A GP will see on average one case of Bell's palsy per year. Bell's palsy, or idiopathic facial nerve palsy as is more correctly termed, is thought to account for around 60–75% of cases of acute facial nerve palsy. These palsies can produce profound cosmetic deformities, which lead to understandable patient distress. A knowledge of the common presentations, pitfalls, treatments and when to involve secondary care, along with effective and empathic communication, is essential for any GP to successfully manage such patients.
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