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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain In The Ear, Jaw And Tooth After A Facial Injury?

HI, I was accidently kicked in the side of the face right by the upper cheek bone. 7 days later I have pain in my inner ear, headaches, jaw pain, tooth pain, and sore forming by my eye and on and near my lips. When I went to the dr. he diagnosed me with bells palsy. I don t think that s what I have as my face is not paralyzed or drooping it just plain old hurts to move it, so it s not that I can t move it, it s just that I don t want to because it s very painful. I believe there is nerve damage but maybe not bells palsy. What are your thoughts?
Wed, 7 Jun 2017
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Neurologist 's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

From your description of your situation, I believe you need the second opinion. You are correct to say that if there is no weak or paralysis of facial muscle function on the affected side then the probability of this being a true Bell's palsy would be low to nil. But remember, in Bell's palsy the affected eyelid (for example) does not droop but rather it does not close very well or at all in severe cases. The rest of the face certainly does appear to "droop" compared to the other side except the eyelid. Damage to the peripheral seventh nerve can occur as a result of trauma and swelling.

If you'd like to take a picture of your face and show me how you smile, pucker, puff out your cheeks, and wrinkle your forehead in a surprised look fashion with digital photographs I can tell you whether you appear to have Bell's or not.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Dariush Saghafi
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What Causes Pain In The Ear, Jaw And Tooth After A Facial Injury?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. From your description of your situation, I believe you need the second opinion. You are correct to say that if there is no weak or paralysis of facial muscle function on the affected side then the probability of this being a true Bell s palsy would be low to nil. But remember, in Bell s palsy the affected eyelid (for example) does not droop but rather it does not close very well or at all in severe cases. The rest of the face certainly does appear to droop compared to the other side except the eyelid. Damage to the peripheral seventh nerve can occur as a result of trauma and swelling. If you d like to take a picture of your face and show me how you smile, pucker, puff out your cheeks, and wrinkle your forehead in a surprised look fashion with digital photographs I can tell you whether you appear to have Bell s or not. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dariush Saghafi