Introduction to Healthcare Professionals
This aims to provide useful information and guidance to those who may find themselves looking after a patient with facial palsy. Whether you’re working in primary care, emergency medicine, neurology, ENT, ophthalmology, or rehabilitation, this section offers practical tools, clinical insights, and the latest best practices to support informed, multidisciplinary care.
When and where to refer your patient
Timely referral is critical in managing facial palsy effectively. This guide outlines key timeframes and clinical indicators for when referral to a specialist is appropriate.
Assessing the Eye in Acute Facial Palsy
Facial nerve palsy, particularly when acute in onset, can significantly impact ocular function. The orbicularis oculi muscle - innervated by the facial nerve - plays a critical role in eye closure and tear film distribution. Its dysfunction can put the eye at risk of exposure keratopathy, infection, and long-term vision loss. Prompt, thorough assessment is essential to identify ocular complications early and initiate protective strategies.
Initial management of Bell’s palsy
Bell’s palsy, an acute, idiopathic, unilateral facial nerve (CN VII) paralysis affects around 30 in every 100,000 people. Prompt recognition and early treatment are essential to optimise functional recovery in the long-term and minimise complications.