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Of course the two questions any new Bell's palsy sufferer wants answered are, "Will I get better?" and "How long will it take?" The good news is that most people make a full recovery - many within a matter of weeks. Something like 70% of sufferers are back to normal within the space of a year.
The facial grading system is based on the evaluation of resting symmetry, degree of voluntary excursion of facial muscles, and degree of synkinesis associated with specified voluntary movement. Different regions of the face are examined separately with the use of five standard expressions.
Surgery to Correct Facial Paralysis Facial reanimation microsurgery -- sometimes referred to as "smile surgery" -- can restore your ability to smile spontaneously after a damaged facial nerve has caused facial paralysis. It can take two forms: muscle transfer or nerve transfer.
Bell's palsy is not considered permanent, but in rare cases, it does not disappear. Currently, there is no known cure for Bell's palsy; however, recovery usually begins 2 weeks to 6 months from the onset of the symptoms. Most people with Bell's palsy recover full facial strength and expression.
It's not advisable to drive when your Bell's palsy symptoms are severe. This is a time to rest and give yourself time to recover. As your symptoms ease you can talk to the doctor about whether it's safe to return to driving.
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Synkinesis is defined as an abnormal muscular contraction of certain facial muscles, during voluntary facial movements, such as eating, caused by anomalous re-innervation of facial musculature following nerve injury.
Synkinesis is caused by trauma to the facial nerve. Trauma can occur due to direct injury, inflammation of the facial nerve or viral infection (such as Ramsay Hunt syndrome).
What is Synkinesis? Some patients who have previously had Bell's palsy or other reversible forms of facial nerve injury may go on to develop synkinesis. Synkinesis describes unwanted contractions of the muscles of the face during attempted movement.
Facial Disability Index Each item is rated on a 6-point scale, ranging from severe disability to absence of disability. Both subscales are transformed to a score on a 100-point scale, with 100 indicating unimpaired physical or social/well-being function.
One point is assigned for every 0.25 cm of motion for both eyebrow and mouth movement, with a maximum of 1 cm. The scores are then added together, resulting in a House-Brackmann score. The maximum House-Brackmann score is 8; in this instance, a facial paralysis patient's eyebrow and mouth move 1 cm.

facial disability index scoring