Guidelines for the Initial Management of Acute Facial Nerve Palsy

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.