Facial nerve palsy grade

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European Archives of Oto-Rhino-Laryngology. Three quarters of peripheral FNP are primary and one quarter secondary. The most prevalent causes of secondary FNP are systemic viral infections, trauma, surgery, diabetes, local infections, tumor, immunological disorders, or drugs. The diagnosis of FNP relies upon the presence of typical symptoms and signs, blood chemical investigations, cerebro-spinal-fluid-investigations, X-ray of the scull and mastoid, cerebral MRI, or nerve conduction studies.
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Management of peripheral facial nerve palsy

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Facial nerve paralysis - Wikipedia

Symptoms of facial nerve injury may vary due to age, facial anatomy and the extent of nerve-damage. Frequent patient concerns relate to brow position, movement abnormalities, eyelid closure issues, inability to smile, mid-facial asymmetries, poor oral function and lower lip asymmetry. A light degree of facial nerve weakness may only be visible as subtle asymmetries following repeated and exhausting muscle function, whereas severe dysfunction can be easily recognised even at rest. Many of these symptoms will change over time, for example following a spontaneous recovery of nerve function or as a result of different therapeutic modalities i.
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Facial Nerve Palsy

Donika K. Kerry H. Address: Donika K. Normally, the patient should be able to close both eyes tightly, and the eyelashes should be buried between the eyelids. In Bell palsy, when the patient attempts to close the eyes, the affected side shows incomplete closure and the eye may remain partly open.
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Louis, MO. Systematic evaluation of facial nerve paralysis allows the clinician to determine objectively the severity of disability, record and communicate this information to colleagues, and evaluate response to therapy. An ideal grading system would be precisely calibrated—at once accurate, reliable, and conducive to use in both the clinic and the research laboratory. Developing such a system has proved difficult, however. The complexity of facial nerve anatomy allows tremendous variation in clinical presentation, and assessments of facial expression are inherently subjective in nature.
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