21. BBC NEWS England Derbyshire Mother Waits To See A Full Smile A boy born with facial paralysis undergoes more surgery to help him grin. http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

22. Bell's Palsy Network And Facial Paralysis Portal facial paralysis patients. We strive to provide accurate, timely information about Bell's Palsy, Ramsey Hunt Syndrome and other forms of facial http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

23. Bell's Palsy Twitching, weakness, or paralysis of the face are symptoms of a disorder involving the facial nerve, not a disease in itself, and can result from http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

24. Bell's Palsy InfoSite & Forums - Facial Exercises For Bells Palsy / Facial Paral Bells palsy / facial paralysis muscle retraining FACIAL EXERCISES Botox for longterm effects of Bell s palsy / facial paralysis BOTOX FOR RESIDUALS http://www.bellspalsy.ws/exercise.htm

Before you start to exercise, get familiar with your face. We suggest you print the diagram of the muscles and the list of the muscles' actions . Refer to them as you exercise. Use them to get to know your facial muscles and what each muscle is doing as it moves. This can help you learn to isolate muscle actions as well as coordinate multiple muscle movement. Regaining balanced, symmetrical movements is key to restoring the face as it was before. Moist heat and massage can be part of the routine at all stages of recovery. Mirror feedback is important from the moment any movement returns. Therapists who specialize in facial retraining can offer further assistance with programs customized to your specific needs. Facial neuromuscular retraining is a highly specialized field, and involves training beyond the standard curriculum for physical therapy. There is no substitute for the experience of certified facial NMR therapists, and the tools available with physical therapy, such as EMG feedback. The majority of Bell's palsy cases will resolve without intervention or exercise. Patience is more important during recovery than pushing to exercise muscles that are likely to return to full function without assistance. Some cases will result in incomplete recovery or leave residuals. These exercises are not meant to replace a customized program under the supervision of a professional facial retraining therapist - If you feel you need professional help, don't hesitate to get it. GENERAL GUIDELINES FOR OLD AND NEW CASES...

25. What Is Facial Retraining A program designed to retrain facial muscles for movement and expression after facial paralysis. Relevant to patients with residuals or incomplete recoveries. http://www.atlantaearclinic.com/facial.htm

What is facial retraining? A specific program designed to retrain facial muscles for movement and expression after the Facial Nerve has been paralyzed. Facial expression is one of the most important skills humans possess. The face shows expressions and facial muscles provide the ability to smile, pucker, blink and chew. What are the goals of facial retraining? Normalize movement of facial muscles Increase symmetrical movement patterns of the face Increase volitional movements of the face Inhibit undesired movements and synkinesis Normalize muscular tone What conditions can cause facial paralysis? Bell's Palsy and Ramsey Hunt Syndrome Facial, temporal bone or head traumas Acoustic neuromas, facial schwannomas and other tumors affecting facial movements Vascular damage Infections Cerebrovascular accidents (CVA) Congenital abnormalities What is involved in facial retraining therapy? A thorough evaluation of facial movements through observation, dual channel Electromyograph (EMG) and sensation. Active self training by the patient includes: Individualized specific functional facial exercises Dual Channel Electromyograph training using sensory, visual and auditory feedback to teach the brain to make new neurological connections for facial movements when the old ones have been damaged. The patient observes on a screen all increments of movements. Also, the graphs on the computer screen compare right and left sides of the face so the patient can work toward symmetry.

26. MEI Facial Nerve Paralysis Patient Brochure FACIAL NERVE PARALYSIS A DISCUSSION OF FACIAL NERVE PROBLEMS http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

27. Facial Paralysis http://www.earsite.com/facial_paralysis/

28. NINDS Forwarding Page Information sheet on Bell's Palsy (facial paralysis) compiled by NINDS, the National Institute of Neurological Disorders and Stroke. http://www.ninds.nih.gov/health_and_medical/disorders/bells_doc.htm

NINDS has redesigned its website and the URL for the page you were seeking has changed. The new URL for this page is /disorders/bells/bells.htm . Please update your bookmark to this page. You will be automatically taken to this page in 5 seconds, or you can click the link to go there now.

29. Traumatic Facial Paralysis facial paralysis A paralysis or weakness of one side of the face can be an First, is it really a paralysis or is it a weakness of facial movement or http://www.earsite.com/facial_paralysis/about_facial_paralysis.html

Facial Paralysis A paralysis or weakness of one side of the face can be an alarming and depressing event in one’s life. At first it conjures up the notion of having developed a stroke, when in fact there are a myriad of other causes. There are certain features of a paralysis that are worth noting. First, is it really a paralysis or is it a weakness of facial movement or numbness in the face. Sensation of the face is transmitted by the trigeminal nerve while movement of the face is transmitted by the facial nerve and is the subject of our discussion. Is the entire face on one side weak? If the weakness involves the entire face including eyebrow motion, the problem can be isolated to the facial nerve. If the mid-face and lower-face are paralyzed but eyebrow motion is normal, then the problem may be isolated to regions within the brain, where the facial nerve fibers run. Associated weakness of the arm or leg would also point to a problem within the brain possible affecting other nerves. Is it a weakness or a complete paralysis of the face? This is an important distinction and will be discussed further.

30. EMedicine - Congenital Facial Paralysis : Article By Kim Lundstrom, MD Congenital facial paralysis facial paralysis in the newborn is uncommon, occurring in 0.23-1.8% of live births. In patients with congenital facial http://www.emedicine.com/ent/topic156.htm

(advertisement) Home Specialties Resource Centers CME ... Patient Education Articles Images CME Patient Education Advanced Search Consumer Health Link to this site Back to: eMedicine Specialties Otolaryngology and Facial Plastic Surgery Reconstructive Surgery Congenital Facial Paralysis Last Updated: June 7, 2005 Rate this Article Email to a Colleague Synonyms and related keywords: AUTHOR INFORMATION Section 1 of 10 Author Information Introduction Relevant Anatomy And Contraindications Workup ... Bibliography Author: Kim Lundstrom, MD , Staff Physician, Department of Otolaryngology-Head and Neck Surgery, University of Colorado Health Sciences Center Coauthor(s): Gregory C Allen, MD , Assistant Professor, Department of Otolaryngology-Head and Neck Surgery, University of Colorado School of Medicine Kim Lundstrom, MD, is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery , and American Medical Association Editor(s): Michael J Biavati, MD

31. Facial Paralysis Support Group Support Group in Pittsburgh, PA for individuals with facial paralysis to share experiences, insight and information. http://www.geocities.com/HotSprings/Spa/5779/

Sorry - until further notice there are no meetings scheduled for the Facial Paralysis Support Group in Pittsburgh, PA We hope the following links will be helpful to you. Please Sign Our Guestbook Would you like to read other guest's comments Links Support Groups Other Conditions Smile Exercises Support Groups About Face Let's Face It Acoustic Neuroma Association Cochlea! (Meniere's Forum) ... Support Groups (National Health Information Center) Trigeminal Neuralgia Association: Greater Pittsburgh Support Group Cyber Soul-Mates A Window on my Mind I AM Normal! RESOURCES for Californians (and others) What is Moebius Syndrome? Do you have a home page relating to facial paralysis? Please E-mail fpsg@geocities.com Top of Page Top of Links Facial Paralysis (Baylor College of Medicine) Facial Paralysis (CliniWeb) Facial Nerve Diseases (Oregon Health Sciences University) Facial Nerve Paralysis (Washington U. School of Medicine) Facial Nerve Paralysis (U. of Texas Medical Branch) Facial Nerve Center (Univ of Pittsburgh Medical Center) Physical Therapy for Facial Nerve Disorders (UPMC) Coping With A Facial Nerve Disorder (House Ear Clinic) Management of Facial Paralysis after Intracranial Surgery (MGH/MEEI/Harvard) Bell's Palsy (NIH) Bell's Palsy (U. of Chicago - University Health Systems)

32. BestDoctors.com Bell S Palsy Can Other Causes Of Facial Can Other Causes Of facial paralysis Be Misdiagnosed As Bell’s Palsy? Misdiagnosis is a common problem. Most general practitioners or neurologists will http://www.bestdoctors.com/en/askadoctor/g/gantz/bjgantz_060500_q6.htm

33. ► Facial Paralysis A medical encycopedia article on the topic facial paralysis. http://www.umm.edu/ency/article/003028.htm

var MenuLinkedBy='AllWebMenus [2]', awmBN='530'; awmAltUrl=''; Disease Nutrition Surgery Symptoms Injury Poison Tests Special Topics ... P Q R S T U ... W X Y Z Home Medical Reference Encyclopedia (English) Toggle English Spanish Facial paralysis Overview Treatment Definition: Facial paralysis is the total loss of voluntary muscle movement of one side of the face. Alternative Names: Paralysis of the face Considerations: Facial paralysis in adults is often due to Bell's palsy . This disorder (probably derived from a virus) is characterized by a drooping mouth, dribbling saliva from the mouth, and problems with tearing from the affected eye. The consequences of Bell's palsy are mostly cosmetic. While the facial distortion usually improves over time, there is often some permanent deformity. Sometimes there is loss of taste on the same side of the tongue which the face is affected. Sound may also be louder on the affected side. In facial paralysis due to stroke , the eye on the affected side can be closed and the forehead can be wrinkled. This is not possible with Bell's palsy. Other muscles on one side of the body are also often involved with a stroke. Brain tumor symptoms generally develop gradually with accompanying headaches seizures , or hearing loss.

34. Facial Nerve Disorders Other causes of facial paralysis include ear infections, trauma, Lyme s disease, With facial paralysis the ability to blink may be disrupted. http://www.umm.edu/otolaryngology/facial_disorders.html

var MenuLinkedBy='AllWebMenus [2]', awmBN='530'; awmAltUrl=''; Maryland Hearing and Balance Center Request An Appointment Our Mission Doctors/Audiologists ... Online Resources Related Resources Within UMM Otorhinolaryngology-Head and Neck Surgery (ENT) Translate using Google to Spanish German French Italian Portuguese Maryland Hearing and Balance Center Bell's Palsy and Facial Paralysis What is Bell's Palsy? What is the Cause of Bell's Palsy? Do I have Bell's Palsy? What are Other Causes of Facial Paralysis? ... When Is Surgery Indicated for Bells Palsy? What is Bell's Palsy? Bell's palsy is a weakness (partial or total) of the facial nerve. The facial nerve is the nerve that controls expression on each side of the face, tearing, taste, and even hearing to some extent. In Bell's palsy, facial weakness develops suddenly or over a period of 48 hours. Often it is first noticed by a patient's family member as a crooked smile or slurred speech. Patients have repeatedly reported that it was noticed on first getting up in the morning. Other common symptoms include a sensation of facial numbness or tingling, a sensation of pulling of the face or mouth to one side, sensitivity to loud sounds, excessive tearing or dry eye, difficulty eating, headache, pain behind the ear, a change in taste. About 1 in 5000 people in the United States experience Bell's palsy each year. The problem can occur at any age. Bell's palsy occurs more often in pregnant women, people with diabetes, influenza, a cold or another respiratory illness than in other people.

35. Bell's Palsy Patients with permanent facial paralysis may be rehabilitated through a variety Other medical treatments for complications of facial paralysis including http://www.entnet.org/healthinfo/topics/bells.cfm

ENT LINK ENT Health Information Other Otolaryngology Topics Bell's Palsy Insight Into Facial Nerve Problems Twitching, weakness, or paralysis of the face are symptoms of a disorder involving the facial nerve, not a disease in itself. Abnormal movement or paralysis of the face can result from infection, injury, or tumors, and an evaluation by your physician is needed to determine the cause. An otolaryngologist-head and neck surgeon has special training and experience in managing facial nerve disorders. What Is The Facial Nerve? The facial nerve resembles a telephone cable and contains 7,000 individual nerve fibers. Each fiber carries electrical impulses to a specific facial muscle. Information passing along the fibers of this nerve allows us to laugh, cry, smile, or frown, hence the name, "the nerve of facial expression." When half or more of these individual nerve fibers are interrupted, facial weakness occurs. If these nerve fibers are irritated, then movements of the facial muscles appear as spasms or twitching. The facial nerve not only carries nerve impulses to the muscles of the face, but also to the tear glands, to the saliva glands, and to the muscle of the stirrup bone in the middle ear (the stapes). It also transmits taste from the front of the tongue. Since the function of the facial nerve is so complex, many symptoms may occur when the fibers of the facial nerve are disrupted. A disorder of the facial nerve may result in twitching, weakness, or paralysis of the face, in dryness of the eye or the mouth, or in disturbance of taste.

36. Facial Paralysis Medical Information facial paralysis Information from Drugs.com. Definition. facial paralysis is the total loss of voluntary muscle movement of one side of the face. http://www.drugs.com/enc/facial_paralysis.html

Home New Drugs Latest News Drug Interactions ... Forum Drugs.com - prescription drug and medicine information available on over 24,000 approved- medications and pharmaceuticals, including side effects and drug interactions. Log-in Register Advertisement Buy a Link Now Special Offers From our sponsors Categories Diabetes Gastro Center Weight Loss AIDS/HIV ... Sexual Health Advertisement Advanced Search Or click the first letter of a drug name: A B C D ... Z Facial paralysis Injury Disease Nutrition Poison ... Facial drooping Facial paralysis Definition Facial paralysis is the total loss of voluntary muscle movement of one side of the face. Alternative Names Paralysis 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).

37. EMJA: Bilateral Facial Paralysis: What’s The Cause? (Medical Journal of Australia) Bilateral facial paralysis what’s the cause? http://www.mja.com.au/public/issues/179_10_171103/hay10106_fm.html

Home Issues Email alerts Classifieds ... Pdf version of this article Snapshot Ali A Haydar Nabil M Hujairi Aiman Tawil and Raja A Sawaya MJA A 62-year-old woman with longstanding, well controlled type 2 diabetes mellitus and hypertension initially presented with a 2-day history of acute, partial right-sided facial weakness. The facial paralysis was not accompanied by hyperacusis, and taste sensation was preserved. The patient presented again 2 weeks later with complete paralysis of the left facial nerve and only partially resolved right-sided symptoms. No other central or peripheral neurological signs or symptoms were elicited during either presentation. As bilaterality makes facial neuropathy a more ominous sign of various known conditions, we carried out prompt further investigation. No abnormality was detected on chest x-ray or brain magnetic resonance imaging. However, a computed tomography scan of the chest showed bilateral hilar lymphadenopathy with bilateral basilar lung infiltrates ( Box , A). A transbronchial biopsy revealed a single, non-caseating granuloma ( Box , B).

38. Dr. Koop - Facial Paralysis facial paralysis is the total loss of voluntary muscle movement of one side of the face. http://www.drkoop.com/ency/93/003028.html

Home Health Reference Facial paralysis Jul 29, 2005 Search: Dr.Koop MEDLINE Diseases Symptoms Procedures Natural Medicine ... Drug Library Inside DrKoop News Archive Animations Health Videos Health Tools ... Newsletters Facial paralysis Injury Disease Nutrition Poison ... Treatment Facial paralysis Definition: Facial paralysis is the total loss of voluntary muscle movement of one side of the face. Alternative Names: Paralysis of the face Considerations: Facial paralysis in adults is often due to Bell's palsy . This disorder (probably derived from a virus) usually affects one side of the face causing a drooping mouth, drooling , and excessive tearing from one eye. While the facial distortion usually improves over time, there may be some permanent deformity. Sometimes there is loss of taste on the affected side of the face. Sound may also be louder on the affected side. In facial paralysis due to stroke , the eye on the affected side can be closed and the forehead can be wrinkled. This is not possible with Bell's palsy. Other muscles on one side of the body may also be involved with a stroke. Facial paralysis due to a brain tumor generally develops gradually with accompanying headaches seizures , or hearing loss.

39. Dr. Koop - Facial Paralysis facial paralysis is the total loss of voluntary muscle movement of one side of the face. http://www.drkoop.com/ency/93/003028trt.html

Home Health Reference Facial paralysis Jul 29, 2005 Search: Dr.Koop MEDLINE Diseases Symptoms Procedures Natural Medicine ... Drug Library Inside DrKoop News Archive Animations Health Videos Health Tools ... Newsletters Facial paralysis Injury Disease Nutrition Poison ... Treatment Facial paralysis Alternative Names: Paralysis of the face Home Care: Treatment depends on the cause. Follow your health care provider's treatment recommendations. Sometimes steroids and acyclovir may be given depending on the cause. If the eye cannot be fully closed, the cornea must be protected from drying out with prescription eye drops or gel. Call your health care provider if: There is any facial paralysis. If it is accompanied by a severe headache, seizure, or blindness it may be an emergency situation! The muscles in the body are involved. What to expect at your health care provider's office: The medical history will be obtained and a physical examination performed. Medical history questions documenting facial paralysis in detail include: Are both sides of the face affected? Is there any recent history of illness or injury?

40. Mobius Syndrme Congenital Facial Paralysis This type of facial paralysis has been classically described as bilateral, Bilateral congenital facial paralysis has traditionally been associated with http://www.erlanger.org/craniofacial/book/hemifacial/hemifacial2.htm

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