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Treatment. Most people with Bell's palsy recover fully — with or without treatment. There's no one-size-fits-all treatment for Bell's palsy. But your healthcare professional may suggest medicines or physical therapy to help speed your recovery. Surgery is rarely an option for Bell's palsy.
The mainstay of pharmacologic therapy for Bell's palsy or facial nerve palsy is early short-term oral glucocorticoid treatment. In severe acute cases, combining antiviral therapy with glucocorticoids may improve outcomes.
The aims of treatment in the acute phase of Bell's palsy include strategies to speed recovery and to prevent corneal complications. Eye care includes eye patching and lubrication, lubricating drops should be applied frequently during the day and a eye ointment should be used at night. [5] .
Recommended antivirals include valacyclovir (1 g three times per day for seven days) or acyclovir (400 mg five times per day for 10 days). Treatment with antivirals alone is ineffective and not...
This guideline addresses these needs by encouraging accurate and efficient diagnosis and treatment and, when applicable, facilitating patient follow-up to address the management of long-term sequelae or evaluation of new or worsening symptoms not indicative of Bell’s palsy.
In this guideline, we review the evidence for treatment of Bell palsy with corticosteroids and antivirals, facial exercise, electrostimulation, physiotherapy and decompression surgery, as well as the need for eye-protective measures, specialist referral and further investigation in patients with persistent and progressive weakness.
Recommendations developed encour-age accurate and eficient diagnosis and treatment and, when applicable, facilitating patient follow-up to address the manage-ment of long-term sequelae, or evalua-tion of new or worsening symptoms not indicative of Bell’s palsy.