Harinderpal S. Chahal, MD ; Jeffrey D. Facial nerve palsy most commonly presents as an acute onset of unilateral facial weakness or loss of facial expression including. In longstanding or recovering facial nerve palsies, most commonly Bell's palsy, aberrant innervation can occur in 3 forms. All 3 forms have been successfully treated with the use of botulinum toxin.
Facial nerve paralysis
Facial nerve paralysis - Cancer Therapy Advisor
Facial nerve palsy is a condition with several implications, particularly when occurring in childhood. It represents a serious clinical problem as it causes significant concerns in doctors because of its etiology, its treatment options and its outcome, as well as in little patients and their parents, because of functional and aesthetic outcomes. There are several described causes of facial nerve paralysis in children, as it can be congenital due to delivery traumas and genetic or malformative diseases or acquired due to infective, inflammatory, neoplastic, traumatic or iatrogenic causes. A careful diagnostic workout and differential diagnosis are particularly recommended in case of pediatric facial nerve palsy, in order to establish the most appropriate treatment, as the therapeutic approach differs in relation to the etiology. Core tip: Pediatric facial nerve palsy can be congenital or acquired and its etiology can remain unknown. An accurate differential diagnosis is necessary to assess the prognosis and the therapeutic options. In children presenting a permanent congenital or acquired facial palsy, the therapeutic strategy consists in surgical techniques associated to rehabilitative approaches.
Facial nerve paralysis in children
Facial palsy has an annual incidence of approximately 20 per , It has a favorable prognosis in most cases, but as many as 8, people in the United States each year are left with a permanent, potentially disfiguring facial weakness. The facial nerve is the 7th cranial nerve and has both sensory and motor components. The sensory portion controls taste, salivary and lacrimal glands. The motor portion controls the stapedius muscle in the middle ear and the muscles of facial expression.
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