How do you operate on facial muscle spasms? Does it work?

Ms. Yang, a patient with facial muscle spasm, started to have her left eye jumping from time to time two years ago. At first, Ms. Yang thought that her left eye was jumping for money and did not care about it. Gradually, her left eye began to jump more and more frequently, and the left corner of her mouth began to twitch. Ms. Yang became anxious and asked around for treatment, and then decided to come to the outpatient clinic. Ms. Yang was admitted to the outpatient clinic with “facial muscle spasm”. The following is Ms. Yang’s case, which can be used as a reference by patients. Name: yml Gender: Female Age: 39 Condition at admission: 1. Middle-aged female, 39 years old; 2. Main clinical manifestations: the patient had a paroxysmal, involuntary twitching of the left lower eyelid 2 years ago with no obvious cause, which was uncontrollable, brief and rapid, stopping automatically after a few seconds, and aggravated by exertion. At the beginning, the frequency of attacks was not high, several times a day. Later, the attacks became more frequent, with frequent twitching, and gradually involved the left corner of the mouth. First the corner of the eye, then the corner of the mouth, was not treated. The symptoms gradually worsened, and the frequency of twitching gradually increased to more than ten times per minute, so she came to our outpatient clinic for surgical treatment. She was admitted to the hospital with “facial muscle spasm”, and her general condition was fine, her spirit was clear, her appetite was fine, and her bowel movements were normal. Preliminary diagnosis: facial muscle spasm (left side) Treatment: after admission, the patient was actively perfected relevant examinations and preoperative preparations, and under general anesthesia, the left facial nerve microvascular decompression + lumbar large pool cannulation was carried out, and the operation went smoothly, and the patient did not have any special uncomfortable reactions during and after the operation, and the patient was given regular postoperative treatments of haemostasis, prevention of infection, nutritional support, neurotrophic and symptomatic support therapy, and the patient recovered well, and there was no obvious twitching of the corners of the eyes of the left side of the face and the corners of the mouth after surgery. After the operation, the patient’s left facial corner of the eye and the corner of the mouth had no obvious twitching, and the incision healed well. At the time of discharge: the patient’s general condition was good, clear speech, good mental status, diet and sleep, normal urination and defecation. Body temperature was normal. General activity was good. There was no obvious twitching at the corner of the eye and mouth on the left side of the face. Head incision grade A healing, has been removed all stitches. Discharge diagnosis: facial muscle spasm (left side) Discharge medical advice: pay attention to rest, appropriate activities, reasonable nutrition, enhance physical fitness. Normal diet, avoid spicy. Follow-up in one month. Regarding the daily prevention of facial muscle spasm, the main points are as follows: 1. Wear a mask when traveling in cold weather. 2. Avoid spicy stimulation in diet, avoid smoking and alcohol. 3. Maintain a good sleep. 4. Appropriate massage to relax facial muscles. Facial muscle spasm, if not treated in time, over time, with the increase in the number and intensity of spasm, it is easy to cause facial paralysis problems, which will be obvious expression stiffness and even crooked mouth and eyes. So how to treat facial muscle spasm? At present, the most effective way to treat facial muscle spasm is microvascular decompression surgery, which is minimally invasive, safe and effective, and is now widely used in clinical treatment of facial muscle spasm. There are no special contraindications to diet for this surgery. However, if you have high blood pressure, diabetes mellitus, hyperlipidemia and other abnormalities, you should pay attention to your diet accordingly. Alcohol consumption is absolutely prohibited during hospitalization; if you are a smoker, it is recommended that you do not smoke during hospitalization.