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CONSULT REQUEST GUIDELINES
Bell's Palsy/Facial Paralysis
Suggested Pre-Referral Evaluation and Management Guidelines
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.
Ophthalmic lubricant, artificial tears, moisture chamber at night.
Suggested Additional Test/Management Prior to Specialty Visit
Audiogram to be scheduled and performed at UMHS (outside testing not accepted).
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)
24 hours - if within 10 days from onset
How to Get Results to Consultant
UMHS Patients: See CareWeb.
External Patient: Hand carry Non-UM records and films to visit.
Clinic Contact Information
Clinic Location Sites
Taubman Healthcare Center
UM Consulting Physician
Otolaryngology Neurotology Faculty:
H. Alexander Arts, M.D.
Hussam K. El-Kashlan, M.D.
Steven A. Telian, M.D.
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