve, from brain stem to terminal branches WB Saunders Co., Philadelphia, 1991. Coker NJ Acute facial paralysis. http://www.bcm.edu/oto/studs/face.html

Core Curriculum Syllabus FACIAL PARALYSIS I. ANATOMY OF THE 7TH CRANIAL NERVE Anatomy of the facial nerve and fallopian canal Intracranial nerve arises near pons and courses 12mm to porus acousticus. Meatal portion (10 mm) is anterior to the superior vestibular nerve and superior to the cochlear nerve. Intratemporal portion Labyrinthine segment (3-4 mm) passes through narrowest part of the fallopian canal. Common site of pathology: temporal bone fractures and Bell's palsy. Tympanic segment runs from geniculate ganglion to pyramidal turn (11 mm). Mastoid segment descends 13 mm to exit the stylomastoid foramen. Extracranial portion Nerve extends 15-20 mm from stylomastoid foramen to pes anserinus. Variable branching patterns. Clinical comment: The course of the facial nerve through the posterior fossa, temporal bone, and parotid gland renders this cranial nerve vulnerable to many neoplastic, traumatic, and infectious events. Disorders of the nerve provoke some interest in other medical specialties, but because of his background in head and neck anatomy and pathology and skill in temporal bone surgery, the otolaryngologist is most qualified to diagnose and manage paralysis of the facial nerve. Nevertheless, all clinicians should be able to recognize a peripheral paralysis and initiate proper evaluation. Anomalous Courses Most common anomaly: dehiscence of facial canal.

9. Bell's Palsy InfoSite Forums Bells Palsy / Facial Paralysis FAQs Bells palsy, Ramsey Hunt syndrome and facial paralysis information Causes, symptoms, residual effects, treatment and exercises. Active Bell's Palsy http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

10. Facial Nerve Herpes zoster facial paralysis (RamsayHunt syndrome) is associated with skin The incidence of facial paralysis in newborns has been estimated at 0.23% http://www.bcm.edu/oto/otologyprimer/facialnerve/facialnerve.html

Facial nerve disorders Classification of nerve injury Facial nerve testing BELL'S PALSY : SPONTANEOUS IDIOPATHIC FACIAL PARALYSIS Introduction and diagnostic criteria[15] The minimum diagnostic criteria for Bell's palsy: (1) paralysis or paresis of all muscle groups of one side of the face, (2) sudden onset, (3) absence of signs of central nervous system (CNS) disease, and, (4) absence of signs of ear or cerebellopontine angle disease. Incidence Etiology Prognosis and statistics The prognosis for most patients with Bell's palsy is excellent. Eighty percent to 90% of patients recover completely. Factors that are associated with poor outcome include: hyperacusis; decreased tearing; age more than 60 years; diabetes mellitus; hypertension; and severe aural, anterior facial, or radicular pain.[1, 4] Treatment The mainstay of treatment is with oral corticosteroids with or without antiviral agent (acyclovir). It is believed that steroids offer a faster resolution and a better outcome in cases of potentially incomplete recovery.[21-23] Surgical therapy is applicable to a very select group of patients who present within the first two weeks of their paralysis and show the appropriate evidence of denervation by electroneuronography. In surgical decompression of the facial nerve the meatal foramen that lies between the internal auditory canal and the geniculate ganglion, which is the narrowest part of the fallopian canal should be addressed.[8, 24, 25] SPECIAL CASES OF FACIAL PARALYSIS

11. Traditional Chinese Medicine Information about Dr. Zhengqi Lou and details about a Chinese remedy for the cure of facial paralysis. http://www.facesickness.com

12. Facial Nerve (VII) Paralysis Facial nerve paralysis Signs. Facial asymmetry. Eyebrow droop. Loss of forehead d nasolabial folds. Drooping of corner of mouth. Uncontrolled http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

13. MedlinePlus Medical Encyclopedia: Facial Paralysis Paralysis of the face. Definition Return to top. facial paralysis is the total loss of voluntary muscle movement of one side of the face. http://www.nlm.nih.gov/medlineplus/ency/article/003028.htm

@import url(/medlineplus/images/advanced.css); Skip navigation Medical Encyclopedia Other encyclopedia topics: A-Ag Ah-Ap Aq-Az B-Bk ... Z Facial paralysis Contents of this page: Illustrations Alternative names Definition Considerations ... What to expect at your health care provider's office Illustrations Ptosis, drooping of the eyelid Facial drooping Alternative names Return to top Paralysis of the face Definition Return to top Facial paralysis is the total loss of voluntary muscle movement of one side of the face. Considerations Return to top Seventy-five per cent of cases of facial paralysis in adults are caused by an inflammation of the facial nerve called Bell's palsy . This disorder (probably derived from a virus) is common, affecting 25 out of 100,000 individuals per year. It is more common in people with diabetes. It usually affects one side of the face (very rarely both sides at one time), causing a drooping mouth, drooling , and excessive tearing from one eye. Paralysis occurs within a few hours to a few days. There may also be a loss of taste on the front of the tongue on the affected side of the face. Sound may also seem louder on the affected side (hyperacusis). While the facial distortion usually improves over time, there may be some permanent deformity in 20% of individuals. Full recovery is less likely in older people, as well as those with hyperacusis, loss of taste, and severe paralysis. Recurrence of paralysis on the same side or the opposite side occurs in 1 in 10 people.

14. Diana Farragher OBE MSc Grad Dip Phys Dip TP FCSP Diana Farragher is a chartered physiotherapist who received an OBE June 2001 for her work with chronic facial paralysis. Her site lists some of the conditions for which she and her colleagues at the Lindens Clinic in Sale can offer treatment, as well as details of the treatments. Also includes directions and contact details. http://www.dianafarragher.co.uk/

var sc_project=788624; var sc_partition=6; var sc_security="3f3c02af"; Diana Farragher OBE MSc. Grad Dip Phys. Dip TP. FCSP. is a chartered physiotherapist. She has specialized in the use of Trophic Electrical stimulation, particularly for the treatment of facial paralysis, since 1981. In that time she has lectured internationally to patients and health professionals to raise awareness of the issues involved in treating this patient group. Trophic Electrical Stimulation (TES) is applied to muscle with the specific purpose of influencing its metabolic pathway. It helps the body in the natural healing process and prevents or reverses the changes associated with atrophy. Basically it helps with the nutritional growth and development of the muscle. It operates on frequencies similar to those used by the healthy nerve and therefore operates on both the red/slow and white/fast muscle fibres. Diana uses treatment units that are designed to be used at home supplemented by three monthly visits to the therapist for review on the treatments progress. A Loss of Face is a self help manual written by Diana which explains the mechanisms underlying facial nerve function following damage, the use of TES, specific exercises etc. It also includes a useful section of patients own accounts of their facial paralysis and treatment.

15. Facial Paralysis III. DIFFERENTIAL DIAGNOSIS OF PERIPHERAL facial paralysis. Extracranial Traumatic Facial lacerations Blunt forces Penetrating http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

16. Medical Encyclopedia: Facial Paralysis (Print Version) facial paralysis is the total loss of voluntary muscle movement of one side Seventyfive per cent of cases of facial paralysis in adults are caused by http://www.nlm.nih.gov/medlineplus/print/ency/article/003028.htm

To print this page, use the print option from your browser. To close this window, click on the "x" in the upper right hand corner of the window. Medical Encyclopedia: Facial paralysis URL of this page: http://www.nlm.nih.gov/medlineplus/ency/article/003028.htm Alternative names Paralysis of the face Definition Facial paralysis is the total loss of voluntary muscle movement of one side of the face. Considerations Seventy-five per cent of cases of facial paralysis in adults are caused by an inflammation of the facial nerve called Bell's palsy. This disorder (probably derived from a virus) is common, affecting 25 out of 100,000 individuals per year. It is more common in people with diabetes. It usually affects one side of the face (very rarely both sides at one time), causing a drooping mouth, drooling, and excessive tearing from one eye. Paralysis occurs within a few hours to a few days. There may also be a loss of taste on the front of the tongue on the affected side of the face. Sound may also seem louder on the affected side (hyperacusis). While the facial distortion usually improves over time, there may be some permanent deformity in 20% of individuals. Full recovery is less likely in older people, as well as those with hyperacusis, loss of taste, and severe paralysis. Recurrence of paralysis on the same side or the opposite side occurs in 1 in 10 people.

17. Bell's Palsy - Common Causes, Symptoms And Treatment BUPA health factsheet bell's palsy effects facial nerves resulting in a paralysis or weakness in the face http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

18. Symptom: Facial Paralysis - WrongDiagnosis.com Conditions causing symptom facial paralysis including possible medical causes, diseases, disorders, and related symptoms. http://www.wrongdiagnosis.com/sym/facial_paralysis.htm

Home Symptoms Diseases Risks ... Symptoms Search our medical database Subscribe to our free Newsletter sample Send this page to a friend Condition Lists By Organ By Symptom By Class By Prevalence ... List A-Z Current chapter: Facial paralysis Next sections Prevalence of Causes of Symptom: Facial paralysis Next chapters: Facial paresthesia Facial spasms Facial weakness Fainting ... Feedback Symptom: Facial paralysis Facial paralysis: Paralysis of one or both sides of the face Detailed cause information for symptom: Facial paralysis: Possible causes of symptom: Facial paralysis (10 conditions) Medical conditions causing symptom: Facial paralysis (10 conditions) Medical conditions causing complication: Facial paralysis (7 conditions) Medical articles on symptoms: These general medical articles may be of interest: Symptoms of the Silent Killer Diseases Symptoms and Medical Malpractice Medical mistakes and their rates causes and prevention Deaths and sudden death Symptoms related to Facial paralysis: face symptoms facial weakness paralysis expressions ... lack of facial expression Facial paralysis type of: Paralysis symptoms Face symptoms Symptoms: symptom center symptom list symptom descriptions all symptoms Possible causes of symptom: Facial paralysis: The following medical conditions are some of the possible causes of Facial paralysis as a symptom. There are likely to be other possible causes, so ask your doctor about your symptoms.

19. Bell's Palsy Home Page - National Centers For Facial Paralysis - Bells Palsy Treastments The National Centers For facial paralysis, Inc. (Specialists in the Rehabilitation of Paralyzed Facial Muscle), are offices http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

20. Symptom: Paralysis Symptoms - WrongDiagnosis.com Bell s Palsy twosided facial paralysis, one-sided facial paralysis Guillain-Barre Syndrome facial paralysis, acute neuromuscular paralysis, http://www.wrongdiagnosis.com/sym/paralysis_symptoms.htm

Home Symptoms Diseases Risks ... Symptoms Search our medical database Subscribe to our free Newsletter sample Send this page to a friend Condition Lists By Organ By Symptom By Class By Prevalence ... List A-Z Current chapter: Paralysis symptoms Next sections Prevalence of Causes of Symptom: Paralysis symptoms Next chapters: Paranoia Paresthesias Peeling skin Pelvic pain ... Feedback Symptom: Paralysis symptoms Paralysis symptoms: Loss of body control and/or feeling. Detailed cause information for symptom: Paralysis symptoms: Possible causes of symptom: Paralysis symptoms (40 conditions) Medical conditions causing symptom: Paralysis symptoms (65 conditions) Medical conditions causing complication: Paralysis symptoms (28 conditions) Medical articles on symptoms: These general medical articles may be of interest: Symptoms of the Silent Killer Diseases Symptoms and Medical Malpractice Medical mistakes and their rates causes and prevention Deaths and sudden death Types of Paralysis symptoms: facial paralysis hemiparesis Symptoms related to Paralysis symptoms: numbness weakness tingling paresthesias ... facial paralysis Paralysis symptoms type of: Weakness Movement symptoms Symptoms: symptom center symptom list symptom descriptions all symptoms Possible causes of symptom: Paralysis symptoms: The following medical conditions are some of the possible causes of Paralysis symptoms as a symptom. There are likely to be other possible causes, so ask your doctor about your symptoms.

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