Facial paralysis is a disease caused by unilateral or bilateral facial nerve paralysis and facial expression muscle paralysis due to trauma, surgery, facial neuritis, space-occupying disease, etc., which mostly occurs on one side. Those who have not fully recovered within 2 years of illness are called early facial paralysis, and those who have been ill for more than 2 years are called late facial paralysis.

Surgical treatment is mainly targeted at advanced facial paralysis. Surgical treatment can be divided into static treatment and dynamic treatment. Static treatment mainly transplants fascia lata into strips on the face. After treatment, the facial expressions on both sides will be symmetrical under static conditions, but the affected side cannot move with the healthy side under dynamic conditions. Dynamic treatment is generally divided into two phases. In the first phase, the nerve removed from the patient's calf is anastomosed to the healthy facial nerve, and the transplanted nerve end is placed on the affected side. After 6 months to 1 year, the nerve grows from the healthy side into the affected side. , perform a second-stage surgery, that is, transplant muscles with blood vessels and nerves. The selected muscles can be rectus femoris, gracilis, latissimus dorsi, etc. After 3 months to 1 year of treatment, bilateral expressions can be achieved both statically and dynamically. symmetry.

We proposed the theory of designing the transplanted muscle donor site according to the distribution of nerves, blood vessels, and tendons within the skeletal muscle, and observed that the anatomy of the nerves and blood vessels of the rectus femoris muscle is constant, and the diameter is suitable for facial blood vessels and nerves. The tendon is beneficial to maintaining the normal muscle tension of the transplanted muscle flap and the reduction and fixation of the facial orifice angle, and the surgical removal of the muscle flap is convenient, without damage to blood vessels, nerves, or dysfunction of the muscle donor site. There are now 21 patients who have undergone dynamic treatment of facial paralysis with free femoral straight femoral surgery. After using the above surgical method, all the patients' facial swelling subsided about 1 to 3 months after the operation, and the bilateral corners of the mouth were symmetrical in static conditions. Two of the patients regained voluntary movement of the corners of the mouth 8 months after the operation, and the rest all recovered after the operation. Autonomous expression movements appear between 10 and 12 months.

In general, the treatment of facial paralysis is: the first is to remove the cause. The second is symptomatic treatment to improve circulation and eliminate facial nerve edema. The third is to nourish the nerves. Once facial neuritis in the acute stage is diagnosed, antiviral treatment should be carried out as early as possible, with hormones and symptomatic treatment. If the optimal treatment opportunity is delayed, facial paralysis sequelae may easily occur.

In the past, traditional treatments for facial paralysis, sequelae of facial paralysis, hemifacial spasm, and trigeminal neuralgia used acupuncture, patching, cupping, cutting, fire acupuncture, electroacupuncture, physical therapy, nasal congestion medicine, interventional therapy, Facial injection of drugs, etc. and some folk methods such as rubbing eel blood. These traditional methods have made significant contributions to the development and prosperity of the Chinese nation and the elimination of diseases. They are the best in the motherland's medicine library.

However, the treatment of facial muscle diseases such as facial paralysis, facial paralysis sequelae, hemifacial spasm, and trigeminal neuralgia has serious and even insurmountable sequelae, which cause great pain to a large number of patients throughout their lives. source.

Facial muscles are flat, thin skin muscles and strip-shaped flat muscles. These muscles originate from different parts of the skull and are distributed around the eye clefts, mouth clefts and nostrils in a flat ring shape. Muscles and flat radial muscles are connected to the surrounding muscle tissue. When these muscles contract and relax, they have the effect of opening and narrowing the eyes, mouth, and nostrils. At the same time, it affects the movement of facial skin, showing various expressions such as joy, anger, sadness, joy, etc. There are about 26 facial muscles. They overlap with each other and each has its own function, such as acupuncture, cupping, patching, electroacupuncture, fire acupuncture, facial injection of drugs that nourish nerves, and interventional treatment on the face. These treatments will definitely cause damage, bleeding, fibrosis and inflammatory reactions in these muscles

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Folk prescription to treat facial paralysis

Take the blood from a live eel and apply it on the paralyzed facial skin after slaughtering it. Wash it off after 24 hours, or at least 12 hours later. The effect will be seen in about a week.

Croton wine

[Drug composition] Croton 3-5 capsules

[Functions and indications] Warming the meridians, eliminating phlegm, and unblocking collaterals. Mainly treats facial nerve paralysis.

[Usage and Dosage] Apply external smoke to the Laogong point in the palm of the hand with facial paralysis, 1-2 hours each time, severe cases can be treated for 4 hours, once a day, five times as one course of treatment.

[Preparation method] Grind the croton finely, put it in an aluminum pot or glass bottle, add 75% ethanol (alcohol) or 500ml of good soju, stew and heat for external use.

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Care methods for facial paralysis

1. Psychological care: Most patients have a sudden onset of illness, which will inevitably cause tension, anxiety, and fear. Some are worried that their face will change and they are shy to see people, and the treatment effect will be poor and leave sequelae. Patients with different psychological characteristics need to be patient to explain, comfort and provide guidance to relieve their tension, so that the patient's mood is stable and the patient is in the best physical and mental condition to receive treatment and care, in order to improve the therapeutic effect.

2. Eye protection: Due to incomplete or inability to close the eyelids, the blinking action and corneal reflex disappear, and the cornea is exposed for a long time, it is easy to cause intraocular infection and damage the cornea, so eye protection is very important. Reduce eye use, wear sunglasses for protection when going out, and drop some eye drops with lubricating, anti-inflammatory, and nutritional effects. Wear an eye mask or gauze block for protection when sleeping.

3. Local care: hot compress to dispel wind: apply ginger powder locally on the paralyzed side of the face for 1/2 hour a day; apply warm wet towel on the face 2-3 times a day, and massage by yourself in the morning and evening The affected side should be massaged with appropriate intensity and accurate position; as long as the muscles on the affected side can move, you can do actions such as wrinkle your forehead, close your eyes, whistle, and show your teeth in front of the mirror, and do 2 eights or 4 eights for each action. Shooting, 2-3 times a day, is very important to prevent atrophy of paralyzed muscles and promote recovery. In addition, patients with facial paralysis should be careful not to wash their face with cold water, avoid direct blowing, pay attention to weather changes, and add clothes in time to prevent colds.

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Self-massage treatment Facial paralysis

In addition to radical cure of the original disease, the main treatments for this disease include acupuncture, physical therapy, massage, drugs, etc. Self-massage can improve the efficacy and shorten the course of the disease. The specific operation methods are now introduced as follows:

1. Preparation. If you are lying on a bed, use a pillow; if you are sitting, place your head against the wall. The patient concentrates his thoughts and eliminates distracting thoughts. Before massage, make a hot compress or decoction of traditional Chinese medicine (9 grams of cassia twig, 9 grams of saposhnikovia, 9 grams of perilla leaves) soaked in a towel for hot compress. Be careful not to accidentally get the medicine into your eyes.

2. Scrape the eyelids. Using the ribbed surfaces of the index and middle fingers of both hands as the surgical end, scrape the upper and lower eyelids 50 times from the inner canthus outward, and then gently rub the eyelids for 20-30 turns.

3. Rub your nose with your fingers. Use the ribbed surface of the index fingers of both hands as the surgical end, rub downward from both sides of the nose to the Yingxiang acupoints on both sides of the nose 50 times, gently press and rub the acupoints for 1-2 minutes (Yingxiang acupoint is opened 0.5 cm next to the nose). Pressing the fingertips from light to heavy can cure the symptoms of crooked corners of the mouth and nasal congestion.

4. Tap the Sibai point. This point is in the depression of the infraorbital foramen, with the pupil pointing straight down. Use your index finger as the tip to twist the Sibai acupoint, gradually applying pressure while twisting. Lasts 1-2 minutes.

5. Rub the cheeks and Dicang points with your palms. Use the big fish muscle of the same side of the hand to press the cheek acupoint (masticatory muscle) on the affected side, and move it to the Dicang acupoint (0.5 cm away from the corner of the mouth) while rubbing it, going back and forth 50 times.

During treatment, please keep your face warm, avoid being exposed to cold wind, avoid washing your face with cold water, and avoid eating irritating foods. Massage 1-2 times a day is very helpful in curing facial paralysis.

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Facial paralysis and facial nerve diseases - green diet

Supplementing calcium and vitamin B complex elements can be helpful for facial nerve diseases.

Calcium is not only beneficial to bones and intelligence, but also promotes normal muscle and nerve function. Since patients with facial nerve disease mainly cause muscle atrophy due to facial nerve conduction disorders, calcium supplementation is very important, such as ribs and dark green vegetables. , egg yolks, kelp, sesame seeds, fruits, carrots, watermelons, dairy products, etc. are all rich in calcium.

Vitamin B family elements are also helpful for facial nerve diseases, such as B1, B2, B12, etc. Vitamin B family is rich in the following foods: coriander, tomatoes, winter melon, cucumber, papaya, apples, pineapples, pears, peaches, watermelon, apricots, persimmons, and grapes. Vitamin B can help the synthesis of neurotransmitters, so it should be supplemented appropriately.

Today I will introduce to you a recipe: pineapple and milk stewed pork ribs. The method is as follows: first soak the pork ribs in fresh milk for an hour, then fry the pork ribs in a pan, and be careful not to fry them. Once cooked, add seasonings and soup and simmer over medium heat for thirty minutes. Spare ribs and milk are used because they are rich in calcium, and pineapple contains a large amount of vitamin B. In addition, ribs also contain magnesium, which plays an important role in the metabolism of calcium and potassium and plays an important role in the normal operation of the nervous system. Green leafy vegetables, malt, brown sugar, dried dates, cereals, ribs and other foods are rich in magnesium. Add the pineapple 5 minutes before serving. This is the pineapple milk braised pork ribs brought to you today.