CONSULT REQUEST GUIDELINES                                                                         Print

Bell's Palsy/Facial Paralysis

Suggested Pre-Referral Evaluation and Management Guidelines
1)  Start patient on Prednisone (1mg/kg up to 60 mg per day) for one week, followed by rapid taper over another week. Also, begin anti-viral, such as Valcyclovir, 1 gm three times a day for 10 days.
2)  Ophthalmic lubricant, artificial tears, moisture chamber at night.
Suggested Additional Test/Management Prior to Specialty Visit
1)  Audiogram to be scheduled and performed at UMHS (outside testing not accepted).
2)  If complete paralysis within 3-10 days: Electroneuronography (ENoG) to be scheduled and performed at UMHS (outside testing not accepted)
Patient Education/Information (includes preps) Bell's Palsy
Appointment Timeframe 24 hours - if within 10 days from onset
How to Get Results to Consultant UMHS Patients: See MiChart.
External Patient: Hand carry Non-UM records and films to visit.
Clinic Contact Information Physicians: 800-962-3555
Patients: 734-936-8051
Clinic Location Sites Taubman Healthcare Center
UM Consulting Physician Otolaryngology Neurotology Faculty

H. Alexander Arts, M.D.
Gregory J. Basura, M.D.
Hussam K. El-Kashlan, M.D.
Steven A. Telian, M.D.
Revised on: 01/23/2015



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