(Disclaimer: This article is only for popularization purposes, and the information in the following content has been processed in order to protect the patient’s privacy) Abstract: The patient was a 16-year-old student who suddenly developed symptoms such as crooked mouth, drooling, and inability to close his eyes when he got up in the morning and brushed his teeth one day ago. Family members hurriedly brought him to the hospital for examination, and the neurological examination suggested peripheral facial neuritis. The patient’s condition was stabilized and his symptoms were significantly relieved after a combination of medications. Facial neuritis early need to be actively treated, otherwise there may be aftereffects of skewed corners of the mouth, affecting aesthetics. Basic information] Male, 16 years old [Disease type] Peripheral facial neuritis [Hospital] Shandong Third Hospital [Time of consultation] May 2022 [Treatment plan] Medication (dexamethasone acetate tablets + methylcobalamin tablets + ginkgo biloba leaf extract injection + ribavirin capsule) + acupuncture and physiotherapy [Treatment cycle] 1 month outpatient treatment, 1 month review [Treatment effect] Stable condition, symptoms have improved. I. Initial Consultation This is a 16-year-old boy who was a bit shy and wore a mask when he came to the clinic. He was a bit shy and wore a mask when he came in. From his self-report and history, he said that he had a crooked mouth when he woke up yesterday morning, which could not be relieved by self-massage and was accompanied by leakage when he brushed his teeth and incomplete closure of his eyes. The family was very anxious and brought the patient to the hospital for examination. In the outpatient clinic, the patient underwent cranial magnetic resonance examination, which showed no obvious abnormality, and blood tests, which showed no obvious abnormality. Combined with the patient’s clinical symptoms and exclusion, the diagnosis of facial neuritis was considered. Treatment It was suggested that the patient should be treated with medication to avoid sequelae. The family was a bit hesitant, as the patient was in an intense period of study and could not delay the study, so they wanted to wait for a period of time and come back for treatment after the vacation. We communicated in detail with the parents about their condition, and briefly explained that facial neuritis may leave sequelae after missing the acute stage, affecting the aesthetics and possibly affecting their lives. After communication, the patient expressed understanding and willingness to actively cooperate. After the completion of blood routine, liver and kidney function, ion, lipid, blood glucose, all did not see obvious abnormalities. Blood routine suggested that the inflammatory index was not high, and the neurological examination suggested peripheral facial neuritis. Dexamethasone acetate tablets were given to reduce nerve root edema, methylcobalamin tablets to nourish the peripheral nerves, ginkgo biloba leaf extract injection to improve circulation, and ribavirin capsules for antiviral drug treatment. The patient was instructed to take a light diet during the treatment, avoid staying up all night and working hard, avoid spicy and stimulating food, avoid blowing wind and getting cold, wear glasses when going out, and wear an eye mask when going to bed. After 5 days of combined treatment with nutritive nerve and anti-infective drugs, the patient’s symptoms of facial neuritis, such as crooked mouth, leakage of brushing teeth, incomplete eye closure, etc., were significantly relieved, and then acupuncture physiotherapy was arranged, and the patient’s condition was further recovered, and there were no other discomforts. 1 month later the patient returned to the clinic, and the symptoms of facial neuritis were significantly reduced compared with the previous one, and the symptoms could not be seen without facial expression, and the eyelids could be closed completely. After 1 month’s follow-up, the symptoms of facial neuritis were significantly reduced, and without facial expression, the patient could not see the eyelids closed completely, and the patient’s condition was basically back to normal. The patient was very young and recovered quickly after treatment, so I was really happy for her. The patient and her parents were told to take good care of her skin after going home to avoid facial infection. In addition, considering the patient’s young age, peripheral facial neuritis will affect the patient’s aesthetic appearance, so to reassure the patient that the disease as long as the active treatment, usually can be cured, and asked the patient’s parents should be psychological counseling for the child, to relieve the patient’s psychological pressure, to avoid anxiety and depression. Home should pay attention to rest, do not stay up late, regular routine; attention to supplemental nutrition, maintain nutritional balance; and adhere to the doctor’s prescription medication, so as not to aggravate the condition. If similar symptoms occur again, consult a doctor in time. V. Personal perception The patient in this case is still a 16-year-old child, is in the period of learning tension, learning pressure, often stay up late at night, so life should be regular work and rest, avoid cold stimulation, to prevent this disease. Once the symptoms of peripheral facial neuritis, between learning and treatment, should choose to actively early treatment and care, miss the acute stage and then treatment can only be rehabilitation training, is not conducive to the recovery of facial nerve function, there is a great possibility of sequelae.