Facial throbbing is an involuntary twitching of the facial muscles, this disease is called facial muscle spasm, the etiology of which is not yet completely clear, it is considered that it may be related to vascular and non-vascular factors, as well as other factors, and there may be a correlation with heredity as well. Attacks begin with irregular twitching of varying degrees in the facial muscles, and are exacerbated by stress, fatigue, or certain types of exercise. The disorder is more common in women than in men, and in some patients the symptoms are progressive, extending from the facial muscles on one side to the neck muscles and eye muscles. Treatment can be symptomatic with drugs such as phenytoin sodium or carbamazepine, or botulinum toxin injections, which can last for 3-6 months and can be used repeatedly, but may cause facial paralysis if used too often. Surgery is also an option for this disease, but the surgery may produce long-lasting facial paralysis, a permanent defect in the patient’s nerve function. Surgery is either facial nerve trunk compression and branch dissection, or decompression of the facial nerve and its microvasculature.