Guidelines for the Initial Management of Acute Facial Nerve Palsy


Department of Otolaryngology-Head and Neck Surgery, Antwerp University Hospital, Edegem, Belgium


Department of Neurosurgery, Antwerp University Hospital, Edegem, Belgium


Department of Ophthalmology, Antwerp University Hospital, Edegem, Belgium

B-ENT 2022; 18: 67-72
DOI: 10.5152/B-ENT.2022.21770
Read: 1125 Downloads: 559 Published: 29 March 2022

The aim of this study was to provide a concise review of international standards in the initial management of facial palsy. This culminates in guidelines and indications for referral to a tertiary facial nerve center. Facial nerve palsy is a relatively rare condition, and most practitioners outside specialized centers will only see a few cases per year. While most patients will ultimately show spontaneous and full recovery of facial nerve function, the importance of accurate diagnosis and early treatment cannot be underestimated. Incorrect diagnosis can be harmful to patients, resulting in worse facial function outcomes as a result of delay in diagnosis of occult neoplasms and failure to treat patients within a timely fashion. Management of facial palsy is complex and requires a multidisciplinary board with specific focus.
Cite this article as: Van Haesendonck G, Jorissen C, Lammers M, et al. Guidelines for the initial management of acute facial nerve palsy. B-ENT 2022;18(1):67-72.

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