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J Obstet Gynaecol. 2017 May;37(4):409-415. doi: 10.1080/01443615.2016.1256973. Epub 2017 Jan 31.

Bell's facial nerve palsy in pregnancy: a clinical review.

Author information

1
a Corneoplastic Unit , Queen Victoria Hospital NHS Foundation Trust , East Grinstead , UK.
2
b Department of Plastic Surgery , Queen Victoria Hospital NHS Foundation Trust , East Grinstead , UK.
3
c Department of Obstetrics and Gynaecology , Maidstone & Tunbridge Wells NHS Trust , Kent , UK.

Abstract

Bell's facial nerve palsy (FNP) during pregnancy and the puerperium can present significant challenges for the patient and clinician. Presentation and prognosis can be worse in this group of patients. This article reviews the background, manifestation and management options of FNP. In particular, it focuses on the controversies that exist regarding corticosteroid use during pregnancy and outlines approaches to diagnosis and treatment. Based on this review, we recommend an early evidence-based approach using guidelines derived from non-pregnant populations. This includes assessment for atypical causes, a multidisciplinary input and early introduction of corticosteroids to limit progression and improve prognosis.

KEYWORDS:

Pregnancy; corticosteroid; facial; nerve; palsy; paralysis

PMID:
28141956
DOI:
10.1080/01443615.2016.1256973
[Indexed for MEDLINE]

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