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Bell's Palsy Guidelines

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Key Points Î Bell's palsy is the most common cause of acute facial nerve paresis/ paralysis, and the most common acute mononeuropathy. Î Patients may have impaired eye closure which may lead to eye injury. Î Not all patients with facial paresis/paralysis have Bell's palsy. Alternative underlying etiologies must be considered. Figure 1. Bell's Palsy Unable to raise eyebrow and wrinkle forehead Drooping eyelid, inability to close eye Drooping corner of mouth, dry mouth, impaired taste

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