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Treatment

Treatment will most likely be on an outpatient basis, but your veterinarian may need to hospitalize your cat for the testing procedures. If fiber develops in the muscles, there is a natural tuck up that reduces asymmetry, and drooling usually stops within two to four weeks. But, you will need to be prepared for the possibility that the clinical signs may return, or even remain permanently, and that the other side of the face can also become affected. The cornea on the affected side may need long term lubrication, and extra care may be needed if your cat is a breed with natural bulging of the eye (e.g., Persian). You will also need to have your cat checked regularly for corneal ulcers. Most cats tolerate this nerve deficit well, but if the disorder is in the middle ear, surgery may be necessary.

Living and Management

Your veterinarian will want to reevaluate your cat's condition soon after the initial treatment for evidence of superficial loss of tissue on the surface of the cornea. If there is a corneal ulcer your cat will need to be seen frequently for treatment. After that, your cat will need to be assessed monthly for reflexes of the eye and eyelids, lip and ear movements, and to evaluate the return of normal function.

Eye care: the cornea on the affected side may need frequent lubrication or application of artificial tears. Most cats tolerate this nerve deficit well.