Patients with facial paralysis need to be treated in conjunction with the cause, the type of facial paralysis, and the patient’s own condition. Applying the suitable treatment is the only way to get well quickly.
Facial palsy can be categorized into peripheral facial palsy and central facial palsy. The most common type of peripheral facial paralysis is Bell’s palsy, which can be treated with glucocorticosteroids such as prednisone, antiviral drugs such as acyclovir, and neurotrophic drugs such as methylcobalamin.
Surgical treatment is mostly facial nerve decompression. Hunt’s syndrome also causes peripheral facial palsy, which is treated with a combination of glucocorticosteroids and antiviral drugs, and facial nerve decompression is considered when necessary.
Central facial paralysis is commonly caused by facial neuroma, acoustic neuroma compressing the facial nerve, middle ear cancer, jugular vein globe tumor, intracranial trauma, craniocerebral trauma, and cerebral hemorrhage.
Commonly used treatments include medication (e.g. mannitol to lower cranial pressure, nimodipine to lower blood pressure, etc.), surgery (e.g. resection of tumor, surgical removal of hematoma, etc.), chemotherapy, radiation therapy, etc., which need to be selected according to the specific cause of the disease, and the above medications need to be used under the guidance of a doctor.