After surgery for facial myospasm patients, it can be exciting and cause a little concern – will there be any after-effects? Will facial spasm recur? Some complications may occur after surgery, but they are rare, such as facial nerve palsy (facial paralysis), delayed onset facial paralysis – delayed facial nerve palsy, hearing loss or even loss on the affected side, balance disorders, cerebrospinal fluid nasal leakage, incisional infection or even intracranial infection. Zhu Hongwei, Department of Functional Neurosurgery, Xuanwu Hospital, Capital Medical University Because the surgical procedure requires finding the facial nerve and the culprit vessel and placing a spacer between the two, it is inevitable that there will be some strain or damage to the facial nerve, so facial nerve paresis or delayed facial nerve paresis will often occur 1 week after surgery, but after a period of time, with the repair of the facial nerve itself, these facial paresis symptoms will disappear as the facial nerve repairs itself. Some patients may experience tinnitus for a short period of time after surgery, and most of them will recover on their own without any special treatment. However, since the facial nerve and the auditory nerve are “twins” and the two travel in the same area, when the facial nerve is exposed, the auditory nerve may be indirectly stretched; moreover, since the auditory nerve itself is very sensitive and fragile, the slightest strain may cause injury, resulting in hearing loss or even hearing loss after surgery. In addition, the self-repair ability of the auditory nerve is very weak, so it is difficult to get relief once the hearing is reduced or even disappeared. If the hearing does not recover within 3 months to 1 year after surgery, it means that the auditory nerve has been irreversibly damaged. However, with adequate preoperative preparation and intraoperative neurophysiological monitoring, the likelihood of postoperative hearing impairment will be very small, with an incidence of less than 1 in 1,000. If the incision does not recover well, incisional infections or even intracranial infections can also occur. A small number of patients will develop these complications, but the infection can be controlled with anti-infective treatment and good care. Of course, recurrence may occur, especially in patients with a medical history longer than 8 years before surgery, and the probability of recurrence is about 5%. Recurrence can be followed by Botox injection or reoperation. In addition, emotional stress, lack of sleep and excessive psychological stress may aggravate atherosclerosis, which in turn leads to more serious “collisions” between blood vessels and facial nerves, increasing the probability of facial muscle spasm and increasing the possibility of recurrence, thus forming a vicious circle. Therefore, it is crucial to live a healthy life and adjust your mindset. First of all, patients do not have to have too much psychological pressure, because facial muscle spasm can be prevented, but also can be cured. Secondly, patients should eat and work regularly to reduce the risk of atherosclerosis. It is necessary to control the “three highs”, quit smoking and drinking, and it is best to have a low salt and low fat diet. To prevent and control the “three highs” method and determination to prevent facial muscle spasm. This article is an original work and may not be reproduced without authorization.