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Bells Palsy:     more books (19)

Bell's Palsy Natural Treatments and Cures by Johnathan Porter, 2010-06-18 The Official Patient's Sourcebook on Bell's Palsy: A Revised and Updated Directory for the Internet Age by Icon Health Publications, 2003-04-08 Bell's Palsy - A Medical Dictionary, Bibliography, and Annotated Research Guide to Internet References Bells palsy (Postgraduate Medicine) by JTE Multimedia, 2010-06-01 21st Century Ultimate Medical Guide to Bell's Palsy - Authoritative Clinical Information for Physicians and Patients (Two CD-ROM Set) by PM Medical Health News, 2009-03-14 Bell's Palsy Toolkit - Comprehensive Medical Encyclopedia with Treatment Options, Clinical Data, and Practical Information (Two CD-ROM Set) by U.S. Government, 2009-03-14 Bell's Palsy Medical Guide by Qontro Medical Guides, 2008-07-09 Otolaryngology: Bell's Palsy, Cholesteatoma, Thyroid Neoplasm, Head and Neck Cancer, Rhinoplasty, Facial Trauma, Snoring, Oral Allergy Syndrome Bell's palsy: An entry from Thomson Gale's <i>Gale Encyclopedia of Neurological Disorders</i> by Julia Barrett, Rosalyn, MD Carson-Dewitt, 2005 Treating Bell's palsy.(Disease/Disorder overview): An article from: Internal Medicine News by Jon O. Ebbert, Eric G. Tangalos, 2006-07-15 2009 Conquering Bell's Palsy - The Empowered Patient's Complete Reference - Diagnosis, Treatment Options, Prognosis (Two CD-ROM Set) by PM Medical Health News, 2009-03-14 Surviving Bell's Palsy: A Patient's Guide to Facial Paralysis Management by J.P. Dambach, 1997-10-01 Herpes simplex: Bell palsy, Herpes simplex virus, Herpesviridae, Viral entry, HHV Latency Associated Transcript, Valaciclovir, Antiviral drug, Thymidine kinase, Aciclovir, Chickenpox, Cytomegalovirus Bell's palsy: An entry from Thomson Gale's <i>Gale Encyclopedia of Children's Health: Infancy through Adolescence</i> by Joan, RN Schonbeck, 2006

lists with details

61. CNN.com - Ask The Mayo Physician - Will Local Anesthetic Affect Bell's Palsy? -
    http://cnn.com/2000/HEALTH/mayo/12/01/qa.bells.palsy/index.html
    
    Extractions: Q . I've had Bell's Palsy and still have some residual effects. I need dental work on a broken tooth. However, the tooth is on the side of my face affected by the Bell's Palsy. Will injections to deaden the tooth adversely affect the nerves that have been damaged? Annette/Mississippi A No. Bell's palsy affects the facial nerve a motor nerve that controls facial movement. A branch of the trigeminal (tri-GEM-i-nal) sensory nerve controls sensation and pain in the face, mouth, teeth and gums. For dental procedures, a dentist may inject a local anesthetic into a branch of the trigeminal nerve Ñ not the facial nerve. As a result, the local anesthetic doesn't involve the nerves affected by previous Bell's palsy.

62. Acute Idiopathic Facial Palsy
    Information about Bell's palsy, including clinical features, differential diagnosis of seventh cranial nerve weakness, prognosis, treatment and further reading.  
    http://www.neuroland.com/cn/bells.htm
    
    Extractions: Neuro Med Acute Idiopathic Facial Palsy (Bell's Palsy) Overview Acute peripheral paralysis of the face produced by a viral immune-mediated disease. Possible pathogenesis: After a primary infection, herpes simplex virus became latent in the cranial and spinal sensory ganglia. Reactivation of the virus leads to replication of virus within the ganglion cells. Virus travels up and down the axons, induces an inflammatory response. Results in segmental demyelination presented as nerve paralysis. Incidence: between 15 - 40 / 100,000 population per year No evidence of racial predilection Incidence of Bell's palsy increases with age. Sexual predilection: Age 10 - 19 years, twice as common in women Age 40, 1.5 times more common in men. Pregnant women have 3.3 times more risk than nonpregnant women in the same age group. Diabetic patients: 4.5 times more likely to develop Bell's palsy. In 10% of the patients, a positive family history of Bell's palsy is present.

63. Doctor, What Is Bell's Palsy?
    Is Bell s palsy? Doctor, What Is Bell s palsy? Insight into Facial Nerve Problems. Bell s palsy and Other Causes. The most common  
    http://www.entnet.org/healthinfo/topics/bells.cfm
    
    Extractions: ENT LINK ENT Health Information Other Otolaryngology Topics Doctor, What Is Bell's Palsy? Twitching, weakness, or paralysis of the face are symptoms of a disorder involving the facial nerve, not a disease in itself. Abnormal movement or paralysis of the face can result from infection, injury, or tumors, and an evaluation by your physician is needed to determine the cause. An otolaryngologist-head and neck surgeon has special training and experience in managing facial nerve disorders. The facial nerve resembles a telephone cable and contains 7,000 individual nerve fibers. Each fiber carries electrical impulses to a specific facial muscle. Information passing along the fibers of this nerve allows us to laugh, cry, smile, or frown, hence the name, "the nerve of facial expression." When half or more of these individual nerve fibers are interrupted, facial weakness occurs. If these nerve fibers are irritated, then movements of the facial muscles appear as spasms or twitching. The facial nerve not only carries nerve impulses to the muscles of the face, but also to the tear glands, to the saliva glands, and to the muscle of the stirrup bone in the middle ear (the stapes). It also transmits taste from the front of the tongue. Since the function of the facial nerve is so complex, many symptoms may occur when the fibers of the facial nerve are disrupted. A disorder of the facial nerve may result in twitching, weakness, or paralysis of the face, in dryness of the eye or the mouth, or in disturbance of taste.

64. Acute Idiopathic Facial Palsy
    Acute Idiopathic Facial palsy (Bell s palsy). Overview. bells palsy, usually unilateral, 10% bilateral. Differential of Unilateral Facial weakness, Sarcoid.  
    http://neuroland.com/cn/bells.htm
    
    Extractions: Neuro Med Acute Idiopathic Facial Palsy (Bell's Palsy) Overview Acute peripheral paralysis of the face produced by a viral immune-mediated disease. Possible pathogenesis: After a primary infection, herpes simplex virus became latent in the cranial and spinal sensory ganglia. Reactivation of the virus leads to replication of virus within the ganglion cells. Virus travels up and down the axons, induces an inflammatory response. Results in segmental demyelination presented as nerve paralysis. Incidence: between 15 - 40 / 100,000 population per year No evidence of racial predilection Incidence of Bell's palsy increases with age. Sexual predilection: Age 10 - 19 years, twice as common in women Age 40, 1.5 times more common in men. Pregnant women have 3.3 times more risk than nonpregnant women in the same age group. Diabetic patients: 4.5 times more likely to develop Bell's palsy. In 10% of the patients, a positive family history of Bell's palsy is present.

65. Bell's Palsy
    Bell s palsy is a form of facial paralysis caused by damage to the 7th cranial nerve. Bell Bell’s palsy. What is Bell s palsy? Bell s  
    http://www.entcolumbia.org/bells.htm
    
    Extractions: Bell's palsy is a form of facial paralysis or weakening that develops suddenly and with no known etiology. Bell's palsy is associated with irritation or damage to the 7th (facial) cranial nerve; this nerve may become swollen and inflamed due to viral infections, trauma to the facial nerve, or pressure exerted by a tumor. In most cases, the disorder is temporary and resolves by itself, although it can recur on the same or the other side of the face. With or without treatment, 85% of patients begin to get significantly better within 2 weeks, and most recover completely within 3 months. For some, however, the symptoms may last longer. In a small population of patients, the symptoms may never completely disappear and complete paralysis is permanent. In a larger population, some weakness or synkinesis (involuntary movement) is permanent. Failure of the facial nerve to recover may cause symptoms such as tearing while chewing, blinking while trying to smile, twitching, nasal obstruction, and facial spasms. Who Gets Bell’s Palsy?

66. Bell's Palsy - Nervous System Diseases Health Guide
    Nervous System Diseases. Bell s palsy. What is Bell s palsy? In 1821, he demonstrated that the facial nerve was a separate nerve. What causes Bell s palsy?  
    http://www.umm.edu/nervous/bells.htm
    
    Extractions: Bell’s palsy is an unexplained episode of facial muscle weakness or paralysis that begins suddenly and worsens over three to five days. This condition results from damage to the 7th (facial) cranial nerve, and may be accompanied by pain or discomfort on one side of the face and head. Bell’s palsy strikes men and woman equally, usually between the ages of 15 and 60. This nerve disorder afflicts approximately 40,000 Americans each year, and is more often seen in pregnant women, persons with diabetes, influenza, a cold, or other respiratory ailment. It is named for Sir Charles Bell, a Scottish surgeon and physiologist, for his work on facial palsy. In 1821, he demonstrated that the facial nerve was a separate nerve. What causes Bell's palsy?

67. Bell's Palsy - Otolaryngology Health Guide
    , symptoms and treatment for bell s palsy, part of the otolaryngology health guide. Otolaryngology. Bell s palsy. What is Bell s palsy?  
    http://www.umm.edu/ent/bells.htm
    
    Extractions: Bell's palsy is an unexplained episode of facial muscle weakness or paralysis that begins suddenly and worsens over 3 to 5 days. This condition results from damage to the 7th (facial) cranial nerve, and may be accompanied by pain or discomfort on one side of the face and head. Bell's palsy strikes men and woman equally, usually between the ages of 15 and 60. This nerve disorder afflicts approximately 40,000 Americans each year, and is most often seen in pregnant women, or persons with diabetes, influenza, a cold, or other respiratory ailment. It is named for Sir Charles Bell, a Scottish surgeon and physiologist, for his work on facial palsy. In 1821, he demonstrated that the facial nerve was a separate nerve. What are the symptoms of Bell's palsy? The following are the most common symptoms of Bell's palsy, however, individuals may experience symptoms differently. Symptoms may include: loss of feeling in the face headache tearing drooling loss of the sense of taste on the front two-thirds of the tongue hypersensitivity to sound in the affected ear inability to close the eye on the affected side of the face affects the muscles that control facial expressions such as smiling, squinting, blinking, or closing the eyelid

68. AllRefer Health - Bell's Palsy (Facial Palsy)
    Bell s palsy (Facial palsy) information center covers causes, prevention, symptoms, diagnosis, treatment, incidence, risk factors, signs, tests, support groups  
    http://health.allrefer.com/health/bells-palsy-info.html
    
    Extractions: AllRefer Channels :: Yellow Pages Reference Health Home ... Contact Us Quick Jump ADD/ADHD Allergies Alzheimer's Disease Arthritis Asthma Back Pain Breast Cancer Cancer Colon Cancer Depression Diabetes Gallbladder Disease Heart Attack Hepatitis High Cholesterol HIV/AIDS Hypertension Lung Cancer Menopause Migraines/Headaches Osteoporosis Pneumonia Prostate Cancer SARS Stroke Urinary Tract Infection 1600+ More Conditions Alternative Medicine Health News Symptoms Guide Special Topics ... Medical Encyclopedia Facial Drooping Bell's palsy is an acute form of cranial mononeuropathy VII , and it is the most common form of this type of nerve damage ( peripheral neuropathy ). Statistics indicate that the disorder affects approximately 2 in 10,000 people. However, the actual incidence is likely to be much higher (around 1 in 500 to 1 in 1,000).

69. AllRefer Health - Bell's Palsy Treatment (Facial Palsy)
    You are here AllRefer.com Health Diseases Conditions Bell s palsy Treatment of Bell s palsy. Bell s palsy. Bell s palsy Treatment.  
    http://health.allrefer.com/health/bells-palsy-treatment.html
    
    Extractions: AllRefer Channels :: Yellow Pages Reference Health Home ... Contact Us Quick Jump ADD/ADHD Allergies Alzheimer's Disease Arthritis Asthma Back Pain Breast Cancer Cancer Colon Cancer Depression Diabetes Gallbladder Disease Heart Attack Hepatitis High Cholesterol HIV/AIDS Hypertension Lung Cancer Menopause Migraines/Headaches Osteoporosis Pneumonia Prostate Cancer SARS Stroke Urinary Tract Infection 1600+ More Conditions Alternative Medicine Health News Symptoms Guide Special Topics ... Medical Encyclopedia

70. Bell's Palsy (palsey) - Online Diagnosis. New Treatments, March 2, 2004
    Online diagnosis of Bell s palsy (palsey) based on the patient s symptoms. New Treatments, March 2, 2004. Bell s palsy (bells Palsey) Online Diagnosis.  
    http://www.medical-library.org/journals/mddx/peripheral_neurop/1_bells_palsy.htm
    
    Extractions: For how many days or weeks has the weakness of the face or eyelid been present? Don't know How old is the patient? Does the patient have headaches? Yes No Does the patient have fever? Yes No Has the patient had fatigue? Yes No Has the patient ever had a cold sore around the mouth? Yes No Don't know Does the patient have a droopy eyelid? Yes No Judith Harper, MD

71. Bell's Palsy
    Bell s palsy and other causes. The most common cause of facial weakness which comes on suddenly is referred to as Bell s palsy. This  
    http://www.entassociates.com/bells.htm
    
    Extractions: of corpus christi Facial Nerve Disorders Symptoms: Twitching, weakness, or paralysis of the face are symptoms of a disorder involving the facial nerve, not a disease in itself. Abnormal movement or paralysis of the face can result from infection, injury, or tumors, and an evaluation by your physician is needed to determine the cause. An otolaryngologist-head and neck surgeon has special training and experience in managing facial nerve disorders. The facial nerve resembles a telephone cable and contains 7,000 individual nerve fibers. Each fiber carries electrical impulses to a specific facial muscle. Information passing along the fibers of this nerve allows us to laugh, cry, smile, or frown, hence the name, "the nerve of facial expression." When half or more of these individual nerve fibers are interrupted, facial weakness occurs. If these nerve fibers are irritated, then movements of the facial muscles appear as spasms or twitching. The facial nerve not only carries nerve impulses to the muscles of the face, but also to the tear glands, to the saliva glands, and to the muscle of the stirrup bone in the middle ear (the stapes). It also transmits taste from the front of the tongue. Since the function of the facial nerve is so complex, many symptoms may occur when the fibers of the facial nerve are disrupted. A disorder of the facial nerve may result in twitching, weakness, or paralysis of the face, in dryness of the eye or the mouth, or in disturbance of taste.

72. Bell's Palsy
    Detailed information on Bell s palsy, including symptoms, diagnosis, treatment, and prognosis. Bell s palsy. What is Bell s palsy?  
    http://www.healthsystem.virginia.edu/uvahealth/adult_ent/bells.cfm
    
    Extractions: @import url(/assets/UVAHealth/ssi/css/greystone_advance.css); Blood Disorders Bone Disorders Breast Health Cardiovascular Disease Dermatology Diabetes Digestive Disorders Endocrinology Environmental Medicine Eye Care Glossary Gynecological Health Infectious Diseases Kidney Disease Men's Health Mental Health Nervous System Disorders Non-Trauma Emergency Oral Health Orthopaedics Otolaryngology Pathology Pediatrics, General Health Prostate Health Radiology Respiratory Disorders Skin Cancer Surgical Care Urology Women's Health FIND A DOCTOR MAKE AN APPOINTMENT CALENDAR OF EVENTS CLINICAL TRIALS Bell's palsy is an unexplained episode of facial muscle weakness or paralysis that begins suddenly and worsens over three to five days. This condition results from damage to the 7th (facial) cranial nerve, and may be accompanied by pain or discomfort on one side of the face and head. Bell's palsy strikes men and woman equally, usually between the ages of 15 and 60. This nerve disorder afflicts approximately 40,000 Americans each year, and is most often seen in pregnant women, or persons with diabetes, influenza, a cold, or other respiratory ailment. It is named for Sir Charles Bell, a Scottish surgeon and physiologist, for his work on facial palsy. In 1821, he demonstrated that the facial nerve was a separate nerve.

73. HON - News : Bell's Palsy
    Bell s palsy Symptoms often subside without treatment. Despite the disorder s ominous symptoms, the prognosis for bells palsy is generally good.  
    http://www.hon.ch/News/HSN/515549.html
    
    Extractions: Symptoms often subside without treatment (HealthDayNews) Bell's palsy, a form of facial paralysis resulting from damage to the 7th cranial nerve, afflicts some 40,000 Americans each year, according to the U.S. National Institute of Neurological Disorders and Stroke. The most likely cause is the common cold sore virus. One-sided facial paralysis is the main symptom, but others may include pain, tearing, drooling, hypersensitivity to sound in the affected ear, and impairment of taste. Despite the disorder's ominous symptoms, the prognosis for Bells' palsy is generally good. With or without treatment, most people get significantly better within two weeks, and about 80 percent recover completely within three months. For some, symptoms may linger a bit longer, and in a few cases, they may never completely disappear. Resources from HONselect HONselect is the HON's medical search engine. It retrieves scientific articles, images, conferences and web sites on the selected subject.

74. Loyola Univ. Health Sys. - Otolaryngology - Bell's Palsy
    Bell s palsy. What is Bell s palsy? In 1821, he demonstrated that the facial nerve was a separate nerve. What are the Symptoms of Bell s palsy?  
    http://www.luhs.org/health/topics/ent/bells.htm
    
    Extractions: Bell?s palsy is an unexplained episode of facial muscle weakness or paralysis that begins suddenly and worsens over 3 to 5 days. This condition results from damage to the 7th (facial) cranial nerve, and may be accompanied by pain or discomfort on one side of the face and head. Bell?s palsy strikes men and woman equally, usually between the ages of 15 and 60. This nerve disorder afflicts approximately 40,000 Americans each year, and is most often seen in pregnant women, or persons with diabetes, influenza, a cold, or other respiratory ailment. It is named for Sir Charles Bell, a Scottish surgeon and physiologist, for his work on facial palsy. In 1821, he demonstrated that the facial nerve was a separate nerve.

75. Blackwell Synergy - Cookie Absent
    The epidemiology and treatment of Bell s palsy in the UK. S. Rowlands a , R. Hooper b , R. Hughes c P. Burney d. Keywords bells palsy. drug therapy. drug.  
    http://dx.doi.org/10.1046/j.1468-1331.2002.00343.x
    
    Extractions:  Home An Error Occurred Setting Your User Cookie A cookie is a small amount of information that a web site copies onto your hard drive. Synergy uses cookies to improve performance by remembering that you are logged in when you go from page to page. If the cookie cannot be set correctly, then Synergy cannot determine whether you are logged in and a new session will be created for each page you visit. This slows the system down. Therefore, you must accept the Synergy cookie to use the system. What Gets Stored in a Cookie? Synergy only stores a session ID in the cookie, no other information is captured. In general, only the information that you provide, or the choices you make while visiting a web site, can be stored in a cookie. For example, the site cannot determine your email name unless you choose to type it. Allowing a web site to create a cookie does not give that or any other site access to the rest of your computer, and only the site that created the cookie can read it. Please read our for more information about data collected on this site.

76. Bell's Palsy 1/2002
    Approximately 69% develop recurrent Bell’s palsy. Bell palsy and herpes simplex virus identification of viral DNA in endoneural fluid and muscle.  
    http://www.utmb.edu/otoref/Grnds/Bells-Palsy-2002-01/Bells-Palsy-2002-01.htm
    
    Extractions: SERIES EDITORS: Francis B. Quinn, Jr., MD and Matthew W. Ryan, MD Grand Rounds Index UTMB Otolaryngology Home Page "This material was prepared by resident physicians in partial fulfillment of educational requirements established for the Postgraduate Training Program of the UTMB Department of Otolaryngology/Head and Neck Surgery and was not intended for clinical use in its present form. It was prepared for the purpose of stimulating group discussion in a conference setting. No warranties, either express or implied, are made with respect to its accuracy, completeness, or timeliness. The material does not necessarily reflect the current or past opinions of members of the UTMB faculty and should not be used for purposes of diagnosis or treatment without consulting appropriate literature sources and informed professional opinion." Introduction From its etiology and pathogenesis to its appropriate management, much has been written over the past century regarding Bell’s palsy, yet little has been accepted.

77. Otolaryngology - Bell's Palsy
    Bell s palsy What is Bell s palsy? What are the symptoms of Bell s palsy? The following are the most common symptoms of Bell s palsy.  
    http://www.muschealth.com/ent/bells.htm
    
    Extractions: Bell's palsy is an unexplained episode of facial muscle weakness or paralysis that begins suddenly and worsens over three to five days. This condition results from damage to the 7th (facial) cranial nerve, and may be accompanied by pain or discomfort on one side of the face and head. Bell's palsy strikes men and woman equally, usually between the ages of 15 and 60. This nerve disorder afflicts approximately 40,000 Americans each year, and is most often seen in pregnant women, or persons with diabetes, influenza, a cold, or other respiratory ailment. It is named for Sir Charles Bell, a Scottish surgeon and physiologist, for his work on facial palsy. In 1821, he demonstrated that the facial nerve was a separate nerve. What are the symptoms of Bell's palsy? The following are the most common symptoms of Bell's palsy. However, each individual may experience symptoms differently. Symptoms may include: loss of feeling in the face headache tearing drooling loss of the sense of taste on the front two-thirds of the tongue hypersensitivity to sound in the affected ear inability to close the eye on the affected side of the face affects the muscles that control facial expressions such as smiling, squinting, blinking, or closing the eyelid

78. Nervous System Disorders - Bell's Palsy
    Bell s palsy What is Bell s palsy? In 1821, he demonstrated that the facial nerve was a separate nerve. What causes Bell s palsy?  
    http://www.muschealth.com/neuro/bells.htm
    
    Extractions: Bell's palsy is an unexplained episode of facial muscle weakness or paralysis that begins suddenly and worsens over three to five days. This condition results from damage to the 7th (facial) cranial nerve, and may be accompanied by pain or discomfort on one side of the face and head. Bell's palsy strikes men and woman equally, usually between the ages of 15 and 60. This nerve disorder afflicts approximately 40,000 Americans each year, and is more often seen in pregnant women, persons with diabetes, influenza, a cold, or other respiratory ailment. It is named for Sir Charles Bell, a Scottish surgeon and physiologist, for his work on facial palsy. In 1821, he demonstrated that the facial nerve was a separate nerve. What causes Bell's palsy?

79. Associates In Otolaryngology - Head & Neck Surgery:Bell's Palsy
    Bell s palsy. Facial Nerve Disorders Twitching, weakness, or paralysis of bells palsy and Other Causes. The most common cause of  
    http://www.entdr.com/bells_palsy.html
    
    Extractions: Bell's Palsy Facial Nerve Disorders Twitching, weakness, or paralysis of the face are symptoms of a disorder involving the facial nerve, not a disease in itself. Abnormal movement or paralysis of the face can result from infection, injury, or tumors, and an evaluation by your physician is needed to determine the cause. An otolaryngologist head and neck surgeon has special training and experience in managing facial nerve disorders. What Is The Facial Nerve? The facial nerve resembles a telephone cable and contains 7,000 individual nerve fibers. Each fiber carries electrical impulses to a specific facial muscle. Information passing along the fibers of this nerve allows us to laugh, cry, smile, or frown, hence the name, "the nerve of facial expression". When half or more of these individual nerve fibers are interrupted, facial weakness occurs. If these nerve fibers are irritated, then movements of the facial muscles appear as spasms or twitching. The facial nerve not only carries nerve impulses to the muscles of the face, but also to the tear glands, to the saliva glands, and to the muscle of the stirrup bone in the middle ear (the stapes). It also transmits taste from the front of the tongue. Since the function of the facial nerve is so complex, many symptoms may occur when the fibers nerve are disrupted. A disorder of the facial nerve may result in twitching, weakness, or paralysis of the face, in dryness of the eye or the mouth, or in disturbance of taste.

80. Medical Acupuncture Journal, Vol.10#2 - Bell's Palsy
    ACUPUNCTURE TREATMENT OF BELL S palsy A CASE REPORT. KEY WORDS Bell s palsy, Acupuncture, Electroacupuncture, Wiad and Cold, Qi.  
    http://www.medicalacupuncture.com/aama_marf/journal/vol10_2/bells.html
    
    Extractions: A 56-year-old white female presented with a 3-month history of severe right facial pain, weakness, and paralysis. This patient was referred to an otolaryngologist and a neurologist at Johns Hopkins, but did not achieve symptomatic relief. After 15 acupuncture treatments over an 8-week period, the patient had nearly complete resolution. KEY WORDS The patient's right facial paralysis developed overnight. Associated symptoms included pain in her face, difficulty speaking clearly, aud hypersensitivity to sound in the right ear. She was unable to close her right eyelid, and experienced difficulty with drinking and mastication. She was evaluated and treated by an otolaryngologist, and placed on a steroid taper and acyclovir; symptomatic improvement in facial muscle strength did not occur. Her facial disfigurement and difficulty speaking impacted on her occupation (restaurant owner and operator). She developed mild depression and a secluded behavior. MEDICATIONS

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