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Facial nerve palsy (eyelid)
Oculoplasty
Key Points
- •Bell palsy accounts for 60–75% of facial nerve palsies; oral prednisolone within 72 hours is the most important treatment, improving complete recovery from 64% to 83% at 3 months
- •Assess Bell phenomenon in every patient - those without it are at highest risk for exposure keratopathy and need aggressive corneal protection
- •House-Brackmann grading is the standard classification: Grade I (normal) to Grade VI (total paralysis); Grade IV and above have incomplete eye closure
- •Gold weight implant is the procedure of choice for permanent lagophthalmos - gravity-assisted lid closure using a pretarsal implant
- •Distinguish UMN (forehead spared) from LMN (forehead involved) facial palsy - this determines the entire diagnostic pathway
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Keep reading Facial nerve palsy (eyelid)
17 more sections are included with the Clinical plan.
- Definition
- Epidemiology
- Aetiology and causes
- Pathogenesis
- Classification
- Risk factors and associations