The treatment of facial paralysis depends on the etiology and business, and timely, complicated and correct treatment is very important for the recovery of facial paralysis. Generally, Sunday treatment is easy, and the earlier the effect, the more complicated it is.

Facial paralysis can occur suddenly or develop slowly. Once patients with facial paralysis stop seeing a doctor, they should go to the hospital for treatment. In addition to routine physical examination, they should also have a detailed otological examination. The detection of left and right facial nerve electrograms can directly understand the deformation degree of facial nerve after injury, and provide basis for treatment and prognosis. CT, MRI and other imaging examinations can find tumor fractures that cause facial paralysis, and should be examined as soon as possible after the onset to avoid delaying treatment.

Timing of facial paralysis surgery

According to the time of facial paralysis, the degree of facial nerve injury and the recovery of treatment, the timing of operation is comprehensively judged. If facial paralysis caused by temporal bone surgery occurs suddenly during or immediately after operation, and facial paralysis occurs immediately after injury, facial nerve fracture, sheath injury or bone fragments should be considered to compress nerves. At this time, early exploration and facial nerve decompression should be performed, or corticosteroids and other drugs should be used to treat incomplete facial paralysis (delayed facial paralysis) conservatively. Complete facial paralysis should be closely observed. Observation and follow-up of% degeneration percentage in traumatic facial paralysis is the indication of operation, and conservative treatment is ineffective. Surgical exploration should also be considered. When the degeneration percentage of facial paralysis in Dambert is more than%, facial nerve decompression should be considered, because most of these patients have poor prognosis after conservative treatment.

Surgical treatment of facial paralysis

Bell's facial paralysis usually recovers under conservative treatment. Antiviral drugs, vasodilators, drugs, hormones and local physical therapy are usually used, and most of them can be recovered within-months. If facial paralysis has not recovered after conservative treatment for a period of time, especially when facial nerve electrogram indicates that facial nerve degeneration is greater than%, surgical treatment and facial nerve decompression can be used to improve the prognosis.

The symptoms of temporal bone fracture are mild, and there is activity on the affected side of the face. Conservative treatment can be taken, but if facial paralysis is serious, surgery should be done in time to relieve the compression of facial nerve caused by fracture.

Otitis media, especially cholesteatoma otitis media, will destroy the bone canal of facial nerve and cause facial paralysis. This kind of facial paralysis should be taken out by surgical exploration in time, and the facial nerve bone canal should be opened for decompression. If the nerve is destroyed, facial nerve transplantation is needed.

Some facial paralysis is caused by tumors, such as facial neuroma, acoustic neuroma or middle ear cancer. Different treatment schemes should be adopted to remove the tumor according to the situation. At the same time, for patients whose facial nerve has been seriously damaged and cannot be transplanted, facial nerve transplantation can be used to restore some facial nerve functions.