1, non-surgical treatment
Principle: Promote the early regression of local inflammation and edema, and promote the recovery of nerve function.
(1) For peripheral facial paralysis, antiviral, neurotrophic, glucocorticoid, B vitamins and other drugs can be used for virus infection.
(2) To protect the exposed cornea and prevent conjunctivitis, eye patch, eye drops and ointment can be used;
(3) Massage: Massage the facial muscles of facial paralysis by hand several times a day for 5 ~ 10 minutes each time.
(4) Physiotherapy, commonly used are ultrashort wave, low intermediate frequency electrotherapy, laser, drug introduction, etc.
(5) Acupuncture treatment.
2. Surgical therapy
After three months of conservative treatment, facial paralysis has not recovered, and those who have no response to facial nerve conduction velocity and facial muscle electromyography, that is, no potential activity, can be treated surgically.
Extended data:
Facial paralysis is caused by facial nerve stroke which dominates facial muscles. The main manifestation is that facial muscle movement is blocked. The clinical manifestations of facial paralysis are mainly bilateral facial paralysis, characterized by inability to frown and frown, inability to close eyes or eyes are incomplete, and fear of light and tears.
The mouth leans to the healthier side, air leaks from the seriously ill side when the cheeks swell, and water leaks from the seriously ill side and drools when gargling. When eating, food stays between the teeth and cheeks of the seriously ill party.
If the lesion involves chorda tympani nerve, in addition to the above symptoms, the taste of the first 2/3 of the ipsilateral tongue can be reduced or disappeared. When the above-mentioned foot muscle branches are involved, ipsilateral auditory hypersensitivity may occur due to foot muscle paralysis.
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