5 Questions
What is the patient's condition?
Bell's palsy
What is the duration of the patient's condition?
Three years
What is the status of the patient's orbicularis oculi muscle?
It has adequate function
What is the most appropriate management option for the patient?
Placement of a gold weight in the eyelid and static brow lifting
What is the status of the patient's nerve function?
It has not returned for the past year
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.
A 32-year-old woman is suffering from near complete paralysis of the lower portion of the left side of her face three years after Bell's palsy. Determine the most appropriate management for her condition.
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