📝 “What are the Different Types of Facial Paralysis?”

Quick Review #265 - #pathology #oralpathology #doctorgallagher #oralsurgery #oralsurgeon #dentist #dentistry #dental #facialparalysis #bellspalsy- 2.6.25Facial paralysis is classified based on location, onset, progression, and cause.​ Central vs. Peripheral Paralysis​ Central (UMN - brain lesion): Forehead is spared, contralateral weakness; seen in stroke, multiple sclerosis (MS), brain tumors.​ Peripheral (LMN - facial nerve lesion): Entire face affected, ipsilateral weakness; seen in Bell’s palsy, Ramsay Hunt syndrome, Lyme disease, trauma, parotid tumors (De Diego-Sastre et al., 2016).​ Acute vs. Chronic Paralysis​ Acute (​ Chronic (>3 months): Parotid tumors, neurosarcoidosis, Melkersson-Rosenthal syndrome; gradual worsening, mass effect (Fattah et al., 2014).​ Congenital vs. Acquired Paralysis​ Congenital: Moebius syndrome, congenital facial nerve palsy, hemifacial microsomia; present at birth, craniofacial defects possible.​ Acquired: Bell’s palsy, stroke, tumors, infections; develops later due to underlying pathology (Eviston et al., 2015).​ Complete vs. Incomplete Paralysis​ Complete: Total loss of voluntary movement, inability to close the eye, severe Bell’s palsy, trauma, full nerve damage.​ Incomplete (paresis): Partial movement remains, seen in mild Bell’s palsy, partial nerve compression.​ Unilateral vs. Bilateral Paralysis​ Unilateral: Bell’s palsy, stroke, Ramsay Hunt, trauma, parotid tumors; one-sided weakness.​ Bilateral: Guillain-Barré syndrome (GBS), Lyme disease, neurosarcoidosis, Moebius syndrome, Melkersson-Rosenthal syndrome; symmetrical facial weakness, systemic symptoms.​ Recurrent vs. Progressive Paralysis​ Recurrent: Melkersson-Rosenthal syndrome, MS, idiopathic facial palsy; episodes of weakness, recovery in between.​ Progressive: Tumors, chronic infections, neurodegenerative diseases; gradual worsening, systemic involvement.References:​ Shaina. (2024, July 9). Bell’s palsy: What is it and how to treat it? Gulf Physio.​ De Diego-Sastre, J. I., Prim-Espada, M. P., & Fernández-García, F. (2016). The epidemiology of Bell’s palsy. Revue de Laryngologie - Otologie - Rhinologie, 137(4-5), 173-176.​ Eviston, T. J., Croxson, G. R., Kennedy, P. G. E., Hadlock, T., & Krishnan, A. V. (2015). Bell’s palsy: Aetiology, clinical features, and multidisciplinary care. Journal of Neurology, Neurosurgery & Psychiatry, 86(12), 1356-1361​ ChatGPT.2025#podcast #dentalpodcast #doctorgallagherpodcast #doctorgallagherspodcast #doctor #dentist #dentistry #oralsurgery #dental #dentalschool #dentalstudent #doctorlife #dentistlife #oralsurgeon #doctorgallagher