Lower Motor Neuron Facial palsy
North South North West Statewide
All referrals should comply to the referral standards and include:
- Weakness or paralysis of movement of all (or some) of the face
- Description of weakness or paralysis of movement of all (or some) of the face
- No sparing of forehead muscle weakness
- Associated features such as otalgia, otorrhoea, vesicles, parotid mass or tympanic membrane abnormality,
- History of preceding viral illness such as Shingles (Herpes Zoster)
To refer a patient with this condition, please see the ENT clinic page for the full referral process and templates.
Bell's palsy is idiopathic facial palsy and therefore a diagnosis of exclusion:
- If sparing of forehead muscles, consider stroke or other central causes
- Steroid therapy may be initiated if no associated findings
- Consider anti-viral treatment if associated with vesicles
- Protection of the eye from a corneal abrasion is paramount. Apply Lacrilube and tape the eye shut at night
Direct link to Health Pathways - Bell's Palsy page
For more information please see the Tasmanian Health Pathways website.
Contact ENT OPD
Red flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.
Proceed to Emergency Department (ED).
LGH ED Reception – Phone: (03) 6777 6405 Fax: (03) 6777 5201
MCH ED* – Phone: (03) 6478 5120 Fax: (03) 6441 5923
NWRH ED* – Phone: (03) 6493 6351 Fax: (03) 6464 1926
RHH ED Reception – Phone: (03) 6166 6100 Fax: (03) 6173 0489
Advice for medical practitioners can be given by the Medical Officer In Charge (MOIC) - see HealthPathways Tasmania for contact information.
*MCH and NWRH MOICs request GPs call them prior to referring a patient to ensure the patient is being sent appropriately to a safe destination.
Urgent referrals should be accompanied by a phone call to the Consultant/Registrar to organise urgent review and the referral must be faxed.
We will endeavour to see these patients within four weeks, or sooner if clinically indicated.
We will endeavour to see these patients within 12 weeks
Next available appointment