Facial neuritis is commonly known as facial nerve palsy (ie, facial nerve paralysis), "crooked mouth", and "sling wind". It is a disease characterized by motor dysfunction of facial expression muscles. It is a common disease, frequently-occurring disease, and is not restricted by age. The general symptom is crooked mouth and eyes, and patients often cannot complete the most basic movements such as raising eyebrows, closing eyes, and bulging mouth.
There are many causes of facial neuritis. Clinically, it can be divided into central facial neuritis and peripheral facial neuritis according to the location of the damage. Central facial neuritis is located in the cortical medulla oblongata between the facial nerve nucleus and the cerebral cortex. It is usually caused by cerebrovascular disease, intracranial tumors, brain trauma, inflammation and so on. Peripheral facial neuritis lesions occurred in the facial nerve nucleus and facial nerve.
Mostly manifested as paralysis of facial expression muscles on the side of the disease, disappearance of forehead wrinkles, enlarged eye clefts, flat nasolabial folds, and drooping mouth corners. When smiling or showing teeth, the corners of the mouth fall and the facial skew is more obvious. The sick side cannot make movements such as frowning, frowning, closing eyes, inflating, and pursing the mouth. When bulging and whistling, air leaks due to the inability to close the affected lip. When eating, food residues often stay in the tooth and cheek space on the sick side, and saliva often drips from this side. Because the punctum erupts with the lower eyelid, the tears cannot be drained normally and overflow.
Principle: Promote the early resolution of local inflammation and edema, and promote the recovery of nerve function.
(1) For peripheral facial nerve palsy, antiviral, neurotrophic, glucocorticoid, B vitamins and other drugs can be used for viral infection.
(2) To protect the exposed cornea and prevent conjunctivitis, goggles, eye drops, eye ointments, etc. can be used;
(3) Massage, massage the facial muscles of facial paralysis with hands, several times a day, each time for 5-10 minutes.
(4) Physical therapy, commonly used are an ultrashort wave, low-medium frequency electrotherapy, laser, drug introduction, etc.
(5) Acupuncture treatment.
Nerve palsy has not recovered after 3 months of conservative treatment, and there is no response to facial nerve conduction velocity and facial electromyography, that is, no potential activity, surgical treatment can be used.
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Yu Jindong, Zhang Jing, Cao Shiqiang, etc. A review of the treatment of idiopathic facial nerve palsy with traditional Chinese medicine in the past ten years. "Journal of Integrated Traditional Chinese and Western Medicine Cardio-Cerebrovascular Diseases", 2008
Wang Min, Wang Shu. Treatment of 50 cases of peripheral facial nerve palsy with "Jingjin Needling Method" and observation
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