Facial nerve spasm treatment methods include local injection of botulinum toxin A, drug treatment and surgical treatment. 1. Botulinum toxin A: local injection is currently the preferred method of treatment for facial spasm, safe, effective, simple and easy to implement. Adverse reactions are short-term eyelid ptosis, blurred vision, salivation (drooling), etc., which can disappear in a few days. 2. Drug therapy: a variety of sedative drugs, antiepileptic drugs can be used, for some patients can reduce symptoms. Such as carbamazepine, clonazepam, gabapentin, etc., may appear drowsiness, dizziness and other uncomfortable symptoms. 3. Surgical treatment: for patients with poor efficacy of botulinum toxin A injection, such as facial muscle spasm caused by vascular compression, facial nerve microvascular decompression can be used, peripheral nerve dissection may also be effective. Patients with facial muscle spasm are advised to consult a doctor in time and choose a suitable treatment plan under the guidance of a physician.