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1964 Sep;239(9):2721-2729

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This can result in all of the typical symptoms and signs of facial paralysis, including but not limited to: Drooping or weakness on one side of the face Difficulty closing one eye Asymmetric smile, and possibly drooling Food accumulating inside the cheek of the affected side Dry eye Patients with Bells palsy may be affected on both sides, although this usually happens in different periods of life

In addition, oxidative stress promotes the polarization of macrophages toward a pro-inflammatory M1 phenotype, contributing to sustained inflammation (47)