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Bell's Guidelines Issued — Physician’s First Watch

Medical News |
November 5, 2013

Bell's Guidelines Issued

By the Editors

A clinical practice guideline on Bell palsy is available from the American Academy of Otolaryngology — Head and Neck Surgery Foundation.

Among the key action statements are the following:

  • Clinicians should assess patients presenting with acute-onset unilateral facial paralysis to exclude other identifiable causes, such as herpes zoster, Lyme disease, and sarcoidosis.

  • Routine lab testing and diagnostic imaging are not recommended for patients with new-onset palsy.

  • Oral steroids should be given within 72 hours of symptom onset in patients aged 16 and older.

  • Antiviral monotherapy should not be given in new-onset disease.

Reader Comments (1)

Jose Luis Hernandez-Petriz MD Physician, Internal Medicine, Private Practice

I see many Type 2 diabetes and some of them como with mononeuropathy especially Bell´s palsy and the guidelines will be usueful in may daily practice

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