Bell's Palsy
exp date isn't null, but text field is
November 2023: This guidance is currently under review as it has gone beyond the standard review date. It reflects best practice at the time of authorship / last review and remains safe for use. If there are any concerns regarding the content then please consult with senior clinical staff to confirm.
- 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: 30 April 2024
Author(s): Steve Foster
Approved By: Clinical Effectiveness
Reviewer Name(s): Paediatric Clinical Effectiveness & Risk Committee