Guide for the diagnosis and treatment of idiopathic peripheral facial paralysis
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Abstract
Idiopathic peripheral facial paralysis occupies the highest percentage of all causes of facial paralysis, representing approximately 60%-75%. It results from a complete or partial alteration of the muscular movements of the affected hemiface, as its name indicates, its cause is unknown, but several theories have been generated and its diagnosis is by exclusion. A facial deficit of the lower motor neuron type, unilateral, of rapid onset, occurs. However, patients may have other symptoms such as hyperacusis, dysgeusia, facial pain, and epiphora. The differential diagnosis of facial paralysis is extensive and can be divided into broad categories such as congenital, cerebrovascular, infectious, neoplastic, inflammatory or autoimmune, and traumatic.
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