Bell's palsy is an acute onset of non-suppurative inflammation of the facial nerve above the stylomastoid foramen, causing unilateral facial paralysis. It has an incidence of 23 per 100,000 people and affects men and women equally of all ages. Common causes include HSV type 1 and varicella zoster virus. Symptoms include drooping of the mouth corner, inability to close the eyelid on the affected side, and loss of taste sensation. Most patients recover facial function within 3 months, though 10-15% may have some permanent weakness or contractures. Treatment focuses on eye protection and facial exercises, with corticosteroids sometimes used to reduce inflammation and swelling.
-A brief Description about the bell's palsy including: causes the signs and symptoms and the proper treatment.
-All the information present from reliable sources(Text books and articles).
Done by: Abdulelah Alshammri, second year dental student.
Discussion of facial nerve palsy including motor anatomy of the facial nerve, symptoms of Bell's Palsy, the differential diagnosis and treatment strategies
-A brief Description about the bell's palsy including: causes the signs and symptoms and the proper treatment.
-All the information present from reliable sources(Text books and articles).
Done by: Abdulelah Alshammri, second year dental student.
Discussion of facial nerve palsy including motor anatomy of the facial nerve, symptoms of Bell's Palsy, the differential diagnosis and treatment strategies
Pain in facial area may be due to neurologic or vascularcauses as well as can be due to dental origin.
The main causes can be Temporomandibular joint disorders or trigeminal neuralgia.
Trigeminal neuralgia can cause abrupt,searing pain due to nerve irritation or damage.
It causes pain along the course of the nerve all over the face and will mostly be on one side of the face.It is treated with anti convulsant medicines or a series of surgeries.
TMJ pain can be due to tenderness in the temporo mandibular joint.It can be unilateral or bilateral.IT can cause difficulty in chewing and even in speaking.It can also lead to difficulty in opening of mouth due soreness of joint.It is usually surgically treated.
Dr Sachdeva's Dental clinic and Facial aesthetic centre is one of the leading clinics offering treatment for facial pain in Delhi. So hurry up and come book an appointment with us at Dr.Sachdeva’s Dental Institute, Ashok Vihar, Delhi which has state of the art clinic and all the latest and advanced equipments.
To book an appointment contact:
Dr. Rajat Sachdeva
Director & Mentor
Dr Sachdeva’s Dental Aesthetic And Implant Institute
I 101, Ashok Vihar Phase 1, Delhi- 110052
Contact us at
Phone : +919818894041,01142464041
Our Websites:
www.sachdevadentalcare.com
www.dentalimplantindia.co.in
www.dentalclinicindelhi.com
www.dentalcoursesdelhi.com
Facebook- dentalcoursesdelhi
Youtube- drrajatsachdeva
Linkedin- drrajatsachdeva
Slideshare- Dr Rajat Sachdeva
Twitter Page- drrajatsachdeva
Instagram page- surgicalmasterrajat
BELL'S PALSY IS AN IDIOPATHIC LMN TYPE FACIAL PALSY..THE SEMINAR TELLS YOU OF COURSE OF NERVE..FACIAL MUSCLES THEIR ACTION..HOW TO EXAMINE..THE SEQUELAE OF FACIAL PALSY...LOOK AT IT..
Facial pain is pain felt in any part of the face, including the mouth and eyes.
It’s normally due to an injury or a headache, occasionally facial pain may also be due to neurological or vascular causes, but equally well may be dental in origin.
Ramsay Hunt syndrome is caused by the virus that causes chickenpox. After chickenpox clears, the virus lies dormant in nerves. Years later, it may reactivate. If the virus reactivates and affects the facial nerve, then it results in Ramsay Hunt syndrome.
Complications include permanent facial muscle weakness and deafness.
Symptoms include Ear pain, Hearing loss, tinnitus, Difficulty closing one eye, A sensation of spinning or moving (vertigo), dry eyes.
Bell's palsy is a condition in which the muscles on one side of your face become weak or paralyzed. It affects only one side of the face at a time, causing it to droop or become stiff on that side. It's caused by some kind of trauma to the seventh cranial nerve. This is also called the “facial nerve.
Bell's palsy is a form of temporary facial paralysis resulting from damage or trauma to the facial nerves. The facial nerve-also called the 7th cranial nerve-travels through a narrow, bony canal (called the Fallopian canal) in the skull, beneath the ear, to the muscles on each side of the face. For most of its journey, the nerve is encased in this bony shell.
Each facial nerve directs the muscles on one side of the face, including those that control eye blinking and closing, and facial expressions such as smiling and frowning. Additionally, the facial nerves carries nerve impulses to the lacrimal or tear glands, the saliva glands, and the muscles of a small bone in the middle of the ear called the stapes. The facial nerve also transmits taste sensations from the tongue.
When Bell's palsy occurs, the function of the facial nerve is disrupted; causing an interruption in the messages the brain sends to the facial muscles. This interruption results in facial weakness or paralysis.
Bell's palsy is named for Sir Charles Bell, a 19th century Scottish surgeon who was the first to describe the condition. The disorder, which is not related to stroke, is the most common cause of facial paralysis. Generally, Bell's palsy affects only one of the paired facial nerves and one side of the face, however, in rare cases, it can affect both sides.
Pain in facial area may be due to neurologic or vascularcauses as well as can be due to dental origin.
The main causes can be Temporomandibular joint disorders or trigeminal neuralgia.
Trigeminal neuralgia can cause abrupt,searing pain due to nerve irritation or damage.
It causes pain along the course of the nerve all over the face and will mostly be on one side of the face.It is treated with anti convulsant medicines or a series of surgeries.
TMJ pain can be due to tenderness in the temporo mandibular joint.It can be unilateral or bilateral.IT can cause difficulty in chewing and even in speaking.It can also lead to difficulty in opening of mouth due soreness of joint.It is usually surgically treated.
Dr Sachdeva's Dental clinic and Facial aesthetic centre is one of the leading clinics offering treatment for facial pain in Delhi. So hurry up and come book an appointment with us at Dr.Sachdeva’s Dental Institute, Ashok Vihar, Delhi which has state of the art clinic and all the latest and advanced equipments.
To book an appointment contact:
Dr. Rajat Sachdeva
Director & Mentor
Dr Sachdeva’s Dental Aesthetic And Implant Institute
I 101, Ashok Vihar Phase 1, Delhi- 110052
Contact us at
Phone : +919818894041,01142464041
Our Websites:
www.sachdevadentalcare.com
www.dentalimplantindia.co.in
www.dentalclinicindelhi.com
www.dentalcoursesdelhi.com
Facebook- dentalcoursesdelhi
Youtube- drrajatsachdeva
Linkedin- drrajatsachdeva
Slideshare- Dr Rajat Sachdeva
Twitter Page- drrajatsachdeva
Instagram page- surgicalmasterrajat
BELL'S PALSY IS AN IDIOPATHIC LMN TYPE FACIAL PALSY..THE SEMINAR TELLS YOU OF COURSE OF NERVE..FACIAL MUSCLES THEIR ACTION..HOW TO EXAMINE..THE SEQUELAE OF FACIAL PALSY...LOOK AT IT..
Facial pain is pain felt in any part of the face, including the mouth and eyes.
It’s normally due to an injury or a headache, occasionally facial pain may also be due to neurological or vascular causes, but equally well may be dental in origin.
Ramsay Hunt syndrome is caused by the virus that causes chickenpox. After chickenpox clears, the virus lies dormant in nerves. Years later, it may reactivate. If the virus reactivates and affects the facial nerve, then it results in Ramsay Hunt syndrome.
Complications include permanent facial muscle weakness and deafness.
Symptoms include Ear pain, Hearing loss, tinnitus, Difficulty closing one eye, A sensation of spinning or moving (vertigo), dry eyes.
Bell's palsy is a condition in which the muscles on one side of your face become weak or paralyzed. It affects only one side of the face at a time, causing it to droop or become stiff on that side. It's caused by some kind of trauma to the seventh cranial nerve. This is also called the “facial nerve.
Bell's palsy is a form of temporary facial paralysis resulting from damage or trauma to the facial nerves. The facial nerve-also called the 7th cranial nerve-travels through a narrow, bony canal (called the Fallopian canal) in the skull, beneath the ear, to the muscles on each side of the face. For most of its journey, the nerve is encased in this bony shell.
Each facial nerve directs the muscles on one side of the face, including those that control eye blinking and closing, and facial expressions such as smiling and frowning. Additionally, the facial nerves carries nerve impulses to the lacrimal or tear glands, the saliva glands, and the muscles of a small bone in the middle of the ear called the stapes. The facial nerve also transmits taste sensations from the tongue.
When Bell's palsy occurs, the function of the facial nerve is disrupted; causing an interruption in the messages the brain sends to the facial muscles. This interruption results in facial weakness or paralysis.
Bell's palsy is named for Sir Charles Bell, a 19th century Scottish surgeon who was the first to describe the condition. The disorder, which is not related to stroke, is the most common cause of facial paralysis. Generally, Bell's palsy affects only one of the paired facial nerves and one side of the face, however, in rare cases, it can affect both sides.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
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Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
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These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
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Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
2. • DEFINITION
Acute onset of non suppurative inflammation
of the facial nerve above the
stylomastoidforamen,producing a unilateral
LMN FACIAL PALSY
3. • Incidence is 23/1,00,000
Affects men and women equally , all ages ,all
times of the year.
Increased occurrence in the elderly diabetics,
hypertensives than in the common people.
Increased incidence in women during the third
trimester of pregnancy 2 weeks preceding
delivery ,first two weeks postpartum.
4. Etiology of Acute peripheral facial
palsy
• Common-HSV type 1,varicella zoster virus
• Less common infection-Otitis media,Lymes
disease,EBV,CMV,Mumps,HHV 6,Intranasal
influenza vaccine,Mycoplasma
• Other less common conditions-
Trauma,Tumor,Hypertension,Guillain-Barre
syndrome,Sarcoidosis,Melkerson rosenthal
syndrome,Ribavirin,Interferone
5. • Patho physiology
HSV I DNA in the endoneural fluid
• due to reactivation of the virus in the
geniuclate ganglion.
6. • Onset of bell’s palsy is acute.
½ of the cases attain maximum paralysis in 48
hours.
All cases are clinically prominent by 5 days
7. • Pain behind the ear may precede the paralysis
by a day or two .
Impairement of taste is present to some
degree in all cases –.(chorda tympani)
Hyperacusis or distortion of sound in
ipsilateral ear ---paralysis of stapedius muscle
8. • Paralysis is partial in 30%,complete in
70%cases.
Jaw jerk is normal
Corneal reflex is absent
These differentiate it from UMN palsy
9. • UMN TYPE LMN TYPE
• Upper face escapes total face involved
• Bells phenomenon-A Present
• Taste sensation presreved may be lost
• Corneal reflex-N Lost
• Plantar response-extnsr Flexor
10. • BELL’S PHENOMENON
Normally on closing the eye ,the eyeball
moves upwards and inwards.
This is obvious on the affected side due to
ineffective closure of the eyelids
11. • Clinically
• Corner of mouth droops
• Forehead is unfurrowed
• Eyelids will not close
• Eye on the paralysed side rolls upward –BELL’S PHENOMENON
• Wide palpebral fissure
12. • Watering from the eye or epiphora
• Food collects between the teeth and lips
• Saliva may dribble from the corner of the
mouth
• Heaviness or numbeness of the face
• Sensory loss rarely demonstratble
• Loss of nasolabial fold
13. Investigations
• Enhancement of the facial nerve on gadolinium
enhanced MRI
• Increased lymphocytes ,mononuclear cells in CSF.
Shirmer test
• ESR
• Blood glucose levels
14. • Prognosis
85% patients recover within a few weeks.2-12
weeks.
10%-mild facial weakness as a sequele.
5%-are left with permanent severe facial
weakness
Best clinical guide to progress is the severity of
the palsy during the first few days after
presentation.
Recovery of taste precedes motor function
15. • If recovery of taste occurs in first week –good
prognostic sign.
Early recovery of motor function in the first 5-
7 days— most favourable prognosis.
Recurrence is due to reactivation of
virus,pregnancy.
Interval between periods is not predictable
16. • Treatment
Controversial
Symptomatic
1.Protection of eye during the sleep patch
2.Massage of the weakened muscles
3.Lubricating eye drops
4.Prednisolone 1mg/kg/day for 1 wk,followed by
a 1wk taper.
Decreases the possibility of permanent paralysis
From swelling of facial nerve in facial canal.
Decreases the severe pain
17. • 5.NSAIDS may be given for releif of pain and
inflammation
• 6.Proper mouth wash is advised after each
meal
• 7.Facial exercise is advised or consult
physiotherapist
• 8.Galvanic current stimulation of paralysed
muscle may be of some help
• 9.If not improved at all within 6 wks-surgical
decompression may be done at the
stylomastiod foramen
18. • 10.Parenteral vitamin B1,B6 and B12 may be
given; oral or parenteral methylcobalamine
may be of some help
• 11.Recently acyclovir or valanciclovir is tried,
although the evidence for giving antivirals is
poor.
20. Bad Prognostic Factors
1.Complete palsy at the beginning
2.Associated comorbidities
3.Hyperacusis or loss of taste sensation
4.Severe axonal degeneration on
elecrophysiological study(EMG) after 10 days
21. • MELKERSSEN ROSENTHAL SYNDROME
1.RECURRENT FACIAL PARLAYSIS
2.LABIAL EDEMA
3.FURROWING OF TONGUE
• Ramsay Hunt syndrome- Reactivation of
dormant herpes zoster in the geniculate
ganglion
1.c/f –vesicles around the external ear
canal,pinna,soft palate-sensorineural
HL,Vertigo due to involvement of VIII th nerve
along with facial palsy