{"id":14887,"date":"2022-06-01T08:51:00","date_gmt":"2022-06-01T07:51:00","guid":{"rendered":"https:\/\/saera.eu\/en\/?p=14887"},"modified":"2025-03-03T14:04:27","modified_gmt":"2025-03-03T14:04:27","slug":"assessment-and-management-of-facial-nerve-palsy-bells-palsy","status":"publish","type":"post","link":"https:\/\/saera.eu\/en\/2022\/06\/01\/assessment-and-management-of-facial-nerve-palsy-bells-palsy\/","title":{"rendered":"Assessment and Management of Facial Nerve Palsy. Bell\u00b4s Palsy"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"14887\" class=\"elementor elementor-14887\" data-elementor-post-type=\"post\">\n\t\t\t\t<div class=\"elementor-element elementor-element-61fb8f17 e-flex e-con-boxed e-con e-parent\" data-id=\"61fb8f17\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-7b955b3a e-con-full e-flex e-con e-child\" data-id=\"7b955b3a\" data-element_type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-e13515c e-flex e-con-boxed e-con e-child\" data-id=\"e13515c\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5cda615c elementor-widget elementor-widget-text-editor\" data-id=\"5cda615c\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.22.0 - 26-06-2024 *\/\n.elementor-widget-text-editor.elementor-drop-cap-view-stacked .elementor-drop-cap{background-color:#69727d;color:#fff}.elementor-widget-text-editor.elementor-drop-cap-view-framed .elementor-drop-cap{color:#69727d;border:3px solid;background-color:transparent}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap{margin-top:8px}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap-letter{width:1em;height:1em}.elementor-widget-text-editor .elementor-drop-cap{float:left;text-align:center;line-height:1;font-size:50px}.elementor-widget-text-editor .elementor-drop-cap-letter{display:inline-block}<\/style>\t\t\t\t<h2 class=\"page-title\"><span style=\"color: #000666;\">Assessment and Management of Facial Nerve Palsy. Bell\u00b4s Palsy<\/span><\/h2>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-28df65aa elementor-align-right elementor-widget elementor-widget-post-info\" data-id=\"28df65aa\" data-element_type=\"widget\" data-widget_type=\"post-info.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<link rel=\"stylesheet\" href=\"https:\/\/saera.eu\/en\/wp-content\/plugins\/elementor\/assets\/css\/widget-icon-list.min.css\"><link rel=\"stylesheet\" href=\"https:\/\/saera.eu\/en\/wp-content\/plugins\/pro-elements\/assets\/css\/widget-theme-elements.min.css?ver=1747297119\">\t\t<ul class=\"elementor-inline-items elementor-icon-list-items elementor-post-info\">\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item elementor-repeater-item-0d080fc elementor-inline-item\" itemprop=\"datePublished\">\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-calendar\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M12 192h424c6.6 0 12 5.4 12 12v260c0 26.5-21.5 48-48 48H48c-26.5 0-48-21.5-48-48V204c0-6.6 5.4-12 12-12zm436-44v-36c0-26.5-21.5-48-48-48h-48V12c0-6.6-5.4-12-12-12h-40c-6.6 0-12 5.4-12 12v52H160V12c0-6.6-5.4-12-12-12h-40c-6.6 0-12 5.4-12 12v52H48C21.5 64 0 85.5 0 112v36c0 6.6 5.4 12 12 12h424c6.6 0 12-5.4 12-12z\"><\/path><\/svg>\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text elementor-post-info__item elementor-post-info__item--type-date\">\n\t\t\t\t\t\t\t\t\t\t<time>01\/06\/2022<\/time>\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t<li class=\"elementor-icon-list-item elementor-repeater-item-e2c89b4 elementor-inline-item\" itemprop=\"about\">\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-tags\" viewBox=\"0 0 640 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M497.941 225.941L286.059 14.059A48 48 0 0 0 252.118 0H48C21.49 0 0 21.49 0 48v204.118a48 48 0 0 0 14.059 33.941l211.882 211.882c18.744 18.745 49.136 18.746 67.882 0l204.118-204.118c18.745-18.745 18.745-49.137 0-67.882zM112 160c-26.51 0-48-21.49-48-48s21.49-48 48-48 48 21.49 48 48-21.49 48-48 48zm513.941 133.823L421.823 497.941c-18.745 18.745-49.137 18.745-67.882 0l-.36-.36L527.64 323.522c16.999-16.999 26.36-39.6 26.36-63.64s-9.362-46.641-26.36-63.64L331.397 0h48.721a48 48 0 0 1 33.941 14.059l211.882 211.882c18.745 18.745 18.745 49.137 0 67.882z\"><\/path><\/svg>\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text elementor-post-info__item elementor-post-info__item--type-terms\">\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-post-info__terms-list\">\n\t\t\t\t<a href=\"https:\/\/saera.eu\/en\/tag\/bells-palsy\/\" class=\"elementor-post-info__terms-list-item\">Bell\u00b4s Palsy<\/a>, <a href=\"https:\/\/saera.eu\/en\/tag\/neuroscience\/\" class=\"elementor-post-info__terms-list-item\">Neuroscience<\/a>\t\t\t\t<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t<\/ul>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8b8a848 elementor-widget elementor-widget-text-editor\" data-id=\"8b8a848\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<h3><!-- wp:paragraph {\"align\":\"right\"} --><\/h3>\n<p style=\"text-align: right;\">By\u00a0<strong>Sara Masritaraboulsi<\/strong>, <a href=\"https:\/\/www.saera.eu\/en\/optometry\/\">Optometrist<\/a> and\u00a0Expert Certificate in <a href=\"https:\/\/www.saera.eu\/en\/applied-neuroscience-programmes\/\">Neuro-ophthalmology<\/a>\u00a0student.<\/p>\n<p><!-- \/wp:paragraph --><!-- wp:paragraph --><\/p>\n<p><!-- \/wp:paragraph --><!-- wp:paragraph --><\/p>\n<p>Facial paresis (FP) is a paralysis of the motor facial nerve, n. Facialis, caused either by a central or peripheral injury of the nerve. Overall, central lesions will only cause paresis in the lower part of the face (since the function of the m. Frontalis and m. Orbicularis oculi is preserved because of bilateral cortical innervation) while a peripheral lesion affects the entire one half of the face according to Eviston et al. (2015).<\/p>\n<p>The incidence of peripheral FP is 15-30 per 100,000 and is most seen in the age group 15-45 years. It is seen a little more frequently in patients with diabetes mellitus and pregnant women. The incidence of central FP has not been determined presented by Eviston et al. (2015).<\/p>\n<h3>Anatomy<\/h3>\n<p>N. facialis starts at the upper edge of the medulla oblongata between the n. Abducens and n. Vestibulocochlearis. The nerve, which consists of a motor and a combined parasympathetic and sensory component (n. Intermedius) runs through the cerebellopontine angle (CPA) cistern in the posterior cranial fossa and from there into the Internal Acoustic Meatus where it has a close relationship to the inner ear and to the n. Vestibulocochlearis. At the base of the Internal Acoustic Meatus, the two facial components combine and continue into the facial canalis. The nerve leaves the skull through the stylomastoid foramen and then divide on the cheek into the parotid gland according to Eviston et al. (2015).<\/p>\n<p>Nervous facialis innervates motor all mimetic muscles and stirrup, has parasympathetic fibers to the lacrimal and salivary glands, to taste buds from the anterior 2\/3 of the tongue and few sensory fibers from the cheek and ear to the trigeminal nucleus, there is attached an anatomical drawing below presented by Eviston et al. (2015).<\/p>\n<p>Symptoms and clinical findings can often be used to determine where during the nerve the lesion is located, but not to determine the aetiology of the paresis.<\/p>\n<h3>Aetiology<\/h3>\n<p>In the past situations with cold exposure, like cold air conditioning, chilly wind or driving with the car window down could be a trigger for Bell\u2019s palsy. Nowadays the aetiology of Bell\u2019s palsy is still debatable (Taylor, 2021).<\/p>\n<p>However, Reacher\u2019s hypothesis points on herpes simplex virus (HSV) that it is the cause of Bell\u2019s palsy, though it may be difficult to prove that HSV is the cause because of the ubiquitous nature of HSV (Taylor, 2021).<\/p>\n<p>There have been done autopsy that shows HSV in the geniculate ganglion of patients that have Bell\u2019s Palsy. There has also been performed polymerase chain reaction (PCR) testing on the endoneural fluid of the facial nerve in patients who underwent surgery for Bell\u2019s palsy and there were found 11 of 14 cases.\u00a0 HSV can\u2019t be excluded from being the cause of Bell\u2019s Palsy (Taylor, 2021).<\/p>\n<p>There has also been studied other additional causes of Bell\u2019s Palsy, besides HSV, that including infection\u00a0 as Herpes Zoster, Lyme disease, Epstein-Barr, Syphilis, Cytomegalovirus, Human immunodeficiency virus (HIV), inflammation and microvascular disease (hypertension and diabetes mellitus).<\/p>\n<p>Bell\u2019s palsy can also cause the facial nerve to demyelinate, that results in unilateral facial paralysis. Inheritance of family history of Bell\u2019s palsy has been reported with 4% of cases (Taylor, 2021).<\/p>\n<h3>Diagnosis<\/h3>\n<p>Symptoms and signs of peripheral FP is unilaterally reduced force in the facial muscles with reduced ability to smile, frown and close the eye. Symptoms of Bell\u2019s palsy are that approximately 50% of patients believes they have suffered a stroke, 25% fear an intracranial tumor and the remaining 25% are anxious of not knowing what it is (Peitersen, 2002).<\/p>\n<p>Additional symptoms of Bell\u2019s palsy include pain behind or around the ear on the affected side, sometimes extending into the occipital or cervical regions. Loss of the sense of tase on the front two-thirds of the tongue, hypersensitivity to sound in the affected ear (hyperacusis). These associated symptoms are present in 50\u201360% of the cases of diagnosis of Bell\u2019s palsy according to Lockhart et al. (2009) and Eviston et al. (2015).<\/p>\n<h3>Differential Diagnosis<\/h3>\n<p>When Bell\u2019s palsy is needed to be diagnosed it is made by excluding other causes of unilateral facial paralysis, and 30% to 60% of cases of facial palsy is caused by an underlying disorder that reminds of Bell\u2019s palsy, including central nervous system lesion as a stroke, demyelinating disease, parotid gland tumor, Lyme disease, Ramsay Hunt syndrome, granulomatous disease, otitis media, cholesteatoma, diabetes, trauma, and Guillain-Barr\u00e9 syndrome. If the facial palsy doesn\u2019t improve after 3 weeks, the patient needs to go to a <a href=\"https:\/\/www.saera.eu\/en\/applied-neuroscience-programmes\/\">neurologist<\/a> according to Hohman et al. (2014) and Peitersen (2002).<\/p>\n<h3>Treatment\u00a0<\/h3>\n<p>There have been done randomized placebo-controlled studies, that shows efficacy of steroid therapy, starting within 72 hours of symptom onset. Treatment should be started as soon as possible and no later than 7 days after onset to improve the prognosis. Prednisolone doses and duration of treatment vary. It is proposed Prednisolone 60 mg x 1 for 5 days, tapering with 10 mg daily to 0 mg or 50 mg daily for 10 days without tapering according to Sullivan et al. (2009). Acid pump inhibitors (PPIs) and sleeping pills for side effects are most often added presented by Lockhart et al. (2009).<\/p>\n<p>In case of closed defect of eyelids, to avoid drying out of the cornea, eyeglass bandage, viscous eye drops x 4 daily and eye ointment for the night. In addition to lack of physical coverage, decreased tear production also predisposes to dehydration of the cornea. If the patient\u2019s paresis does not improve after a few days, there should be a subacute referral to an <a href=\"https:\/\/www.saera.eu\/en\/optometry\/\">ophthalmologist<\/a>, there should be consideration of tarsorrhaphy according to Eviston et al. (2015).<\/p>\n<p>Follow-up under the ENT (ear, nose, and throat) specialist, or otolaryngologist is appropriate, as any later examination and treatment is otological presented by Eviston et al. (2015).<\/p>\n<p>The patient can be referred to a practicing otologist or possibly subacute time at the ENT department, by agreement with the otologist on duty. There needs to be reminded of giving the patient their copy of journal, these follow-up takes place privately according to Grogan et al. (2001) and Gantz et al. (1999). Some studies have documented the effect of massage and facial exercises, they may work as psychological treatment for patients (Peitersen, 2002).<\/p>\n<h3>Prognosis<\/h3>\n<p>There is seen recovery in 85% of patients with Bell\u2019s palsy within 3 weeks. The remaining 15% will improve within 3-5 months. Full recovery is seen in 70% within 6 months of onset, according to Eviston et al. (2015).<\/p>\n<p>Patients over 60 years of age with no improvement after 3 weeks have a poor prognosis. Improving motor skills within 3 weeks is associated with good prognosis. In the absence of function after 3 weeks, function cannot be expected until after 3-4 months, as new outgrowth of axons is awaited. It can take up to 1 year before full or partial recovery (Peitersen, 2002).<\/p>\n<p>Active treatment accelerates recovery and improves the result in those who receive only subtotal recovery. Special training in front of a mirror (biofeedback) has shown an improvement in the prognosis presented by Eviston et al. (2015).<\/p>\n<p>If there is no improvement after a month the patient should be referred. A referral is also indicated if there is only partial recovery after 6\u20139 months. If progression of the degree of paresis is seen, the patient must be referred for an MRI scan to rule out pathology such as tumor according by Sullivan et al. (2009).<\/p>\n<h3>Conclusion<\/h3>\n<p>The aetiology of Bell\u2019s palsy is still unclear, but there have been done more studies about what could be causing it and the symptoms of Bell\u2019s palsy seem to vary with each individual, from mild to severe. Studies have shown that symptoms are caused by swelling and inflammation of the facial nerve. To prevent long-term eye complications, eye protection remains very crucial.<\/p>\n<p><!-- \/wp:paragraph --><!-- wp:shortcode --><\/p>\n<p><!-- \/wp:shortcode --><!-- wp:paragraph --><\/p>\n<p><!-- \/wp:paragraph --><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2140f457 elementor-widget elementor-widget-toggle\" data-id=\"2140f457\" data-element_type=\"widget\" data-widget_type=\"toggle.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.22.0 - 26-06-2024 *\/\n.elementor-toggle{text-align:start}.elementor-toggle .elementor-tab-title{font-weight:700;line-height:1;margin:0;padding:15px;border-bottom:1px solid #d5d8dc;cursor:pointer;outline:none}.elementor-toggle .elementor-tab-title .elementor-toggle-icon{display:inline-block;width:1em}.elementor-toggle .elementor-tab-title .elementor-toggle-icon svg{margin-inline-start:-5px;width:1em;height:1em}.elementor-toggle .elementor-tab-title .elementor-toggle-icon.elementor-toggle-icon-right{float:right;text-align:right}.elementor-toggle .elementor-tab-title .elementor-toggle-icon.elementor-toggle-icon-left{float:left;text-align:left}.elementor-toggle .elementor-tab-title .elementor-toggle-icon .elementor-toggle-icon-closed{display:block}.elementor-toggle .elementor-tab-title .elementor-toggle-icon .elementor-toggle-icon-opened{display:none}.elementor-toggle .elementor-tab-title.elementor-active{border-bottom:none}.elementor-toggle .elementor-tab-title.elementor-active .elementor-toggle-icon-closed{display:none}.elementor-toggle .elementor-tab-title.elementor-active .elementor-toggle-icon-opened{display:block}.elementor-toggle .elementor-tab-content{padding:15px;border-bottom:1px solid #d5d8dc;display:none}@media (max-width:767px){.elementor-toggle .elementor-tab-title{padding:12px}.elementor-toggle .elementor-tab-content{padding:12px 10px}}.e-con-inner>.elementor-widget-toggle,.e-con>.elementor-widget-toggle{width:var(--container-widget-width);--flex-grow:var(--container-widget-flex-grow)}<\/style>\t\t<div class=\"elementor-toggle\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-5571\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-5571\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><svg class=\"e-font-icon-svg e-fas-caret-right\" viewBox=\"0 0 192 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M0 384.662V127.338c0-17.818 21.543-26.741 34.142-14.142l128.662 128.662c7.81 7.81 7.81 20.474 0 28.284L34.142 398.804C21.543 411.404 0 402.48 0 384.662z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><svg class=\"elementor-toggle-icon-opened e-font-icon-svg e-fas-caret-up\" viewBox=\"0 0 320 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M288.662 352H31.338c-17.818 0-26.741-21.543-14.142-34.142l128.662-128.662c7.81-7.81 20.474-7.81 28.284 0l128.662 128.662c12.6 12.599 3.676 34.142-14.142 34.142z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">References<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-5571\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-5571\"><p>Eviston, T. J., Croxson, G. R., Kennedy, P. G., Hadlock, T., &amp; Krishnan, A. V. (2015). Bell\u2019s palsy: aetiology, clinical features and multidisciplinary care. Journal of&nbsp;<a href=\"https:\/\/www.saera.eu\/en\/applied-neuroscience-programmes\/\" target=\"_blank\">neurology<\/a>,&nbsp;<a href=\"https:\/\/www.saera.eu\/en\/applied-neuroscience-programmes\/\" target=\"_blank\">neurosurgery<\/a>, and psychiatry, 86(12), 1356\u20131361.&nbsp;<a href=\"https:\/\/doi.org\/10.1136\/jnnp-2014-309563\">https:\/\/doi.org\/10.1136\/jnnp-2014-309563<\/a><\/p>\n<p>Gagyor, I., Madhok, V. B., Daly, F., &amp; Sullivan, F. (2019). Antiviral treatment for Bell\u2019s palsy (idiopathic facial paralysis). The Cochrane database of systematic reviews, 9(9), CD001869.&nbsp;<a href=\"https:\/\/doi.org\/10.1002\/14651858.CD001869.pub9\">https:\/\/doi.org\/10.1002\/14651858.CD001869.pub9<\/a><\/p>\n<p>Gantz, B. J., Rubinstein, J. T., Gidley, P., &amp; Woodworth, G. G. (1999). Surgical management of Bell\u2019s palsy.&nbsp;<em>The Laryngoscope<\/em>,&nbsp;<em>109<\/em>(8), 1177\u20131188. https:\/\/doi.org\/10.1097\/00005537-199908000-00001<\/p>\n<p>Grogan, P. M., &amp; Gronseth, G. S. (2001). Practice parameter: Steroids, acyclovir, and surgery for Bell\u2019s palsy (an evidence-based review): report of the Quality Standards Subcommittee of the American Academy of Neurology. Neurology, 56(7), 830\u2013836.&nbsp;<a href=\"https:\/\/doi.org\/10.1212\/wnl.56.7.830\">https:\/\/doi.org\/10.1212\/wnl.56.7.830<\/a><\/p>\n<p>Gronseth, G. S., Paduga, R., &amp; American Academy of Neurology (2012). Evidence-based guideline update: steroids and antivirals for Bell palsy: report of the Guideline Development Subcommittee of the American Academy of Neurology. Neurology, 79(22), 2209\u20132213.&nbsp;<a href=\"https:\/\/doi.org\/10.1212\/WNL.0b013e318275978c\">https:\/\/doi.org\/10.1212\/WNL.0b013e318275978c<\/a><\/p>\n<p>Hohman, M. H., &amp; Hadlock, T. A. (2014). Etiology, diagnosis, and management of facial palsy: 2000 patients at a facial nerve center. The Laryngoscope, 124(7), E283\u2013E293.&nbsp;<a href=\"https:\/\/doi.org\/10.1002\/lary.24542\">https:\/\/doi.org\/10.1002\/lary.24542<\/a><\/p>\n<p>Peitersen E. (2002). Bell\u2019s palsy: the spontaneous course of 2,500 peripheral facial nerve palsies of different etiologies. Acta oto-laryngologica. Supplementum, (549), 4\u201330.<\/p>\n<p>Sullivan, F. M., Swan, I. R., Donnan, P. T., Morrison, J. M., Smith, B. H., McKinstry, B., Davenport, R. J., Vale, L. D., Clarkson, J. E., Hern\u00e1ndez, R., Stewart, K., Hammersley, V., Hayavi, S., McAteer, A., Gray, D., &amp; Daly, F. (2009). A randomised controlled trial of the use of aciclovir and\/or prednisolone for the early treatment of Bell\u2019s palsy: the BELLS study. Health technology assessment (Winchester, England), 13(47), iii\u2013130.&nbsp;<a href=\"https:\/\/doi.org\/10.3310\/hta13470\">https:\/\/doi.org\/10.3310\/hta13470<\/a><\/p>\n<p>Taylor, D. (2021, May 4).&nbsp;<em>Bell Palsy<\/em>. Medscape.&nbsp;<a href=\"https:\/\/emedicine.medscape.com\/article\/1146903-overview\">https:\/\/emedicine.medscape.com\/article\/1146903-overview<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-1ad5a8d2 e-con-full e-flex e-con e-child\" data-id=\"1ad5a8d2\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-79a1dc0f elementor-widget elementor-widget-spacer\" data-id=\"79a1dc0f\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.22.0 - 26-06-2024 *\/\n.elementor-column .elementor-spacer-inner{height:var(--spacer-size)}.e-con{--container-widget-width:100%}.e-con-inner>.elementor-widget-spacer,.e-con>.elementor-widget-spacer{width:var(--container-widget-width,var(--spacer-size));--align-self:var(--container-widget-align-self,initial);--flex-shrink:0}.e-con-inner>.elementor-widget-spacer>.elementor-widget-container,.e-con>.elementor-widget-spacer>.elementor-widget-container{height:100%;width:100%}.e-con-inner>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer,.e-con>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer{height:100%}.e-con-inner>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer>.elementor-spacer-inner,.e-con>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer>.elementor-spacer-inner{height:var(--container-widget-height,var(--spacer-size))}.e-con-inner>.elementor-widget-spacer.elementor-widget-empty,.e-con>.elementor-widget-spacer.elementor-widget-empty{position:relative;min-height:22px;min-width:22px}.e-con-inner>.elementor-widget-spacer.elementor-widget-empty .elementor-widget-empty-icon,.e-con>.elementor-widget-spacer.elementor-widget-empty .elementor-widget-empty-icon{position:absolute;top:0;bottom:0;left:0;right:0;margin:auto;padding:0;width:22px;height:22px}<\/style>\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7468b42c elementor-widget elementor-widget-wp-widget-text\" data-id=\"7468b42c\" data-element_type=\"widget\" data-widget_type=\"wp-widget-text.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h5>Check our educational programmes:<\/h5>\t\t\t<div class=\"textwidget\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-74c521a5 e-grid e-con-boxed e-con e-child\" data-id=\"74c521a5\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4ea09c6 elementor-position-top elementor-widget elementor-widget-image-box\" data-id=\"4ea09c6\" data-element_type=\"widget\" data-widget_type=\"image-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.22.0 - 26-06-2024 *\/\n.elementor-widget-image-box .elementor-image-box-content{width:100%}@media (min-width:768px){.elementor-widget-image-box.elementor-position-left .elementor-image-box-wrapper,.elementor-widget-image-box.elementor-position-right .elementor-image-box-wrapper{display:flex}.elementor-widget-image-box.elementor-position-right .elementor-image-box-wrapper{text-align:end;flex-direction:row-reverse}.elementor-widget-image-box.elementor-position-left .elementor-image-box-wrapper{text-align:start;flex-direction:row}.elementor-widget-image-box.elementor-position-top .elementor-image-box-img{margin:auto}.elementor-widget-image-box.elementor-vertical-align-top .elementor-image-box-wrapper{align-items:flex-start}.elementor-widget-image-box.elementor-vertical-align-middle .elementor-image-box-wrapper{align-items:center}.elementor-widget-image-box.elementor-vertical-align-bottom .elementor-image-box-wrapper{align-items:flex-end}}@media (max-width:767px){.elementor-widget-image-box .elementor-image-box-img{margin-left:auto!important;margin-right:auto!important;margin-bottom:15px}}.elementor-widget-image-box .elementor-image-box-img{display:inline-block}.elementor-widget-image-box .elementor-image-box-title a{color:inherit}.elementor-widget-image-box .elementor-image-box-wrapper{text-align:center}.elementor-widget-image-box .elementor-image-box-description{margin:0}<\/style><div class=\"elementor-image-box-wrapper\"><figure class=\"elementor-image-box-img\"><a href=\"https:\/\/www.saera.eu\/en\/audiology\/\" tabindex=\"-1\"><img fetchpriority=\"high\" decoding=\"async\" width=\"300\" height=\"300\" src=\"https:\/\/saera.eu\/en\/wp-content\/uploads\/2024\/06\/oreja_cuadrado-1-1-300x300.jpg\" class=\"attachment-medium size-medium wp-image-14634\" alt=\"\" srcset=\"https:\/\/saera.eu\/en\/wp-content\/uploads\/2024\/06\/oreja_cuadrado-1-1-300x300.jpg 300w, https:\/\/saera.eu\/en\/wp-content\/uploads\/2024\/06\/oreja_cuadrado-1-1-150x150.jpg 150w, https:\/\/saera.eu\/en\/wp-content\/uploads\/2024\/06\/oreja_cuadrado-1-1-120x120.jpg 120w, https:\/\/saera.eu\/en\/wp-content\/uploads\/2024\/06\/oreja_cuadrado-1-1-220x220.jpg 220w, https:\/\/saera.eu\/en\/wp-content\/uploads\/2024\/06\/oreja_cuadrado-1-1-390x390.jpg 390w, https:\/\/saera.eu\/en\/wp-content\/uploads\/2024\/06\/oreja_cuadrado-1-1.jpg 500w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/a><\/figure><div class=\"elementor-image-box-content\"><h4 class=\"elementor-image-box-title\"><a href=\"https:\/\/www.saera.eu\/en\/audiology\/\">Audiology<\/a><\/h4><\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-62d04a69 elementor-position-top elementor-widget elementor-widget-image-box\" data-id=\"62d04a69\" data-element_type=\"widget\" data-widget_type=\"image-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"elementor-image-box-wrapper\"><figure class=\"elementor-image-box-img\"><a href=\"https:\/\/saera.eu\/en\/optometry\/\" tabindex=\"-1\"><img decoding=\"async\" width=\"300\" height=\"300\" src=\"https:\/\/saera.eu\/en\/wp-content\/uploads\/2024\/06\/ojo_cuadrado-1-1-300x300.jpg\" class=\"attachment-medium size-medium wp-image-14637\" alt=\"\" srcset=\"https:\/\/saera.eu\/en\/wp-content\/uploads\/2024\/06\/ojo_cuadrado-1-1-300x300.jpg 300w, https:\/\/saera.eu\/en\/wp-content\/uploads\/2024\/06\/ojo_cuadrado-1-1-150x150.jpg 150w, https:\/\/saera.eu\/en\/wp-content\/uploads\/2024\/06\/ojo_cuadrado-1-1-120x120.jpg 120w, https:\/\/saera.eu\/en\/wp-content\/uploads\/2024\/06\/ojo_cuadrado-1-1-220x220.jpg 220w, https:\/\/saera.eu\/en\/wp-content\/uploads\/2024\/06\/ojo_cuadrado-1-1-390x390.jpg 390w, https:\/\/saera.eu\/en\/wp-content\/uploads\/2024\/06\/ojo_cuadrado-1-1.jpg 500w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/a><\/figure><div class=\"elementor-image-box-content\"><h4 class=\"elementor-image-box-title\"><a href=\"https:\/\/saera.eu\/en\/optometry\/\">Optometry<\/a><\/h4><\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-16cd7f35 elementor-position-top elementor-widget elementor-widget-image-box\" data-id=\"16cd7f35\" data-element_type=\"widget\" data-widget_type=\"image-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"elementor-image-box-wrapper\"><figure class=\"elementor-image-box-img\"><a href=\"https:\/\/saera.eu\/en\/applied-neuroscience-programmes\/\" tabindex=\"-1\"><img decoding=\"async\" width=\"300\" height=\"300\" src=\"https:\/\/saera.eu\/en\/wp-content\/uploads\/2024\/06\/cerebro_cuadrado-1-1-300x300.jpg\" class=\"attachment-medium size-medium wp-image-14636\" alt=\"\" srcset=\"https:\/\/saera.eu\/en\/wp-content\/uploads\/2024\/06\/cerebro_cuadrado-1-1-300x300.jpg 300w, https:\/\/saera.eu\/en\/wp-content\/uploads\/2024\/06\/cerebro_cuadrado-1-1-150x150.jpg 150w, https:\/\/saera.eu\/en\/wp-content\/uploads\/2024\/06\/cerebro_cuadrado-1-1-120x120.jpg 120w, https:\/\/saera.eu\/en\/wp-content\/uploads\/2024\/06\/cerebro_cuadrado-1-1-220x220.jpg 220w, https:\/\/saera.eu\/en\/wp-content\/uploads\/2024\/06\/cerebro_cuadrado-1-1-390x390.jpg 390w, https:\/\/saera.eu\/en\/wp-content\/uploads\/2024\/06\/cerebro_cuadrado-1-1.jpg 500w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/a><\/figure><div class=\"elementor-image-box-content\"><h4 class=\"elementor-image-box-title\"><a href=\"https:\/\/saera.eu\/en\/applied-neuroscience-programmes\/\">Neuroscience<\/a><\/h4><\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-67468132 elementor-position-top elementor-widget elementor-widget-image-box\" data-id=\"67468132\" data-element_type=\"widget\" data-widget_type=\"image-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"elementor-image-box-wrapper\"><figure class=\"elementor-image-box-img\"><a href=\"https:\/\/saera.eu\/en\/speech-and-language-therapy-programmes\/\" tabindex=\"-1\"><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"300\" src=\"https:\/\/saera.eu\/en\/wp-content\/uploads\/2024\/06\/Fonoaudiologia-1-1-300x300.jpg\" class=\"attachment-medium size-medium wp-image-14635\" alt=\"\" srcset=\"https:\/\/saera.eu\/en\/wp-content\/uploads\/2024\/06\/Fonoaudiologia-1-1-300x300.jpg 300w, https:\/\/saera.eu\/en\/wp-content\/uploads\/2024\/06\/Fonoaudiologia-1-1-150x150.jpg 150w, https:\/\/saera.eu\/en\/wp-content\/uploads\/2024\/06\/Fonoaudiologia-1-1-120x120.jpg 120w, https:\/\/saera.eu\/en\/wp-content\/uploads\/2024\/06\/Fonoaudiologia-1-1-220x220.jpg 220w, https:\/\/saera.eu\/en\/wp-content\/uploads\/2024\/06\/Fonoaudiologia-1-1-390x390.jpg 390w, https:\/\/saera.eu\/en\/wp-content\/uploads\/2024\/06\/Fonoaudiologia-1-1.jpg 500w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/a><\/figure><div class=\"elementor-image-box-content\"><h4 class=\"elementor-image-box-title\"><a href=\"https:\/\/saera.eu\/en\/speech-and-language-therapy-programmes\/\">Speech-Language Pathology<\/a><\/h4><\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-49cd673d elementor-widget elementor-widget-wp-widget-text\" data-id=\"49cd673d\" data-element_type=\"widget\" data-widget_type=\"wp-widget-text.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h5>Search:<\/h5>\t\t\t<div class=\"textwidget\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-39aed28a elementor-widget elementor-widget-wp-widget-search\" data-id=\"39aed28a\" data-element_type=\"widget\" data-widget_type=\"wp-widget-search.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<form role=\"search\" class=\"bs-search search-form\" method=\"get\" action=\"https:\/\/saera.eu\/en\/\">\n    <div class=\"search-wrap\">\n    \t<label class=\"screen-reader-text\">\n    \t\tSearch for:    \t<\/label>\n        <input type=\"search\" placeholder=\"Searching...\" name=\"s\" class=\"search-input\" value=\"\" \/>\n        <button type=\"submit\"  value=\"Search\"><i class=\"flaticon-search\"><\/i><\/button>\n    <\/div>\n<\/form>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6c512b92 elementor-widget elementor-widget-wp-widget-text\" data-id=\"6c512b92\" data-element_type=\"widget\" data-widget_type=\"wp-widget-text.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h5>Latest Posts<\/h5>\t\t\t<div class=\"textwidget\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5719915b elementor-widget elementor-widget-rsblog\" data-id=\"5719915b\" data-element_type=\"widget\" data-widget_type=\"rsblog.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t         \r\n\t\t<div class=\"rs-blog-grid rs-blog-grid2\">            \r\n\t\t\t\r\n            <div class=\"row blog-gird-item\">\r\n                \r\n\t\t\t \t\t\t\t\t\t\r\n\t\t\t\t\t<div class=\"grid-item col-lg-12  filter_audiology filter_blog filter_masters-thesis \">\r\n\r\n                                                    <div class=\"no-gutter blog-item rs-blog-grid1\">\r\n                                                           \r\n                                <div class=\"image-part\">\r\n                                    <a href=\"https:\/\/saera.eu\/en\/2026\/03\/17\/speech-in-noise-testing-in-arabic-a-literature-review-and-clinical-implications-for-lebanese-arabic\/\">\r\n                                        <img loading=\"lazy\" decoding=\"async\" width=\"1536\" height=\"1024\" src=\"https:\/\/saera.eu\/en\/wp-content\/uploads\/2026\/03\/Mar-17-2026-10_09_50-AM.png\" class=\"attachment-full size-full wp-post-image\" alt=\"\" srcset=\"https:\/\/saera.eu\/en\/wp-content\/uploads\/2026\/03\/Mar-17-2026-10_09_50-AM.png 1536w, https:\/\/saera.eu\/en\/wp-content\/uploads\/2026\/03\/Mar-17-2026-10_09_50-AM-300x200.png 300w, https:\/\/saera.eu\/en\/wp-content\/uploads\/2026\/03\/Mar-17-2026-10_09_50-AM-1024x683.png 1024w, https:\/\/saera.eu\/en\/wp-content\/uploads\/2026\/03\/Mar-17-2026-10_09_50-AM-768x512.png 768w\" sizes=\"(max-width: 1536px) 100vw, 1536px\" \/>                                    <\/a> \r\n                                <\/div>                             \r\n                                \r\n                                <div class=\"blog-content\">                                    \r\n                                                                               <ul class=\"blog-meta\">\r\n                                                                                                                                            <li><i class=\"fa fa-calendar-check-o\"><\/i> 17 March 2026<\/li>\r\n                                                                                                                                                                                <\/ul>\r\n                                                                                \r\n                                        <h3 class=\"title dd\"><a href=\"https:\/\/saera.eu\/en\/2026\/03\/17\/speech-in-noise-testing-in-arabic-a-literature-review-and-clinical-implications-for-lebanese-arabic\/\">Speech-in-Noise Testing in Arabic: A Literature Review and Clinical Implications for Lebanese Arabic<\/a><\/h3>\r\n                                                                                <div class=\"btn-btm d-flex align-items-center justify-content-between\">\r\n                                                                                                                                        <div class=\"btn-part\">\r\n                                                    <a class=\"readon-arrow\" href=\"https:\/\/saera.eu\/en\/2026\/03\/17\/speech-in-noise-testing-in-arabic-a-literature-review-and-clinical-implications-for-lebanese-arabic\/\">\r\n                                                        Read More <i class=\"fa fa fa-angle-right\"><\/i>\r\n                                                    <\/a>\r\n                                                <\/div>\r\n                                                                                    <\/div>\r\n\r\n                                <\/div>                                \r\n                            \r\n                            <\/div>\r\n                                                    \r\n                    <\/div>\r\n\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t<div class=\"grid-item col-lg-12  filter_audiology filter_blog filter_masters-thesis \">\r\n\r\n                                                    <div class=\"no-gutter blog-item rs-blog-grid1\">\r\n                                                           \r\n                                <div class=\"image-part\">\r\n                                    <a href=\"https:\/\/saera.eu\/en\/2026\/03\/05\/tinnitus-management-and-rehabilitation\/\">\r\n                                        <img loading=\"lazy\" decoding=\"async\" width=\"1536\" height=\"1024\" src=\"https:\/\/saera.eu\/en\/wp-content\/uploads\/2026\/03\/Rajeev-S.-2026.-Tinnitus-Management-and-Rehabilation.-SAERA.png\" class=\"attachment-full size-full wp-post-image\" alt=\"\" srcset=\"https:\/\/saera.eu\/en\/wp-content\/uploads\/2026\/03\/Rajeev-S.-2026.-Tinnitus-Management-and-Rehabilation.-SAERA.png 1536w, https:\/\/saera.eu\/en\/wp-content\/uploads\/2026\/03\/Rajeev-S.-2026.-Tinnitus-Management-and-Rehabilation.-SAERA-300x200.png 300w, https:\/\/saera.eu\/en\/wp-content\/uploads\/2026\/03\/Rajeev-S.-2026.-Tinnitus-Management-and-Rehabilation.-SAERA-1024x683.png 1024w, https:\/\/saera.eu\/en\/wp-content\/uploads\/2026\/03\/Rajeev-S.-2026.-Tinnitus-Management-and-Rehabilation.-SAERA-768x512.png 768w\" sizes=\"(max-width: 1536px) 100vw, 1536px\" \/>                                    <\/a> \r\n                                <\/div>                             \r\n                                \r\n                                <div class=\"blog-content\">                                    \r\n                                                                               <ul class=\"blog-meta\">\r\n                                                                                                                                            <li><i class=\"fa fa-calendar-check-o\"><\/i> 5 March 2026<\/li>\r\n                                                                                                                                                                                <\/ul>\r\n                                                                                \r\n                                        <h3 class=\"title dd\"><a href=\"https:\/\/saera.eu\/en\/2026\/03\/05\/tinnitus-management-and-rehabilitation\/\">Tinnitus Management and Rehabilitation: The Efficiency of Tinnitus Masker and Cognitive Behavioral Therapy in Patients with Normal Hearing and Mild to Moderate Hearing Loss<\/a><\/h3>\r\n                                                                                <div class=\"btn-btm d-flex align-items-center justify-content-between\">\r\n                                                                                                                                        <div class=\"btn-part\">\r\n                                                    <a class=\"readon-arrow\" href=\"https:\/\/saera.eu\/en\/2026\/03\/05\/tinnitus-management-and-rehabilitation\/\">\r\n                                                        Read More <i class=\"fa fa fa-angle-right\"><\/i>\r\n                                                    <\/a>\r\n                                                <\/div>\r\n                                                                                    <\/div>\r\n\r\n                                <\/div>                                \r\n                            \r\n                            <\/div>\r\n                                                    \r\n                    <\/div>\r\n\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t<div class=\"grid-item col-lg-12  filter_audiology filter_blog filter_masters-thesis \">\r\n\r\n                                                    <div class=\"no-gutter blog-item rs-blog-grid1\">\r\n                                                           \r\n                                <div class=\"image-part\">\r\n                                    <a href=\"https:\/\/saera.eu\/en\/2026\/02\/17\/comparative-sound-processing-strategies-in-cochlear-implants\/\">\r\n                                        <img loading=\"lazy\" decoding=\"async\" width=\"1536\" height=\"1024\" src=\"https:\/\/saera.eu\/en\/wp-content\/uploads\/2026\/02\/Khalil-E.-M.-2026.-Comparative-Sound-Processing-Strategies-in-Cochlear-Implants-Cochlear-ACE-MED-EL-FS4-and-Advanced-Bionics-HiResOptima.-SAERA.png\" class=\"attachment-full size-full wp-post-image\" alt=\"\" srcset=\"https:\/\/saera.eu\/en\/wp-content\/uploads\/2026\/02\/Khalil-E.-M.-2026.-Comparative-Sound-Processing-Strategies-in-Cochlear-Implants-Cochlear-ACE-MED-EL-FS4-and-Advanced-Bionics-HiResOptima.-SAERA.png 1536w, https:\/\/saera.eu\/en\/wp-content\/uploads\/2026\/02\/Khalil-E.-M.-2026.-Comparative-Sound-Processing-Strategies-in-Cochlear-Implants-Cochlear-ACE-MED-EL-FS4-and-Advanced-Bionics-HiResOptima.-SAERA-300x200.png 300w, https:\/\/saera.eu\/en\/wp-content\/uploads\/2026\/02\/Khalil-E.-M.-2026.-Comparative-Sound-Processing-Strategies-in-Cochlear-Implants-Cochlear-ACE-MED-EL-FS4-and-Advanced-Bionics-HiResOptima.-SAERA-1024x683.png 1024w, https:\/\/saera.eu\/en\/wp-content\/uploads\/2026\/02\/Khalil-E.-M.-2026.-Comparative-Sound-Processing-Strategies-in-Cochlear-Implants-Cochlear-ACE-MED-EL-FS4-and-Advanced-Bionics-HiResOptima.-SAERA-768x512.png 768w\" sizes=\"(max-width: 1536px) 100vw, 1536px\" \/>                                    <\/a> \r\n                                <\/div>                             \r\n                                \r\n                                <div class=\"blog-content\">                                    \r\n                                                                               <ul class=\"blog-meta\">\r\n                                                                                                                                            <li><i class=\"fa fa-calendar-check-o\"><\/i> 17 February 2026<\/li>\r\n                                                                                                                                                                                <\/ul>\r\n                                                                                \r\n                                        <h3 class=\"title dd\"><a href=\"https:\/\/saera.eu\/en\/2026\/02\/17\/comparative-sound-processing-strategies-in-cochlear-implants\/\">Comparative Sound-Processing Strategies in Cochlear Implants: Cochlear (ACE), MED-EL (FS4), and Advanced Bionics (HiRes\/Optima)<\/a><\/h3>\r\n                                                                                <div class=\"btn-btm d-flex align-items-center justify-content-between\">\r\n                                                                                                                                        <div class=\"btn-part\">\r\n                                                    <a class=\"readon-arrow\" href=\"https:\/\/saera.eu\/en\/2026\/02\/17\/comparative-sound-processing-strategies-in-cochlear-implants\/\">\r\n                                                        Read More <i class=\"fa fa fa-angle-right\"><\/i>\r\n                                                    <\/a>\r\n                                                <\/div>\r\n                                                                                    <\/div>\r\n\r\n                                <\/div>                                \r\n                            \r\n                            <\/div>\r\n                                                    \r\n                    <\/div>\r\n\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t<div class=\"grid-item col-lg-12  filter_collaborations \">\r\n\r\n                                                    <div class=\"no-gutter blog-item rs-blog-grid1\">\r\n                                                           \r\n                                <div class=\"image-part\">\r\n                                    <a href=\"https:\/\/saera.eu\/en\/2026\/02\/11\/saera-contributes-standardised-assessment-tools-to-ricpp-testing-laboratory\/\">\r\n                                        <img loading=\"lazy\" decoding=\"async\" width=\"1200\" height=\"685\" src=\"https:\/\/saera.eu\/en\/wp-content\/uploads\/2026\/02\/WhatsApp-Image-2026-02-11-at-11.45.17-e1770815562912.jpeg\" class=\"attachment-full size-full wp-post-image\" alt=\"\" srcset=\"https:\/\/saera.eu\/en\/wp-content\/uploads\/2026\/02\/WhatsApp-Image-2026-02-11-at-11.45.17-e1770815562912.jpeg 1200w, https:\/\/saera.eu\/en\/wp-content\/uploads\/2026\/02\/WhatsApp-Image-2026-02-11-at-11.45.17-e1770815562912-300x171.jpeg 300w, https:\/\/saera.eu\/en\/wp-content\/uploads\/2026\/02\/WhatsApp-Image-2026-02-11-at-11.45.17-e1770815562912-1024x585.jpeg 1024w, https:\/\/saera.eu\/en\/wp-content\/uploads\/2026\/02\/WhatsApp-Image-2026-02-11-at-11.45.17-e1770815562912-768x438.jpeg 768w\" sizes=\"(max-width: 1200px) 100vw, 1200px\" \/>                                    <\/a> \r\n                                <\/div>                             \r\n                                \r\n                                <div class=\"blog-content\">                                    \r\n                                                                               <ul class=\"blog-meta\">\r\n                                                                                                                                            <li><i class=\"fa fa-calendar-check-o\"><\/i> 11 February 2026<\/li>\r\n                                                                                                                                                                                <\/ul>\r\n                                                                                \r\n                                        <h3 class=\"title dd\"><a href=\"https:\/\/saera.eu\/en\/2026\/02\/11\/saera-contributes-standardised-assessment-tools-to-ricpp-testing-laboratory\/\">SAERA Contributes Standardised Assessment Tools to RICPP Testing Laboratory<\/a><\/h3>\r\n                                                                                <div class=\"btn-btm d-flex align-items-center justify-content-between\">\r\n                                                                                                                                        <div class=\"btn-part\">\r\n                                                    <a class=\"readon-arrow\" href=\"https:\/\/saera.eu\/en\/2026\/02\/11\/saera-contributes-standardised-assessment-tools-to-ricpp-testing-laboratory\/\">\r\n                                                        Read More <i class=\"fa fa fa-angle-right\"><\/i>\r\n                                                    <\/a>\r\n                                                <\/div>\r\n                                                                                    <\/div>\r\n\r\n                                <\/div>                                \r\n                            \r\n                            <\/div>\r\n                                                    \r\n                    <\/div>\r\n\t\t\t\t\t                 \r\n                         \r\n                <\/div>   \r\n                               \r\n            \t    \r\n                              \r\n\t\t<\/div>\r\n\t   \t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Assessment and Management of Facial Nerve Palsy. Bell\u00b4s Palsy<br \/>\nFacial paresis (FP) is a paralysis of the motor facial nerve, n. Facialis, caused either by a central or peripheral injury of the nerve.<\/p>\n","protected":false},"author":1,"featured_media":14888,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"elementor_header_footer","format":"standard","meta":{"footnotes":""},"categories":[91,176,92],"tags":[118,104],"class_list":["post-14887","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-articles","category-blog","category-neuroscience","tag-bells-palsy","tag-neuroscience"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.1.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Facial Nerve Palsy: Assessment and Management | SAERA<\/title>\n<meta name=\"description\" content=\"Learn about the assessment and management of facial nerve palsy, including Bell&#039;s palsy. Explore treatment options and recovery strategies.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/saera.eu\/en\/2022\/06\/01\/assessment-and-management-of-facial-nerve-palsy-bells-palsy\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Facial Nerve Palsy: Assessment and Management | SAERA\" \/>\n<meta property=\"og:description\" content=\"Learn about the assessment and management of facial nerve palsy, including Bell&#039;s palsy. 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