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Management of Bellpalsy: clinical practice guideline B ell palsy is an idiopathic weakness or paralysis of the face of peripheral nerve origin, with acute onset. It affects 20–30 persons per 100 000 annually, and 1 in 60 indi- viduals will be affected over the course of their lifetime. 1,2 The major cause of Bellpalsy is believed to be an infection of the facial nerve by the herpes simplex virus. 3 As a result of this viral infection, the facial nerve swells and is compressed in its canal (...) and permanent visual impairment. Those with resid- ual deficits may have long-term reduction in quality of life and psychological distress. 8 In this guideline, we review the evidence for treatment of Bellpalsy with corticosteroids and antivirals, facial exercise, electrostimulation, physiotherapy and decompression surgery, as well as the need for eye-protective measures, spe- cialist referral and further investigation in patients with persistent and progressive weakness. This guideline is aimed at all