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CASE REPORT
Year : 2022  |  Volume : 12  |  Issue : 2  |  Page : 115-117

Approach to new-onset facial nerve palsy in a critically ill patient: A case report


1 Department of Critical Care Medicine, King George Medical University, Lucknow, Uttar Pradesh, India
2 Radiodiagnosis, King George Medical University, Lucknow, Uttar Pradesh, India

Correspondence Address:
Dr. Sai Saran
Department of Critical Care Medicine, King George Medical University, Chowk, Lucknow - 226 003, Uttar Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijciis.ijciis_94_21

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Lower motor type of facial nerve palsy (Bell's palsy) is one of the most common types of facial nerve palsy, with well-defined management with steroids and antivirals for patients attending outpatient clinics. The diagnosis and management of facial nerve palsy in critically ill patients require an individualized approach, as there may be many other causes like soft-tissue compression due to facial edema which can occur as a complication of prone ventilation and severe subcutaneous emphysema. This report highlights the challenges in the management of new-onset facial nerve palsy diagnosed in the intensive care unit (ICU) for a patient on mechanical ventilation, and creates a necessity for a standard operating protocol for the management of such scenarios in ICU.


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