Facial Nerve Palsy

Nathan R. Walker, Rakesh K. Mistry, Thomas Mazzoni, Nathan R. Walker, Rakesh K. Mistry, Thomas Mazzoni

Excerpt

Facial nerve palsies are a common and significant presentation specifically to ear, nose, and throat (ENT) surgeons but also in general medical practice. The facial nerve is a fundamental structure both for communication and emotion, and as such, functional impairment can lead to a significant deterioration in the quality of life.

A key element in the initial assessment of a patient presenting with facial weakness is distinguishing between a lower motor neuron (LMN) versus an upper motor neuron (UMN) palsy, as the likely causes and, therefore, treatment for these vary significantly. Applying anatomy to clinical history and examination, a clinician can identify the probable cause of facial nerve palsy and subsequently direct management appropriately.

Conflict of interest statement

Disclosure: Nathan Walker declares no relevant financial relationships with ineligible companies.

Disclosure: Rakesh Mistry declares no relevant financial relationships with ineligible companies.

Disclosure: Thomas Mazzoni declares no relevant financial relationships with ineligible companies.

Copyright © 2023, StatPearls Publishing LLC.

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