Is facial paralysis easy to cure?

I believe everyone is familiar with facial paralysis. Patients with facial paralysis generally find it difficult to make various expressions freely. Facial paralysis is divided into two types: central facial neuritis and peripheral facial neuritis. There are many causes of facial paralysis, such as infectious diseases, ear diseases, autoimmune reactions, tumors, etc. Treating facial paralysis is not simple. In addition to non-surgical and surgical treatments, daily care is also required!

1. Causes

There are many causes of facial neuritis. Clinically, it can be divided into central facial neuritis and peripheral facial neuritis according to the site of damage. The lesions of central facial neuritis are located in the corticobulbar tract between the facial nerve nucleus and the cerebral cortex, and are usually caused by cerebrovascular disease, intracranial tumors, brain trauma, inflammation, etc. Peripheral facial neuritis lesions occur in the facial nerve nucleus and facial nerve.

The common causes of peripheral facial neuritis are: ① infectious lesions, mostly caused by the activation of viruses lurking in the sensory ganglia of the facial nerve; ② ear diseases, such as otitis media; ③ autoimmune reactions; ④ tumors; ⑤ neurogenic; ⑥ trauma; ⑦ poisoning, such as alcohol poisoning, long-term exposure to toxic substances; ⑧ metabolic disorders, such as diabetes, vitamin deficiency; ⑨ vascular insufficiency; ⑩ congenital facial nerve nuclear dysplasia.

II. Treatment

1. Non-surgical treatment

Principle: Promote early resolution of local inflammation and edema, and promote recovery of nerve function.

(1) For peripheral facial nerve paralysis caused by facial neuritis, if it is a viral infection, antiviral, nerve nutrition, glucocorticoids, B vitamins and other drugs can be used.

(2) To protect the exposed cornea and prevent conjunctivitis, eye masks, eye drops, eye ointments, etc. can be used;

(3) Massage: The patient should massage the facial muscles with his hands in front of a mirror several times a day, each time for 5 to 10 minutes.

(4) Physical therapy: commonly used methods include ultrashort wave, low and medium frequency electrotherapy, laser, drug introduction, etc.

(5) Acupuncture treatment.

2. Surgery

If facial nerve paralysis has not recovered after 3 months of conservative treatment, and there is no response to facial nerve conduction velocity and facial muscle electromyography, that is, no potential activity, surgical treatment can be used.

3. Nursing

1. Eye care

During the acute phase, avoid outdoor activities and keep eyes clean; cover the affected eye with an eye patch or apply eye ointment to prevent conjunctival and corneal infections; minimize eye use.

2.Diet care

Patients with taste disorders should pay attention to the temperature of food; avoid hard food; try to place food behind the healthy tongue and chew slowly; remember to rinse your mouth in time after meals to keep your mouth clean.

3. Rehabilitation care

You can apply hot compress to the affected side to promote local blood circulation. When the facial muscles begin to recover, facial muscle strength training is required, focusing on training the facial muscles, such as opening the eyes, wrinkling the forehead, sucking, curling the lips, smiling, raising the corners of the mouth, whistling, pursing the lips, pulling the lower jaw, etc., each time for about 20 minutes, once a day, until final recovery.