Whether twitching starts in the place of facial paralysis indicates that it is almost ready or not, it needs to be analyzed according to the specific time period of the course of the disease. If the twitching occurs during the treatment or early recovery period of facial paralysis, i.e. about 1 month after the onset of symptoms of facial paralysis, and can be controlled autonomously, it may be the gradual restoration of the innervation of muscles by the facial nerve, and it may be a sign of functional recovery. If it occurs in the late stage of facial paralysis recovery and sequelae, i.e. 6 months or more after the symptoms of facial paralysis appear, it may be secondary facial muscle spasm, which is a sequela of facial paralysis. It is recommended to seek medical treatment in time, such as botulinum toxin injection and surgical treatment if necessary. Where facial paralysis begins to twitch, it is recommended that the patient should go to the hospital outpatient clinic in time for treatment under the guidance of a physician.