Management of nerve injuries

• Sensory cannot be assisted by outside influence
• Advice to protect areas of paraesthesia; eyedrops if unable to blink for example to keep eye lubricated and avoid infection risk
• Advise to be careful of hot food/drink
• Most injuries unilateral so one side will still function and allow warning of the above
• Reassure recovery will be within a few weeks to months.

Management of motor nerve palsies

• Most resolve without treatment
• Try to minimise time it takes for palsies to resolve
• Decrease pressure on the nerve from inflammation of product placement
• Reversal may be reasonable in this instance, possible to place near to, as opposed to right on insertion of nerve to reduce risk of further trauma
• Consider 60mg prednisolone daily for 7 days to decrease inflammation
• Reducing dose over following week
• Antiviral; acyclovir as well as the above is reasonable to treat viral induced incidence, risk worsening palsies if not used and cause is in fact viral
• Management of protecting effected tissues such as the eye from dry eye. Recurrent use of eye drops through the day and use of an eye patch also. Consider specialist referral if eye health deteriorates.

Below are several useful links that will give you all the information you need to understand the management of facial palsies and advise your patience while they await or undergo specialist care.

There are different stages of recovery, a ‘flacid’ phase and ‘tight’ phase with different exercises.

https://www.youtube.com/watch?v=DI1vg-yYozM&list=PLxSoy1PlqBcZKdLXyBt J6xZB80zWXB4rP

Tight Phase- for three months later if required in conjunction with ENT specialist.

https://www.youtube.com/watch?v=wFYFXgQHgcA&list=PLxSoy1PlqBcadbB 0mr-C3YTlXNLppBzJd