The best treatment plan for peripheral facial palsy

  Facial palsy, scientifically known as facial nerve palsy, is a common condition characterized by motor dysfunction of the facial expression muscle groups, with the general symptom of a lopsided mouth and eyes. It is a common and frequent disease, and it is not restricted by age or gender. The patient’s face is often unable to perform even the most basic movements such as raising the eyebrows, closing the eyes, puffing the cheeks, and nudging the mouth.  There are 2 main known causes of Bell’s facial palsy: 1 is fatigue, and 2 is facial nerve paralysis after a cold in the face and behind the ear. It is also believed that the cervical vertebrae are misaligned and skewed, causing nerve spasm and resulting in facial nerve spasm paralysis, leading to complete paralysis of the facial muscles. There are also viruses that cause neuropathy, such as influenza virus, varicella virus, herpes simplex virus, etc. This causes loss of forehead wrinkles, enlarged eye fissures, flat nasolabial folds, drooping corners of the mouth, and crooked corners of the mouth to the healthy side when teeth are exposed.  Most of the patients suddenly find that one cheek does not move well and the mouth is crooked when washing the face or rinsing the mouth in the early morning. If the facial expression muscle is completely paralyzed, the forehead wrinkles disappear, the eye fissures are enlarged, the nasolabial folds are flattened, the corners of the mouth droop, and the corners of the mouth are skewed to the healthy side when the teeth are exposed. The patient’s side cannot make movements such as forehead wrinkles, frowning, eye closure, puffing and pouting. When puffing the cheeks and whistling, the affected side of the mouth leaks air because the lips cannot be closed. When eating, food residues are often left in the gap between the teeth and cheeks of the affected side, and saliva often flows down from that side. As the tear dots are inwardly turned with the lower lid, the tears do not drain as normal and spill out.  The best treatment plan for facial palsy: first, to remove the cause; second, symptomatic treatment to improve circulation and eliminate facial nerve edema; third, nerve nutrition; fourth, to improve the motor function of paralyzed muscles. For acute phase of facial neuritis once diagnosed, anti-viral, hormonal and symptomatic treatment should be given as early as possible. If the best time for treatment is delayed, it is easy to cause the sequelae of facial palsy.  First, remove the cause of the disease: once the disease is present, prohibit the affected area from getting cold, do not blow air conditioners and electric fans, and wear a mask when going out.  Second, treat the symptoms and improve the circulation to eliminate facial nerve edema: go to the neurology department at the first time and take anti-viral drugs or hormonal drugs to eliminate the nerve edema.  Third, you can take some nerve-nourishing drugs, but it is not forced to take them.  Fourth, improve the motor function of the paralyzed muscles: some patients recover the nerve function after taking the above drugs, but the ability of the nerve to control the muscles is not completely restored, so many patients come to the rehabilitation department to receive short wave and medium frequency electrical stimulation after taking the drugs for a week to accelerate the recovery of the disease and avoid the sequelae of facial palsy.  By doing the above four points, your facial palsy problem will be completely solved. Our department has been following this treatment plan for patients with peripheral facial nerve palsy for decades, and we have not found a single case that did not recover and heal, which is a blessing for our patients and something we are proud of.  Thank you for reading, and we hope to bring some help to the general public.