About the care of facial palsy

  Facial palsy is a disease of unilateral or bilateral facial nerve paralysis and expression muscle paralysis caused by trauma, surgery, facial neuritis, and occupational disease, mostly occurring unilaterally. Symptoms: paralysis of facial expression muscles on one side, loss of forehead wrinkles, incomplete eye closure, enlarged eye fissures, eyelid ectropion, inability to do actions such as frowning, frowning, showing teeth, cheek puffing, pouting and whistling.  Facial palsy, also known as orofacial distortion, is a very common disease in China, and its incidence has been increasing year by year in recent years. Most doctors believe that facial palsy is caused by viruses, and most Chinese doctors consider facial palsy as a kind of “stroke”. Clinically, cold, flu, otitis, facial nerve microcirculation disorder, excessive fatigue and psychological stress are all causes of facial palsy.  In general, the treatment of facial palsy is to remove the cause of the disease. Secondly, symptomatic treatment is to improve circulation and eliminate facial nerve edema. The third is to nourish the nerve. For acute facial neuritis, once diagnosed, anti-viral treatment, hormonal and symptomatic treatment, combined with acupuncture and physiotherapy should be given as soon as possible to restore the function of facial muscle. If the best treatment time is delayed, it will easily cause facial palsy sequelae.  In addition, supplementation of calcium and vitamin B elements are helpful for facial nerve disease. Calcium is not only beneficial to bones and intelligence, but also promotes normal muscle and nerve function. Since patients with facial nerve disease mainly suffer from muscle atrophy due to facial nerve conduction disorder, it is important to supplement calcium with ribs, dark green vegetables, egg yolk, kelp, sesame, fruits, carrots, watermelon and dairy products, which are all rich in calcium.  Vitamin B elements are also helpful for facial nerve disorders, such as B1, B2, and B12. Vitamin B group is rich in the following foods: cilantro, tomatoes, winter melon, cucumber, papaya, apples, pineapples, pears, peaches, watermelon, apricots, persimmons, and grapes. Vitamin B can help the synthesis of nerve conduction substances, so it should be properly supplemented.  The patient will inevitably be nervous, anxious and fearful, and some of them are worried that their faces will change and they will be ashamed to see others and the treatment will not be effective and leave sequelae. The patient should be in the best physical and mental state to receive treatment and care in order to improve the treatment effect.  2, eye protection: because the eyelids are not fully closed or can not be closed, transient movements and corneal reflexes disappear, the cornea is exposed for a long time, leading to intraocular infection and damage to the cornea, so eye protection is very important, reduce eye use, wear sunglasses when going out to protect, while dropping some lubricating, anti-inflammatory, nutritional effect of eye drops, sleep can wear an eye mask or cover gauze block protection.  3.Local care: hot compress to dispel wind: apply ginger to the facial palsy side for 1/2 hour daily; apply warm wet towel to the face for 2-3 times daily and massage the affected side in the morning and evening by yourself with appropriate strength and accurate location. This is very important to prevent atrophy of the paralyzed muscles and promote recovery. In addition, patients with facial palsy should pay attention to not washing their faces with cold water, wearing a mask when going out, avoiding direct blowing of wind, paying attention to weather changes, adding clothes in time, and preventing colds.  If you have facial palsy, you should seek medical attention as soon as possible, within a week for the acute phase (acupuncture techniques should be light in the acute phase, some doctors do not advocate acupuncture hot compresses and massage in the acute phase, it should be based on the clinical situation), the treatment should be standardized and timely the less severe cases can recover in 1 to 2 weeks, generally the complete recovery is within 1 month, the heavy symptoms are 2-3 months or even longer, more than 2 years advanced facial palsy can consider surgery.