Management of Bell's Palsy - A Case Study

Facial nerve supplies to muscles of face and responsible for both forcible and smooth closure of eye lids and facial expressions. Facial nerve has three nuclei; 1. Main motor nucleus 2. parasympathetic nucleus 3. sensory nucleus. Motor nucleus supplies to muscles of face and responsible for facial expression and closure of eyelids. Facial nerve carries taste sensations from anterior 2/3 rd of tongue and cutaneous sensations from external auditory metus. In present case patient had sudden onset of left side facial palsy which completed over 24 -36 hours. She underwent lateral tarsal strip surgery, lee medial canthoplasty of lower lid and recession of upper lid retractors of left eye and had good cosmetic and symptomatic improvement.