Abstract

Fifty-eight children showing facial palsy during the acute phase of poliomyelitis were re-examined from 23 to 43 months after the onset. Twenty-six children showed complete recovery, but appreciable residual weakness was noted in 21 patients. Complaints referable to the eye and a tendency to chew on the unaffected side were the main effects of the deformity, but some children began to react emotionally to their disfigurement at about 4 years of age. Unfavorable prognostic signs included the presence of bulbar lesions, involvement of the upper facial muscles, especially the frontalis, and failure to improve after about 18 months. Physiotherapy appeared to have no definite value in this condition.

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