Bell's Palsy

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  • Upper respiratory tract infection in previous month
  • Posterior auricular pain in previous days
  • Increased tearing
  • Dry eyes
  • Hyperacusis
  • Rapid onset - most patients present within 48hrs
Consider differential diagnosis
  • Preceding trauma
  • General health / concurrent illnesses - other diagnoses include hypertension, acute and chronic otitis media, cholesteatoma, herpes zoster, leukaemia, birth injury and congenital.
Examination

Investigation

Management

Follow up

Patient information

Simple analgesia for pain (Paracetamol)

Seek medical advice if:

  • Red or painful eye
  • Continued progression of weakness after 48 hrs
  • Different symptoms
  • No improvements after 4 to 6 weeks
Editorial Information

Last reviewed: 24 February 2017

Next review: 13 November 2019

Author(s): Steve Foster

Approved By: Clinical Effectiveness

Reviewer Name(s): Paediatric Clinical Effectiveness & Risk Committee