Integrating Chinese and Western medicine to treat “facial dance” —- facial spasm

  In life, many people have experienced eyelid fluttering. The jumping mostly occurs in the upper eyelids and sometimes in the lower eyelids, and is not controlled by the person’s mind or consciousness. The former usually passes quickly and sometimes lasts for a few days, while the latter is more serious and develops progressively.  It is often said that “the left eye jumps for money, the right eye jumps for disaster”, so the eyelid jumping will make many people worry. But doctors do not think so, “eyelid jumping is actually a manifestation of increased nerve excitement. I have also experienced this, and medicine does not believe in these folk sayings.”  The eyelid jumping is not life-threatening, but it puts a big dent in the quality of work and life. Doctors warn that if the eyelids continue to throb without relief, you should see a doctor early.  Eyelid jumping is divided into physiological and psychological It is understood that life usually causes eyelid jumping, including overwork, tension, eye disease itself or improper use of the eyes, as well as trauma, these factors can stimulate the eye nerve, resulting in muscle contraction, which then causes muscle jumping.  Physiological eyelid jumping is generally mild, if it is overworked, it will be fine after rest, even if there is inflammation and other causes are also can be alleviated by treatment. In contrast, the cause of eyelid jumping after facial muscle spasm is in the brain, which is difficult to heal by itself, and the trend is progressive aggravation.  According to Dr. Zuo Huanzong, the vast majority of eyelid jumping caused by facial muscle spasm is unilateral, and bilateral ones are rare. The patient with facial muscle spasm usually starts with eyelid jumping, and after a few months or a year, the mouth starts to twitch, twitching to a certain extent, the eyes can’t open, and the mouth is crooked to the side, and then the condition is very serious. At the same time, the patient can’t see things easily, and the psychological pressure is very high.  If the eyelid jumping lasts for a short period of time, it is a normal physiological phenomenon that does not require special treatment, just close the eyes and rest. But if it lasts for a long time, or even both eyes are jumping, bringing trouble to life, you should go to the doctor and find the cause.  It is understood that many patients who come to the hospital have eyelid throbbing for several years. For example, some patients start with a little jumping in the upper eyelids, then slowly progress downward, the lower eyelids also start jumping, and even the corners of the mouth start twitching, and they feel nauseous and dizzy when they jump a lot. These patients suffer from facial myoclonus, either on the left, right, or both sides.  One of the best treatments for severe facial myospasm is microvascular decompression, which removes this blood vessel from the excited nerve. “In the past, due to the lack of awareness of facial myospasm, the treatment was to work on destroying the nerve and find a way to close or cut off part of the nerve. Now that the cause of the disease is clear, it’s just a matter of moving the blood vessel away from the nerve.” He said.  It is understood that the procedure is a minimally invasive one, requiring a very small hole in the skull. The procedure is roughly: behind the ear on the patient’s side of the facial muscle spasm, a small 1.5 cm hole is made; the blood vessels compressing the facial nerve are found under microscopic endoscopy, and then the nerve and blood vessels are separated and then padded with a special spacer to release the nerve compression on it.  Some patients’ eyes continue to jump for a while after the surgery, this is because after moving the blood vessels away, the nerve needs a process to recover, and when it grows well it stops jumping completely. It is reported that the surgery usually takes more than an hour to complete.  Will there be a recurrence after eyelid jumping surgery It is understood that as far as the current medical technology is concerned, the chances of recurrence are very small. At the same time, with the improvement of the level of surgery, the incidence of common complications – facial paralysis – has been very low, and it is generally impossible to cause permanent facial paralysis.  It is generally possible to stop the throbbing whether it is done early or late. However, after a long period of facial muscle spasm, the facial muscles tend to atrophy and deform. If muscle deformation occurs, the marks can mostly be seen after surgery. Doctors recommend that facial muscle spasms should be operated as early as possible.  However, doctors point out that if the facial muscle spasm is caused by trauma, such as after a car accident, the trauma has already damaged the nerves. Therefore, it depends on the patient’s condition to analyze how to treat it. It is also revealed that the current cost of this surgery is around 1.2 million yuan.