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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 MiChart.
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.
Gregory J. Basura, M.D.
Hussam K. El-Kashlan, M.D.
Steven A. Telian, M.D.
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