Bell’s Palsy In Children Aged 13 Months.?
Hello .. I have a child who is 13 months old. My child at birth left his left lip down and his left eye was not closed. Very clearly seen when he cried, smiled and laughed. At that time the opinion of DSA was because it was too long on one side while in the womb and could heal itself. I as a parent at that time believed in my child’s dsa opinion. But after I searched for information about the symptoms that exist in my child. Similar to bell’s palsy it’s just that dsa isn’t quick to take action. I have taken my child to several neurologists. Some argue that it can’t be treated just plastic surgery in the future. Some also say when a child is 2 years old, new action can be taken. What I want to ask. Can my child be cured? Considering this condition is there from congenital? Thank you … when I was pregnant about 2 weeks I would feel my left tooth shifted out of sync as before but there was no action and healed myself then when I was going to undergo blood pressure my blood pressure suddenly went up … did it have something to do with the condition of my child at birth. Thank you for your response, where should I take my child?
Good morning, thanks for the question
Facial nerve palsy in newborns can occur due to congenital abnormalities, trauma during labor, disruption of nerve growth in the face. Forms of congenital abnormalities are the most common cases and have the best possible cure among other causes. While trauma during childbirth generally occurs due to the use of instruments to assist childbirth, for example forceps. Pressure by delivery aids on the facial nerve canal causes the risk of facial nerve paralysis. The risk is also increased in babies with large birth weight, prolonged labor, or due to the use of epidural anesthesia.
Most complaints improve without sequelae within 6 months (90% of cases), for that before that period generally only awaited and monitored for the development of the disease and symptoms involved. If the complaint improves completely, then in the future do not need any therapy. However, if symptoms persist for a longer time then the risk can cause speech disorders in the future child.
If so, then the handling must be considered in accordance with the clinical conditions encountered, for example surgery, physiotherapy, and so forth. Therefore it is necessary to consult with experts for therapeutic options that can be done in each child's condition and disease severity. Surgery generally aims to overcome the pressure on the facial nerve after other non-invasive measures do not produce the desired results.
We recommend consulting with a pediatric surgery specialist first. If in the future it is considered necessary to collaborate with other surgeons, for example plastic surgery then the doctor will direct it for further referral or consultation.
That's all, hopefully you can help