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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Facial Bell S Palsy Be Treated?

Respected Sir, My Daughter have a problem a facial bell palsy in 2008, we have ignore about that problem in starting stage we consult neurologist in ahmedabad,gujarat. she told do exercise physio , still she has problem in her left side face. we have done z7 treatment but result is not proper. Sir, advise able to do plastic surgery. Because my daughter is in depression.
Tue, 16 Jan 2018
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General & Family Physician,  's  Response
Hello,
Welcome in Healthcare Magic!
I understand your concern. s ago and you Reading the story it looks that Bell palsy happened around 10 years ago, but I would like to know in what level the damage of the nerve is ( like what part of the face it has affected) ,for suggesting you the right way. Anyway there is a long time after the nerve have been damaged.(10 years) The pharmacological treatment it is suggest in the new onset palsy plus exercise and physio. In this stage the nerve damage it looks irreversible, the surgery it looks the optional treatment. There are some kind of surgery depended from the affected facial muscle, from nerve injury like :
Facial nerve decompression
Subocularis oculi fat (SOOF) lift
Implantable devices (eg, gold weights) placed into the eyelid
Tarsorrhaphy
Transposition of the temporalis muscle
Facial nerve grafting
Direct brow lift
So I will suggest you to meet a neurosurgeon to decide which of those option is the right for your daughter and how she will profit from the surgery.
I wish my answer was helpful to you!
Best Regards,
Dr Eniola
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How Can Facial Bell S Palsy Be Treated?

Hello, Welcome in Healthcare Magic! I understand your concern. s ago and you Reading the story it looks that Bell palsy happened around 10 years ago, but I would like to know in what level the damage of the nerve is ( like what part of the face it has affected) ,for suggesting you the right way. Anyway there is a long time after the nerve have been damaged.(10 years) The pharmacological treatment it is suggest in the new onset palsy plus exercise and physio. In this stage the nerve damage it looks irreversible, the surgery it looks the optional treatment. There are some kind of surgery depended from the affected facial muscle, from nerve injury like : Facial nerve decompression Subocularis oculi fat (SOOF) lift Implantable devices (eg, gold weights) placed into the eyelid Tarsorrhaphy Transposition of the temporalis muscle Facial nerve grafting Direct brow lift So I will suggest you to meet a neurosurgeon to decide which of those option is the right for your daughter and how she will profit from the surgery. I wish my answer was helpful to you! Best Regards, Dr Eniola