A basic summary of the treatment of Facial Paralysis/Palsy, viral causes, primarily with Trophic Electrical Stimulation.

3. 70 -80% neuropraxia

4. 20-30% axonotmesis

6. Higher % axonotmesis

7. Facial Nerve affected

8. Also other nerves involved eg. Auditory Neve

9. Cranial Nerves

10. Bell's Palsy compared to CVA

11. Facial Nerve & Muscle Anatomy

12. Facial Nerve Branches

13. Facial Nerve and Parotid Gland

14. TM - Tympanic Membrane m = Malleus i = Incus C = Cochlea SSCC = Superior Semicircular Canal PSCC = Posterior Semicircular Canal Anatomy of the Facial Nerve Left Superior Oblique Aspect VII - The Facial Nerve G1 - First Genu, at the Geniculate Ganglion G2 - Second Genu CT - Chorda Tympan i

15. Electrical Stimulation

16. Further Reading

18. References: Diana's Papers FARRAGHER, D. J., KIDD, G. L. & TALLIS, R. (1987) "Eutrophic Electrical Stimulation for Bell's Palsy." Clinical Rehabilitation Vol. 1: pp. 265-71. FARRAGHER, D. J. (1987) "Trophic Electrical Stimulation for Human Muscle in Chronic Traumatic Facial Paralysis." Tenth International Congress of the World Confederation for Physical Therapy. Sydney, Australia. Book 1 pp. 366-70. FARRAGHER, D. J.(1987) "Neuromuscular Plasticity: It's Relevance to Neuromuscular Stimulation." in STRAUSS, G. R. & DE DOMENICO, G (Eds.) Proceedings of the Post Conference Symposium of the Tenth WCPT Conference. pp. 111-14. FARRAGHER, D. J (1987) "Electronic Placebo or Appropriate Efferent Stimulation for Sufferers from Chronic Bell's Palsy?" In Touch Vol. 44 pp. 18.

19. References continued FARRAGHER, D. J. (1988) "Electrical Stimulation: A Method of Treatment for Facial Paralysis." Neuromuscular Use and Disuse: Basic Concepts and Clinical Implications. (Ed.) The Academic Unit of Neuroscience. Charing Cross and Westminster Medical School. Vol. 3 Chap. 28 pp. 303-307. FARRAGHER, D. J (1993) "Trophic Electrical Stimulation for Bell's Palsy." In Touch Autumn Issue No 69 pp 10-11. FARRAGHER, D. J "A Physiological Approach to Neuromuscular Stimulation" The Journal of the Organisation of Chartered Physiotherapists in Private Practice (Incomplete Reference). FARRAGHER, D. J (1987) "Electronic Placebo or Appropriate Efferent Stimulation for Sufferers from Chronic Bell's Palsy?" In Touch Vol. 44 pp. 18.