Facial paralysis is a potentially devastating disorder with numerous implic
ations. Multiple entities must be considered in its etiology, and recent ad
vances in microbiology, radiographic imaging, electrodiagnostic testing, an
d microsurgery have provided great insight into the pathophysiology, diagno
sis, treatment, and rehabilitation of the facial nerve. Recent DNA FCR test
ing has shed new insight into the potential cause for Bell's palsy. This ar
ticle focuses on the evaluation, differential diagnosis, medical treatment,
and rehabilitation of facial nerve pathology with primary emphasis on faci
al paralysis. Surgical management is also discussed, including reanimation
of the paralyzed face.