The majority of patients will recover following a course of steroids. If the patient is unable to close their eyelids they will require advice on eye care (including eye protection) such as artificial tear drops and ointments and taping the eyelids shut at night. If the cornea remains exposed or there are any concerns regarding the health of the eye refer to ophthalmology.
Patients may benefit from referral to the Face Place who can provide the patient with practical help and support in the acute phase of the facial palsy and assist in addressing some of residual problems such as synkinesis during the later stages of the condition.
When the diagnosis is in doubt. Consider an urgent referral to ENT or neurology if:
When the cornea is at risk. Consider an urgent referral to ophthalmology if:
Severe facial weakness (of any cause) where there is incomplete or no recovery.