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Prednisone is an accepted therapy for Bell's palsy. Kedar Adour, MD, Kaiser Permanente Medical Group, Oakland, Calif, discussed his theory that Bell's palsy may represent a herpes simplex virus infection. He found an improved recovery profile in individuals treated with acyclovir and prednisone compared with a group who received prednisone and a placebo.
The management of recurring facial paralysis has been a debated issue in the last several years. This entity is uncommon and probably represents recurring Bell's palsy in most cases. Jack Kartush, MD, Farmington Hills, Mich, described 14 patients with multiple recurrences of facial paralysis. Facial nerve decompression relieved the symptoms in these patients and may have a role in the management of this condition.
Barry M. Schaitkin, MD, Pittsburgh, Pa, reported on the use of botulinum toxin to reduce aberrant regeneration effects in recovering facial paralysis. He used botulinum toxin to reduce synkinesis, particularly in the area
Hoffer ME. Annual Meeting of the Facial Nerve Study Group, September 19, 1994, San Diego, Calif. Arch Otolaryngol Head Neck Surg. 1995;121(2):240. doi:10.1001/archotol.1995.01890020102022
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