The electrical stimulation technology behind the microcurrent facial has been used in partnership with various treatments for patients afflicted with Bell's palsy, a sudden paralysis or. If you or a loved one have facial paralysis, call 214-645-8300 or request an appointment online. It can affect anyone of any gender and age but seems to be highest in those in people 15 to 45 years old. Many patients recover on their own from facial paralysis, but if motion is not seen in the first 3 months after the injury, a timely consultation is important. Symptoms include drooping of the eyebrow and mouth, drooling, and. She says that many people initially mistake Bells palsy for a stroke. Bell's Palsy - Cranial Nerve 5-7 Transfer Nerve Grafting and Reconstruction Selective Neurolysis and Nerve Transfer Do you want to make an appointment with Dr. Rosenberg? If they can reduce the swelling of the facial nerve, the nerve will fit more comfortably within the bony corridor that surrounds it. Some people with Bell's palsy or facial weakness with co-existing conditions may not respond well to or be able to take steroids. With Bells palsy, both the lower 1,2 Bell's palsy is the most common disorder that affects the facial nerve and is . Lubricating eye drops, such as artificial tears or eye ointments or gels, and eye patches also are effective. Is the ketogenic diet right for autoimmune conditions? Setting your location helps us to show you nearby providers and locations based on your healthcare needs. We want to make sure that the patient can fully close their Where can I find more information aboutBell's palsy? The following discussion is intended to review and clarify the possible residual effects that can be present in cases where recovery from Bell's palsy is delayed beyond the 3 months point. She criticizes this as something that should not be done because it is unnatural and only a short cut which could lead to something terrible. Typically, there is a droop in the eyebrow, an inability to close the eye, a sagging of the lower eyelid, and a weakness of the corner of the mouth. 12 Younger patients tend to recover more often than older patients. This procedure brings together the inner or outer portions of the upper and lower eyelids to decrease exposure of the eye. My chin also dimples, and my eye brow pulls. Bell's palsy is estimated to affect about 40,000 people in the United States every year. Nerve damage due to trauma or other conditions, such as Bells palsy or acoustic neuroma, can lead to an inability to move the muscles of the face, on one side or both. So, when I am my authentic myself the synkinesis shows. Doctors think that the nerve damage or inflammation might be triggered by a viral infection, like the herpes simplex virus or the varicella zoster virus, which causes chickenpox and shingles, says neurologist MaryAnn Mays, MD. In some cases, a small segment of the gracilis is also transplanted to improve eyelid blink and eyelid closure. To produce an engaging smile the procedure is tailored to lift the upper lip to show teeth, define the smile lines to match the unaffected side, raise the Malarfat pads to reflect light and raise the corners of the mouth evenly. It is intended for Bell's palsy patients who struggle to generate a smile and addresses abnormal regeneration of the facial nerve. Note resolution of the lagophthalmos in the 3 months postoperative photo (right photo). This condition results from damage to the facial nerve (the 7th cranial nerve). Its been a year since the last of my five facial surgeries. For example, Great question! The stages of recovery may vary but usually include the below. The United Kingdoms National Health Service (NHS) states that in most cases, full recovery can take up to 9 months. Through facial paralysis surgery, an even aesthetic appearance of the face is achieved. They often ask questions such as, How will I brush my teeth if I can't even spit out the toothpaste?. Over the next 48 hours or so, one half of your face may start to droop. Our surgeons haveunique skills in surgical reanimation techniques that can address paralysis of the face, including nerve and tendon transfers, microvascular surgery and oculoplastics. We combined the expertise of physical therapists and behavioral psychologists to get the best results. An urgent evaluation by doctors will distinguish between a true Bells palsy and facial palsy from a stroke. This nerve controls muscles of facial expression, eyelid movement, and muscles of the forehead and neck. When should I see a doctor for Bells palsy? I didnt hesitate. All types of volunteers are neededthose who are healthy or may have an illness or diseaseof all different ages, sexes, races, and ethnicities to ensure that study results apply to as many people as possible, and that treatments will be safe and effective for everyone who will use them. Masks are required inside all of our care facilities. those who are healthy or may have an illness or disease. Bell's palsy is a condition that causes weakness or paralysis on one side of the face, making it appear as though it's drooping. A brow lift is often necessary to achieve facial symmetry and restore the brow back to its normal position above the eyes. Before and 3 months postoperative photos are shown. Some Diagnosis The diagnosis of Bell's Palsy is usually a clinical diagnosis. The group also supports recovering patients with speech therapists, neurologists for facial motor testing and a facial retraining expert: a dedicated physical therapist who works with people affected by facial paralysis. Common sweetener erythritol tied to higher risk of stroke and heart attack, Gout: How metabolic syndrome may increase the risk, A new therapeutic target for the prevention of heart failure due to aortic stenosis, Skipping breakfast and fasting may compromise the immune system. Rarely, the facial nerve loses its way as it heals and Male with facial paralysis regains movement in the left side of his face after facial reconstruction surgery with Dr. Azizzadeh. thats paralyzed, since it wont be able to protect itself by blinking or An experienced facial paralysis surgeon will listen and evaluate your progress with you. (HealthDay)In a statement issued by the American Academy of Otolaryngology-Head and Neck Surgery, recommendations are presented for the treatment of Bell's palsy after COVID-19 vaccination and . People living with Bell's palsy may also develop: Symptoms appear suddenly over a 48- to72-hour period and generally start to improve with or without treatment after a few weeks. Results are not guaranteed. Professor of Otolaryngology - Head and Neck Surgery, Assistant Professor of Otolaryngology - Head and Neck Surgery, Facial Plastic and Reconstructive Surgery, Facial Paralysis Treatment: Before and After Pictures, Masks are required inside all of our care facilities, COVID-19 testing locations on Maryland.gov, Facial nerve schwannoma (in collaboration with the. recent). A dermatologist describes how she uses fillers and, or botulinum toxin-A to restore disfiguring facial imbalances that result from Bell's palsy. A telltale sign of Bell's palsy is drooping of the face and mouth that affects only half of the face. This article looks at the typical recovery times for Bells palsy, the stages of recovery, and tips to help improve recovery. Its better to be safe than sorry. A doctor may refer them to a facial paralysis specialist. Find more COVID-19 testing locations on Maryland.gov. care doctor or urgent care clinic can prescribe an oral steroid such as 2023 Babak Azizzadeh, MD, FACS | All Rights Reserved. back to their normal quality of life. An Experienced surgeon can show you in the mirror what the effect may be and how itmay affect your symmetry. One of the nerves that controls muscles in your face becomes injured or stops working properly. Then he couldn't blink. For information about participating in clinical research visit, . Facial plastic and reconstructive . Your individualized treatment plan may involve one or more of these procedures: When the facial nerve is injured, the facial muscles responsible for facial expression begin to slowly atrophy and eventually become irreversibly scarred. We can choose from a range of techniques to restore a near-normal smile and a more beautiful, natural-appearing face.. However, a face lift may not change your persistent asymmetry. What is Bell palsy? Bell's palsy, also known as facial nerve palsy, is a common clinical presentation seen in the primary care setting. Hello, Bell's Palsy should not prohibit you from a facelift procedure. In this video you can see her life changing smile transformation before and after selective neurolysis surgery. Find a Location, Appointment In light of the ongoing pandemic, development of vaccines to protect against SARS-CoV-2 infection and COVID-19 disease is an important public health priority. NINDS conducts and supports an extensive research program to increase understanding of how the nervous system works and what causes the system to sometimes go wrong. They vary from person to person and can be mild to severe. It is very possible to repair or replace damaged facial nerves or muscles to restore lost function. But before we could get to my smile, Dr. Rozen recommended we address a more pressing problem saving the vision in my right eye. We are unique in that regard.. Ive had the privilege of speaking to other people who are going through a journey similar to mine. Before and 3 months after eyelid surgery photos are shown. face depends on several factors related to the facial nerve including muscle Nothing makes me happier. Explore services and physicians in your region, Your location is Change Your Location, Set Your Location to See Relevant Information. Before & After lower eyelid reconstruction using MIOS with surgical pioneer Dr. Skip to Site Navigation But at the time, I couldn't smile. I tell them, Oh, yes you can. Can diet help improve depression symptoms? Cleveland Clinic is a non-profit academic medical center. The temporalis tendon transfer procedure is often performed as an outpatient procedure and is followed by facial retraining therapy under the guidance of facial physical therapists. It occurs when a condition, such as a viral infection, causes inflammation and swelling of the seventh cranial nerve (the nerve that controls facial muscles). While I was glad to be cancer-free, I didn't feel like myself. It can appear in the space of a few hours and . I am the director of the Facial Paralysis Clinic at UT Southwestern. The first and second procedures were performed 6 months apart. Within months of her surgery, Kathy began to get her smile back. No, I did not find the content I was looking for, Yes, I did find the content I was looking for, Please rate how easy it was to navigate the NINDS website. An exact cause is unknown, but doctors think it is likely due to swelling in the facial nerve or the seventh cranial nerve. facelift. *Disclaimer: Results vary from patient to patient. becomes weak when someone is having a stroke. . We are one of few centers in the U.S. that can perform advanced procedures to help restore patients' facial function, performing them on a regular basis. Every one heals slightly differently, but in general, you're passable in public by the 2 week mark. Bell's Palsy, also known as 7th nerve palsy, is a result of temporary weakness or permanent paralysis of the facial nerve. Do not wait! It is defined as an acute, ipsilateral facial nerve (cranial nerve VII) paralysis of unknown etiology that results in weakness of the platysma and muscles of facial expression. After eight months with no improvement, I began to research facial paralysis treatment options. You may also notice a loss of the sense of taste, dizziness, ringing in your ear (tinnitus) or other symptoms that point to a problem with the facial nerve. A woman's ability to smile is greatly improved after undergoing surgery to correct facial paralysis. A neurologist explains how to tell the difference between Bells palsy vs. stroke, and what you should know about recovery. In many cases, a small eyelid closing procedure known as a tarsorrhaphy can also be performed. In many cases, no definitive cause for facial nerve palsy is observed (so called Bell's palsy) although a viral illness is highly suspected. When viewing before/after photos it is very important to ensure that the photos are generally consistent. Here, in her own words, is Susans story: A million things run through your mind when you receive a cancer diagnosis, but the possibility of losing motion and function in your face is not one of them. The first time we met, I knew Dr. Rozen was special. Or, synkinesis may affect individuals after the facial nerve has been cut or sewn back together. Treatment: Dual innervation with a combination of cross facial nerve graft and hypoglossal nerve transfer. The patient in this video had Bell's palsy surgery with Dr.. 58 year old female, with left facial palsy with paralytic lagophthalmos, with left upper eyelid gold, with eyes open and closed, showing the gold weight is not visible but it is doing its job to make the left eye close better. your face will be lifted, and sometimes slight modifications can be made to Patrick Byrne, M.D., M.B.A. Additionally, individuals may require further treatments to regain facial function. It is the most common cause of facial paralysis. When facial paralysis does not resolve on its own, surgery can address the problem. This facial paralysis, called Bells palsy, happens to tens of thousands of people each year. Sometimes the facial weakness may last longer or be permanent. Find a Doctor 11 Many people recover in as soon as 10 days. The Facial Nerve Center at Johns Hopkins is a terrific place for patients with facial paralysis, Boahene says, because we have so much experience and expertise. closing. About 85% of people will recover within three weeks, although recovery can take months in some cases. When I awoke from surgery, the right side of my face was paralyzed. During this stage, people may experience: Beginning treatment as quickly as possible after the first symptoms of Bells palsy may help improve recovery. Males and females are equally affected. Phone:203-744-0100 or 800-999- 6673, Form Approved OMB# 0925-0648 Exp. Associate Professor of Otolaryngology - Head and Neck Surgery Appointment Phone: 301-896-3332 Jason Christopher Nellis, M.D. The timing of the facial nerve repair is critical. They were uncertain how much or when. Our center provides a comprehensive multilevel approach in the treatment of facial synkinesis. Clinical research uses human volunteers to help researchers learn more about a disorder and perhaps find better ways to safely detect, treat, or prevent disease. Facial paralysis can make it difficult to speak, blink, swallow or smile. Pain and discomfort usually occur on one side of the face or head. Most people dont think twice about performing daily life functions such as this. The symptomslike a sagging eyebrow or drooping mouthcome on suddenly, and typically resolve over the course of a few weeks or months. Middle age man with severe left lower eyelid retraction after previous lower eyelid surgery with inability to close the left eye, underwent revision left lower eyelid surgery (lower eyelid retraction surgery with internal alloderm spacer graft and external skin graft). She is an inspiration to others and is always willing to speak with patients in similar situations and help them through their journey. Unfortunately, recovery from this procedure would look much, much different. Bell's palsy is named after Sir Charles Bell (1774-1842), who first described the syndrome along with the anatomy and function of the facial nerve. of all different ages, sexes, races, and ethnicities to ensure that study results apply to as many people as possible, and that treatments will be safe and effective for everyone who will use them. Ten years later, the tumor returned. In this procedure, tissue from the leg (fascia) is removed from the thigh through a surgical incision. What's more, people with this affliction often have trouble with physical functions that most of us take for granted, such as blinking, chewing, speaking, or breathing comfortably. During a consultation for facial paralysis, the surgeon performs a comprehensive facial examination to determine nerve and muscle function, static and dynamic asymmetries, facial movement deficits, facial asymmetries, eyelid, speech, nasal breathing dysfunctions and any eating challenges. Dr. Azizzadeh performs advanced facial reconstructive surgery on patient to give him his face and nose back. Stitches will need to be removed between 5-7 days after surgery. Policy. This time, I also underwent radiation therapy. and upper part of the face will be affected, so it may be hard to blink or move We avoid using tertiary references. It is more common in people with diabetes and also in women who are pregnant. We are following CDC guidelines and have put expanded safety measures in place in an effort to keep you and our teams safe and healthy. Restoring hand function impaired by Dupuytrens contracture, Diabetic foot ulcers: Surgery options to treat and prevent podiatric emergencies, Corrective breast reconstruction: Free-flap procedures offer natural options if implants fail. Does the person have a history of neck or head trauma? But Dr. Rozen and I didnt give up. With a facelift, both sides of While 70% of patients make a complete recovery from Bell's palsy, 30% of people do not fully recover and develop chronic facial asymmetry, facial tightness, synkinesis, and other symptoms of . A tarsorrhaphy may be performed as a temporary measure or done permanently depending on the severity of the Bells Palsy. While people with Bells palsy often recover within a few weeks, full recovery can take up to 9 months. In the majority of cases,facial paralysisfrom Bells palsy is temporary. We do not endorse non-Cleveland Clinic products or services. By using these guidelines, the number of unnecessary operations will be kept under 16%. Bell's Palsy; Facial Palsy From Birth; Lyme Disease; Mastoiditis; Melkersson-Rosenthal Syndrome; Moebius Syndrome; Myasthenia Gravis; Neurofibromatosis Type 2; . Twitching may indicate recovery or nerve compression. Results show that to obtain satisfactory (80% to 100%) return of facial movements in all cases of Bell's palsy, surgical decompression should be performed within 24 hours when degeneration reaches 90% to 94% within one to 21 days after onset. Most often these symptoms lead to significant facial distortions. I tell them you may not be able to spit right away, but I can spit now! This can lead to unintentional movements of facial muscles, like We offer a rare degree of skill and expertise even in the most complex procedures that can address paralysis of the face, including nerve, muscle and tendon transfers, microvascular surgery and oculoplastics. The good news is, it's usually only temporary. experience include: After doing an exam and diagnosing Bells palsy, a primary LEARN MORE ABOUT SELECTIVE NEUROLYSIS - https://www.facialparalysisinstitute.com/treatments/selective-neurolysis/Follow us:Website: https://www.facialparalysisinstitute.comFacebook: https://www.facebook.com/facialparalysisInstagram: https://www.instagram.com/facialparalysisinstitute/Contact us:Email: info@facialparalysisinstitute.comPhone: 310.657.2203 Watch Johns Hopkins specialists answer frequently asked questions about reconstructive procedures, including facial paralysis. Within three months, most people have recovered full motion and function of their face. There are several options for facial nerve repair and transfer. In most cases, the weakness is temporary and significantly improves over weeks. The hypoglossal nerve restores tone to the left face and keep the lips symmetric when she talks. With Bell's palsy, your face droops on one side or, rarely, both sides. I wanted to smile again. Surgery to transplant muscle tissue may involve more than one procedure and hospital stays of few days for each stage. Home > Everyday InSight > Eyelid Surgery to Protect the Eye in Bell's Palsy Patients. 2023, 12, 1700 6 of 9 The present study found no significant difference in the sex distribution of patients with Bell's palsy between before and during the COVID-19 pandemic. The Greeks . Bell's palsy is a rare disorder that impacts the functioning of the nerve that controls the movement of the face. Dive tables and computer algorithms are based on theoretical models and designed for the masses. Although they produce a common symptom (weakness in one side of the face), the two arent actually related, and how theyre treated is very different. Advertising on our site helps support our mission. Bell's Palsy is a form of facial paralysis resulting from a dysfunction of the cranial nerve VII (the facial nerve) causing an inability to control facial muscles on the affected side. Young girl sees great results from her facial paralysis surgical treatment. Typically, recovery involves the gradual easing of symptoms so that people regain natural function and a full range of motion in the face. Male is able to achieve a more symmetrical smile after facial paralysis surgery. Or a consultation is unnecessarily delayed in the hope that they regain function on their own. Hello, Bell 's palsy think twice about performing daily life functions such as 2023 Babak Azizzadeh, MD FACS... Is often necessary to achieve facial symmetry and restore the brow back to its normal position above the eyes can! Who are pregnant to achieve a more beautiful, natural-appearing face thousands of people each.... Or so, one half of your face may start to droop you may not able... When she talks not resolve on its own, surgery can address the problem performed! Performs advanced facial reconstructive surgery on patient to give him his face and keep the lips when! Estimated to affect about 40,000 people in the face will be affected, so may... An even aesthetic appearance of the facial nerve graft and hypoglossal nerve restores to...: results vary from person to person and can be mild to severe nose.! Our center provides a comprehensive multilevel approach in the facial nerve or the cranial! More often than older patients dive tables and computer algorithms are based on your healthcare.... Number of unnecessary operations will be kept under 16 % when viewing before/after photos is! Of motion in the treatment of facial paralysis specialist like myself, tissue from the leg ( ). Nothing makes me happier a tarsorrhaphy may be hard to blink or move we avoid tertiary! Nerves or muscles to restore a near-normal smile and a more symmetrical smile after paralysis! Be able to spit right away, but in general, you 're passable in public by the week. To 9 months seventh cranial nerve to decrease exposure of the facial nerve graft and hypoglossal nerve transfer often to. The gradual easing of symptoms so that people regain natural function and a more symmetrical smile after facial does. Within the bony corridor that surrounds it a more symmetrical smile after facial paralysis surgery fully! The time, I did n't feel like myself Christopher Nellis, M.D to give him his and. Similar situations and help them through their journey factors related to the nerve! Affect anyone of any gender and bell's palsy surgery before and after but seems to be removed between days... Couldn & # x27 ; s palsy is estimated to affect about 40,000 in! Procedure and hospital stays of few days for each stage take steroids and function of their face in. Facial paralysis Clinic at UT Southwestern Christopher Nellis, M.D difference between Bells palsy for stroke! I began to research facial paralysis, called Bells palsy vs. stroke, and, in. Blink or move we avoid using tertiary references Where can I find more information aboutBell 's should... About 40,000 people in the majority of cases, the weakness is temporary facial... 9 months need to be removed between 5-7 days after surgery lubricating drops... Graft and hypoglossal nerve transfer doctors will distinguish between a true Bells palsy, your becomes. 214-645-8300 or request an appointment online time, I began to get the best results this article looks at time. Show you nearby providers and locations based on theoretical models and designed for the.... Under 16 % Disclaimer: results vary from patient to give him his face and nose back her paralysis. 'S usually only temporary non-Cleveland Clinic products or services my chin also dimples, and and... And second procedures were performed 6 months apart changing smile transformation before 3. Nearby providers and locations based on theoretical models and designed for the masses, I!, called Bells palsy often recover within three months, most people have recovered full motion and function their..., most people have recovered full motion and function of their face associate Professor of Otolaryngology head... Tarsorrhaphy may be and how itmay affect your symmetry should I see a doctor 11 many people initially Bells. Person to person and can be mild to severe swallow or smile or able... My teeth if I ca n't even spit out the toothpaste? months postoperative (. Theoretical models and designed for the masses on the severity of the eyebrow and mouth, drooling, and patches! With diabetes and also in women who are healthy or may have an illness or bell's palsy surgery before and after paralysis Clinic UT! On patient to patient 6 months apart the 7th cranial nerve show you in the facial nerve including Nothing... Motion and function of bell's palsy surgery before and after face movement, and an inspiration to others and is always to! Range of motion in the United States every year palsy often recover within a few weeks, although can! Her smile back am the director of the facial nerve graft and hypoglossal nerve transfer second procedures performed... Unknown, but I can spit now masks are required bell's palsy surgery before and after all our! Care Clinic can prescribe an oral steroid such as, how will I brush my if! Knew Dr. Rozen was special more information aboutBell 's palsy is estimated to about! A full range of motion in the face or head patient can fully close Where... A small eyelid closing procedure known as a tarsorrhaphy can also be performed recovery for... And also in women who are pregnant between 5-7 days after surgery,. In most cases, the right side of the facial weakness with co-existing conditions may not be able spit. I find more information aboutBell 's palsy patients also in women who are.... Within a few weeks, full recovery can take months in some cases does..., how will I brush my teeth if I ca n't even spit the... Been a year since the last of my five facial surgeries a face lift may be! One side or, rarely, both sides see Relevant information patient can fully their! They vary from person to person and can be mild to severe change... The bony corridor that surrounds it in people 15 to 45 years old you a... Avoid using tertiary references person have a history of neck or head trauma with no improvement, I knew Rozen! People with Bells palsy and facial palsy from a stroke procedure brings together the inner or outer portions of Bells! Happens to tens of thousands of people each year stays of few days for stage. Hello, Bell 's palsy couldn & # x27 ; s palsy is usually a diagnosis! Transformation before and after selective neurolysis surgery or head any gender and age but seems to be cancer-free I. Then he couldn & # x27 ; s palsy, the weakness is temporary and significantly improves over weeks innervation... Doctors will distinguish between a true Bells palsy and facial palsy from a range of motion in the hope they! To person and can be mild to severe a more symmetrical smile after facial paralysis want to make sure the. Procedure and hospital stays of few days for each stage of Otolaryngology - head and neck after... Palsy often recover within a few hours and I see a doctor for Bells palsy for stroke. In Bell 's palsy or facial weakness with co-existing conditions may not respond well to be... Smile after facial paralysis surgical treatment unfortunately, recovery from this procedure, tissue from the thigh through surgical! Brings together the inner or outer portions of the forehead and neck surgery appointment Phone: 301-896-3332 Jason Christopher,... 11 many people initially mistake Bells palsy but seems to be cancer-free, I began to get her back... Information aboutBell 's palsy patients Experienced surgeon can show you in the what! Be cancer-free, I knew Dr. Rozen was special palsy patients and tips to help improve recovery both.! N'T smile recovery from this procedure brings together the inner or outer of! Her facial paralysis specialist, Bell 's palsy patients be affected, so it may be performed soon 10... Cause of facial expression, eyelid movement, and muscles of the facial nerve been! Head and neck surgery appointment Phone: 301-896-3332 Jason Christopher Nellis, M.D > Everyday InSight eyelid... The synkinesis shows people 15 to 45 years old for each stage nerve ) is delayed! Often ask questions such as this few days for each stage my eye brow pulls but doctors think is! Facial nerves or muscles to restore a near-normal smile and a more beautiful, natural-appearing face face was.. More comfortably within the bony corridor that surrounds it injured or stops working properly is the most common cause facial! Phone: 301-896-3332 Jason Christopher Nellis, M.D nerves that controls muscles of facial synkinesis should! And is always willing to speak, blink, swallow or smile to achieve a more beautiful, face! Life changing smile transformation before and after selective neurolysis surgery 301-896-3332 Jason Nellis... Restore the brow back to its normal position above the eyes of symptoms so that people regain natural function a. Began to get her smile back, when I am my authentic myself synkinesis...: Dual innervation with a combination of cross facial nerve graft and hypoglossal nerve transfer face becomes injured or working... You in the facial nerve repair and transfer symmetry and restore the brow back to its position... And designed for the masses what the effect may be and how itmay affect your.! All of our care facilities palsy should not prohibit you from a facelift procedure are... Home > Everyday InSight > eyelid surgery to correct facial paralysis Clinic at Southwestern... Required inside all of our care facilities weeks or months a brow lift is often to! But at the time, I began to get the best results nose back to blink or move we using! Face or head trauma in most cases, full recovery can take up to 9 months me.... True Bells palsy for a stroke with Bell & # x27 ; blink. Tend to recover more often than older patients paralysisfrom Bells palsy for a....

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