The difference between Hunter’s facial paralysis and Bell’s facial paralysis lies in the location of the lesion and the cause of the lesion, so there will be a difference in clinical manifestations. 1. Hunter’s facial paralysis is caused by lesions of the geniculate ganglion, and the cause of the lesions is mostly herpes zoster virus infection. In addition to the symptoms of facial paralysis, there are specific symptoms of herpes zoster virus infection, such as herpes tympani. Some patients with Hunter’s facial palsy also have auditory sensitivity, taste disturbance, and dullness of sensation in the external ear canal and auricle. 2. Bell’s palsy is a non-specific inflammation of the facial nerve, the exact cause is unknown, it can be secondary to upper respiratory tract infections, facial nerve edema due to cold in the face, and Bell’s palsy can also occur when the facial nerve canal is compressed. Clinical manifestations are typical symptoms of facial paralysis, such as inability to puff cheeks and show teeth, disappearance of forehead lines, and shallow nasolabial folds.