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Treatment of sequela of facial paralysis
1. Drugs such as nutrient nerve (B vitamins) are generally used in drug treatment to improve local blood circulation, relieve facial nerve edema and promote functional recovery. Carbamazepine is the first choice for hemifacial spasm. 2. Chinese medicine treatment of patients should try not to use electroacupuncture, excessive electric massage and over-frequency stimulation. Acupuncture treatment can be combined with traditional Chinese medicine fumigation and nerve nourishing drugs to help nerve recovery. 3. Botulinum injection When the sequela of facial paralysis is hemifacial spasm, botulinum toxin A can be injected at the spasm site, and the injection should be carried out under the guidance of electromyography as far as possible. Most patients can achieve satisfactory results, but some patients will relapse after injection of botulinum toxin A for 3 ~ 6 months, and the second injection is still effective. 4. Surgical treatment For patients with sequelae of facial paralysis who are ineffective in conservative treatment, plastic surgery can be used for treatment. At present, the latest application method at home and abroad is small muscle free transplantation, which has the advantages of no facial bloated deformity and secondary obstacle of donor site, less injury, less pain for patients, short course of disease, short-term static effect and long-term dynamic effect.