What should I do if I have a second recurrence of facial spasm surgery? Some patients have asked what to do if the symptoms of facial myasthenia are healed after surgery, but after a period of time, the symptoms recur again. The surgery for facial myospasm can be performed by microvascular decompression, which has a cure rate of 98%. There are two types of effective patients: 2/3 of patients with postoperative myospasm disappear immediately, 1/3 of patients with postoperative myospasm still exist, but will disappear within 2 weeks-12 months, called delayed cure. The ineffectiveness rate is 2%-3%. The ineffectiveness may be due to the tight adhesion of the vessel to the nerve that cannot be separated or the missed responsible vessel. There is a 2%-3% recurrence rate after surgery, and re-surgical treatment remains effective after recurrence. There are many causes of recurrence after facial spasm, which are manifested as follows: 1. Since the blood vessels continue to gradually tortuous with age, if the implanted pad cotton cannot block the blood vessels that have become longer, it may produce a disease. 2, The first operation, if the vessel pressure is very high, after barely lifting, the pressure of the contralateral vessel continues to increase, which may break the block of the pad cotton and squeeze on the facial nerve again causing recurrence, this situation is mostly seen in cases where the thick vertebrobasilar artery is involved in the compression. 3. Physician inexperience. Recurrence can also be caused by immature surgical techniques, inadequate surgical decompression or deviation in decompression position. 4, The first surgical pad cotton was displaced or the pad cotton was dissolved and thinned or disappeared, and there may be a problem with the quality of the pad cotton. 5, When the surrounding non-responsible vessels lengthen with age, they may also become new responsible vessels, leading to recurrence of facial myoclonus. It has been clinically found that recurrent cases are usually able to be operated again, and the postoperative treatment is better. Why is facial myospasm still jumping after surgery? The results after facial myospasm decompression surgery are related to age, medical history, physical condition and brain structure, etc. Generally speaking, the older the person is, the longer the medical history and the slower the recovery for those with poorer health. Some symptoms disappear soon after surgery, some disappear in 1-3 months, and some recover more than 6 months or even more than a year before they return to normal. The reason for this is that the degree of damage caused by nerve compression varies, and the postoperative repair time may be longer or shorter. Because the original damaged part of the facial nerve cannot be repaired immediately, it usually takes about 3 months to 3 years to repair. During this process, the facial twitching symptoms will not disappear, but only appear to be lighter and heavier, sometimes not. Due to the complexity of the patient’s brain structure and the difficulty of the surgery, although the surgery has achieved the purpose of decompression, it theoretically takes a long time to repair due to the high force of vascular compression and nerve damage. There are some differences in the improvement of patients’ symptoms of postoperative myospasm, which can occur after surgery: First, all symptoms of facial myospasm will disappear completely in most patients, with a probability of 93% or more. Second, a small number of patients have a significant reduction of symptoms after surgery, with twitching but does not affect daily life and work, the probability of occurrence is 2%; third, postoperative delayed cure. The spasms did not disappear or the symptoms were reduced after surgery, but they did not completely recover. This condition is generally able to disappear completely with the extension of time, called delayed cure, accounting for about 1/3 of the postoperative patients, generally in 3-6 months after the gradual stabilization, there are a few patients with symptoms persist in more than 1 year. Third, hearing loss. When the facial nerve is exposed surgically, the auditory nerve may be indirectly stretched, thus causing damage and resulting in postoperative hearing loss; some patients may experience tinnitus in the short term after surgery, most of which will recover on their own and do not require special treatment. Facial nerve paresis or delayed facial nerve paresis often also occurs at 1 week after surgery. However, after a period of time, with the repair of the facial nerve itself, the symptoms of facial palsy will disappear. Fourth, there is no postoperative symptom reduction. If there is no symptom reduction after surgery, the patient can receive another surgical exploration and consultation, and there is a very high hope for another surgical cure.