This is an ideopathic disease with an unknown ideology which usually occurs unilaterally (if bilateral may be from Myasthenia gravis), in people 20-40 years old. In this disorder the facial nerve is inflamed were it goes through the temporal bone which leads to the paralysis of all the muscles around the eye.
- lose of the orbicularis oculi muscle and hence wont be able to close there eye even when asleep.
lose of the ability to create tears which can lead to infection.
Weird facial expression and a grotesque smile due to drooping on one side of the face do to lost tone on the effect side of the face.
Lose of the ability to lose or frown
Lose of the orbicularis oris muscle and hence the ability to close lips on one side of the mouth, may lead to drooling
Lose of saliva from the submadibular glands which will decrease the amount of saliva in the mouth but other gland will still provide some
Treatment – though there is no known cure for bells palsy, the condition usually only last a few months to a year. This being said it can be a side effect of lime disease in which case curing the lime disease will cure the bells palsy but this is less likely. In some cases surgeons may widen the facial nerves passage through the temporal nerve with a drill.
This disease can be mistaken for RA.