Prednisolone feline facial nerve paresis

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Facial paralysis in cats may result from injuries caused by rough handling or other trauma, such as automobile accidents or ear infection. Paralysis on one side of the face is common when the facial nerve is damaged. Facial paralysis on both sides of the face can be more difficult to recognize, but affected animals often drool and have a dull facial expression. In total facial paralysis, the animal cannot move its eyelids, ears, lips, or nostrils. In partial paralysis, the muscles of facial expression move less than normal.
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Facial Nerve Trauma: Evaluation and Considerations in Management

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Facial Nerve Trauma: Evaluation and Considerations in Management

Acute medical management remains the best way to improve outcomes. Reconstructive surgery can improve long term disfigurement. However, acute and surgical options are time-dependent. As family practitioners see, on average, one case every 2 years, a summary of this condition based on common clinical questions may improve acute management and guide referral for those who need specialist input. We formulated a series of clinical questions likely to be of use to family practitioners on encountering this condition and sought evidence from the literature to answer them. The lifetime risk is 1 in 60, and is more common in pregnancy and diabetes mellitus. Patients often present with facial pain or paraesthesia, altered taste and intolerance to loud noise in addition to facial droop.
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Overview of Facial Paralysis

The management of facial paralysis continues to evolve. Understanding the facial nerve anatomy and the different methods of evaluating the degree of facial nerve injury are crucial for successful management. When the facial nerve is transected, direct coaptation leads to the best outcome, followed by interpositional nerve grafting. In cases where motor end plates are still intact but a primary repair or graft is not feasible, a nerve transfer should be employed. When complete muscle atrophy has occurred, regional muscle transfer or free flap reconstruction is an option.
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Asymmetry of facial expression is common with unilateral lesions of the facial nucleus or nerve in most species. Bilateral facial paralysis may be more difficult to recognize, but affected animals drool and have a dull facial expression. Complete facial paralysis is an inability to move the eyelids, ears, lips, or nostrils. Facial paresis is reduced movement of the muscles of facial expression and indicates milder nucleus or nerve involvement.
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