Bell's Palsy
Bell's Palsy is a condition thought to be caused by a virus in which one-sided facial paralysis occurs due to inflammation of the facial nerve.
Etiology for Bell's Palsy
This condition is poorly understood, but is thought to arise from a virus called the herpes simplex virus.
One theory is that at some time in one's life an initial infection from the herpes simplex virus occurred. More commonly, this manifests itself as a cold sore. Viral particles from this kind of infection remain dormant within the nerve, only to become reactivated with a stressful event. The virus then replicates causing inflammation within the nerve. It is also postulated that release of proteins from the damaged nerve fiber incites an autoimmune response against the nerve fibers. Eventually, the immune response wanes and the nerve fibers heal. There is some evidence to support this theory; however, it is not overwhelming.
Another theory is that the inflamed nerve has little room to expand within the tight, narrow, bony canal. The area of greatest constriction of the nerve is the meatal segment found where the nerve courses through the inner ear. There is belief that surgical decompression of this segment of the nerve may help hasten recovery.
This illustration shows the location of the facial nerve in the face.
This illustration shows the location of the facial nerve in the face.
A normal nerve is shown, as well as a compressed nerve between two portions of bone, and a decompressed nerve where the bone has been scaled back to make room for the nerve.
A normal nerve is shown, as well as a compressed nerve between two portions of bone, and a decompressed nerve where the bone has been scaled back to make room for the nerve.
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About Dr. Prasad
Dr. Sanjay Prasad MD FACS is a board certified physician and surgeon with over thirty-two years of sub-specialty experience in Otology, Neurotology, advanced head and neck oncologic surgery, and cranial base surgery. He is chief surgeon and founder of the private practice, Metropolitan NeuroEar Group, located in the metropolitan Washington D.C. area.