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Questions and Answers
What is the patient's condition?
What is the patient's condition?
- Paralysis of the right side of the face
- Bell's palsy (correct)
- Neurotized free muscle transfer
- Paralysis of the upper portion of the left side of the face
What is the duration of the patient's condition?
What is the duration of the patient's condition?
- One year
- Three years (correct)
- Two years
- Five years
What is the status of the patient's orbicularis oculi muscle?
What is the status of the patient's orbicularis oculi muscle?
- It is not functioning at all
- It is partially functioning
- It is paralyzed
- It has adequate function (correct)
What is the most appropriate management option for the patient?
What is the most appropriate management option for the patient?
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What is the status of the patient's nerve function?
What is the status of the patient's nerve function?
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Study Notes
Bell's Palsy Case Study
- A 32-year-old woman has near complete paralysis of the lower portion of the left side of the face three years after onset of Bell's palsy.
- No return of nerve function for the past year.
Examination Findings
- Adequate function of the orbicularis oculi muscle.
- Good Bell's reflex.
Management Options
- Continued observation (a).
- Hypoglossal nerve transfer (b).
- Placement of a gold weight in the eyelid and static brow lifting (c).
- Neurotized free muscle transfer using innervations from cross-face grafts (d).
- Temporalis muscle transfer to the upper and lower eyelids (e).
Note: The correct answer depends on the specific context and medical considerations, which are not provided in this text.
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