Bell's palsy

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Complications

By Mayo Clinic staff

Although a mild case of Bell's palsy normally disappears within a month, recovery from a case involving total paralysis varies. Complications may include:

  • Irreversible damage to your facial nerve
  • Misdirected regrowth of nerve fibers, resulting in involuntary contraction of certain muscles when you're trying to move others (synkinesis) — for example, when you smile, the eye on the affected side may close
  • Partial or complete blindness of the eye that won't close, due to excessive dryness and scratching of the cornea, the clear protective covering of the eye
References
  1. Bell's palsy fact sheet. National Institute of Neurological Disorders and Stroke. http://www.ninds.nih.gov/disorders/bells/detail_bells.htm. Accessed Nov. 10, 2009.
  2. Ronthal M. Bell's palsy. http://www.uptodate.com/home/index.html. Accessed Nov. 11, 2009.
  3. Bell's palsy. American Academy of Otolaryngology — Head and Neck Surgery. http://www.entnet.org/HealthInformation/bellsPalsy.cfm. Accessed Nov. 10, 2009.
  4. Bell's palsy. The Merck Manuals: The Merck Manual for Healthcare Professionals. http://www.merck.com/mmpe/sec16/ch219/ch219i.html. Accessed Nov. 11, 2009.
  5. Cardoso JR, et al. Effects of exercises on Bell's palsy: Systematic review of randomized controlled trials. Ontology & Neurotology. 2008;29:557.
  6. De Almeida JR, et al. Combined corticosteroid and antiviral treatment for Bell palsy: A systematic review and meta-analysis. Journal of the American Medical Association. 2009;302:985.

DS00168

Feb. 2, 2010

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