לגב אתי שלום,
ד"ר רחמל השיב לשאלתך ב 23 לאפריל, מספר שעות לאחר שהצגת את השאלה. אנו מניחים שאת במצוקה אם חזרת על שאלה זו פעם נוספת. לנוחיותך אנו מצרפים מידע שפורסם בארה"ב שאולי ירחיב מעט את הנושא:
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| Facial nerve palsy |
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| Definition: |
| Facial paralysis caused by pressure on the facial nerve while the infant is in the uterus or |
| being delivered. |
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| Causes, incidence, and risk factors: |
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Damage to the facial nerve just before or at the time of delivery may cause paralysis to the same side of the face stimulated by the damaged nerve. The entire side from the forehead to the chin may be involved in severe cases. The most common form involves only the lower branch of the facial nerve and is seen only when the infant cries. The lower lip fails to pull down on the affected side giving the mouth an unbalanced appearance. Generally the nerve has been damaged by pressure rather than the nerve fibers torn, in which case a return to
normal occurs over the next few weeks to months
these may be observed in the newborn infant
- present immediately after birth (may be observed in the newborn infant)
- failure of the lower lip to pull down symmetrically while crying (typical)
- failure of any movement on the affected side of the face (total involvement, unusual)
- eyelid may not close on affected side
- lower face (below eyes) appears asymmetrical while crying
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| Signs and tests: |
| Physical examination is usually sufficient to diagnose this condition. |
In most cases, observation to see if the paralysis will disappear is the only treatment
Permanent paralysis requires special therapy
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| Expectations (prognosis): |
| Full spontaneous recovery is the typical outcome. |
| Complications: |
| Permanent paralysis of facial muscles on the affected side occasionally occurs. |
כל טוב,
צוות סטארמד | |
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