In Bell's palsy, what is the typical prognosis and recommended management?

• A. Acyclovir
• B. Reassurance
• C. Neurosurgery
• D. Electromyography

Answer: (B)

Bell's palsy usually has an excellent prognosis, with most people showing improvement within a few weeks and many achieving full recovery within 3–6 months. Because of this high likelihood of spontaneous recovery, the main approach is reassurance and supportive care rather than aggressive treatment. Protect the affected eye to prevent corneal injury—use lubricating drops, ointment as needed, and an eye shield or tape at night if the lid cannot close fully. Antiviral therapy is not routinely required for a typical Bell's palsy and is considered only if there’s a suspicion of viral involvement (such as Ramsay Hunt syndrome). Neurosurgery and electromyography aren’t part of standard initial management; EMG may be reserved for atypical cases or delayed recovery to help assess prognosis.