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Surgical Management of Bell's Palsy

Objectives: Incomplete return of facial motor function and synkinesis continue to be long‐term sequelae in some patients with Bell's palsy. The aim of this report is to describe a prospective study in which a well‐defined surgical decompression of the facial nerve was performed in a population of patients with Bell's palsy who exhibit the electrophysiologic features associated with poor outcomes. In addition, management issues related to Bell's palsy including herpes simplex virus type1 etiology, the natural history, electrodiagnostic testing, and efficacy of surgical strategies are reviewed.