Post-operative precautions for facial muscle spasm

  1.Absolutely lie in bed for 24 hours after surgery (sitting up or standing is strictly prohibited within 24 hours, do not put pillows for 6 hours, and turn over), and move the limbs frequently (to prevent venous thrombosis of the lower limbs).  2, 24 hours later, gradually shake the head of the bed, if dizziness and other discomfort, immediately lie flat, this process is repeated until the patient sits up independently after no discomfort can be moved to the ground.  3, 6 hours after surgery can drink water and thin gruel, 12 hours can be a normal diet (no strict restrictions on the type, appropriate increase salt and fiber intake) (especially when the appetite is poor, eating less, to increase the intake of salt); bedside period less food such as fresh milk, soybean products and other foods that are easy to produce gas. Wang Xiaosong, Department of Neurosurgery, Aviation General Hospital of China Medical University 4. The catheter can be removed after sitting up.  5.If the fever does not disappear after surgery, perform lumbar puncture examination if necessary (decided by the doctor according to the specific situation).  6.The fever disappeared more than 2 days after surgery, no other discomfort, and discharged on the 7th day.  Facial muscle spasm 4.3% of postoperative patients have the possibility of delayed facial palsy (appearing 1~2 weeks after surgery), the prognosis is good, please contact our hospital and treat according to the standard treatment of facial palsy under the guidance of neurologist.  Patients who undergo glue bonding of the incision are easy and time-saving to operate, compared with traditional silk sutures, with neat and tight skin edge alignment, low wound tension, mild pain, and small scars after healing, which are easily accepted by patients. After the operation, only one change of medication is needed, no dressing, no stitch removal, which obviously shortens the hospital stay. The medical adhesive also has the characteristics of antibacterial and does not affect the blood flow of the skin, which effectively reduces the rate of incision infection. Considering that the skin of the head and neck is under great tension and has a lot of activities, for the sake of insurance, we use a small amount of medical adhesive to stick a thin layer of gelatin sponge on the incision for reinforcement after bonding the skin, and the incision can be cleaned normally after the gelatin sponge is completely removed after 1~3 weeks.  Please note: Before the gelatin sponge comes off, do not scratch it with your hands to avoid tearing the incision that has not healed firmly. The incision can be disinfected with medical alcohol or iodophor, especially when sweating or accidental wetting of the incision dressing, the frequency of disinfection should not be too frequent, usually once every 2~3 days.  The way to wash the hair before the gelatin sponge comes off: lie on the bed with the incision upwards, cover the incision with a dry towel, family members help to wash the part outside the incision, dry the hair and then wipe the incision and its surrounding with medical alcohol to dry.