- Stroke – relative sparing of forehead movement
- Ramsay Hunt Syndrome – blisters on cochal bowl/ear canal/TM/palate
- Cholesteatoma as rare cause
Try: Oral Prednisolone 40-60 mg daily for 1/5with PPI cover.
Avoid antivirals unless Ramsay Hunt (evidence for poorer facial nerve recovery).
Eye Care Essential-Tape eye (NOT a patch) at night and lubrication to prevent corneal ulceration. Useful videolink for patients.https://youtu.be/xmnpEpmmiTQ
Refer if: Urgently if additional evidence of ear infection and hearing loss only
If not resolving in 6/52 refer as a routine referral to ENT.
Parotid or Neck Mass refer as RED FLAG
Investigations required: Otoscopy