Facial muscle spasm, commonly known as facial twitching, is an involuntary paroxysmal twitching of the hemifacial muscles, mostly starting from the eye muscles, manifesting as “eye jumping”, gradually developing to the cheeks and the entire hemifacial area, and in severe cases, the neck muscles are also involved, usually limited to one side of the face, so also known as hemifacial spasm, occasionally seen on both sides. It can be aggravated by fatigue and tension, especially when speaking and smiling, and in severe cases it can be spastic. Most of them start from middle age, but there are many younger ones. Tinnitus is often combined with tinnitus. At present, it is clear that, except for a very small number of cases caused by tumors of the facial nerve, the majority of cases are caused by the compression of the facial nerve root by blood vessels. Therefore, microvascular decompression is currently the best treatment for the cause. However, many other methods are still popular for the treatment of facial spasm. 1, Chinese herbal medicine: many herbal medicines can be listed, as well as acupuncture, but experience shows that these methods are basically ineffective. 2, Western medicine: there are glutathione, carbamazepine, phenytoin sodium, etc. These drugs can temporarily reduce the symptoms, but in general, basically ineffective. 3, the destruction of facial nerve methods: such as facial nerve combing, botulinum toxin injection and a variety of closure, these methods are different degrees of facial paralysis in exchange for a short period of time of different degrees of facial muscle spasm reduction. Other methods: In order to reduce the unconscious closing of the eyes during facial muscle spasm, the upper eyelid lift is “shortened” so that the eyelids cannot be closed. So here is a special note, under the current level of medical care, if you can tolerate facial muscle spasm and it does not affect your life and work too much, you may not go for treatment, or you may use microvascular decompression therapy. Microvascular decompression is a small craniotomy with certain risks and requires high surgical conditions, such as good microscopic equipment or endoscopic equipment, and requires a surgeon with good basic microsurgical skills and experience in this treatment. It also requires the physician to be enthusiastic about this procedure.