facial paralysis

Facial paralysisMost patients are often in the morning wash gargle suddenly found side cheek movement is ineffective skew mouth disease of t

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Facial paralysis

Most patients are often in the morning wash gargle suddenly found side cheek movement is ineffective skew mouth disease of the lateral facial muscle completely paralyzed forehead wrinkles disappear eye crack expansion nasolabial fold flat drooping mouth toothy mouth to the contralateral side askew disease side cannot be frown frown with closed eyes drum gas and pouting action gills drums and blowing when the whistle from lateral lips can not be closed due to leakage when eating food residue often left on the side of the cheek teeth gap disease and often slobber drips from the side with tears because the entropion tears can't according to the normal drainage and overflow

Psychological factors can lead to paralysis: survey of psychological factors is an important factor in the cause of facial nerve paralysis side nerve paralysis occurred before a considerable part of the patient's body fatigue, lack of sleep mental stress and physical discomfort etc.

Attention should be paid to maintain a good mood: the best way to prevent facial paralysis is usually to pay attention to maintain a good mood to ensure adequate sleep and proper exercise to enhance the body immunity

Clinical features:

Acute onset, mostly unilateral, symptoms can be reached in a few hours or 1 - 3 days. The early stage of the disease may be associated with paralysis of the ear or ear mastoid area of mandibular angle pain. The main performance for the side of facial muscle paralysis, the amount of grain disappeared or shallow, not frown or eyebrow, eye fission, eye dysraphism or can not be closed, closed the paralyzed side to foreign eyeball rotation, revealing white sclera, called Bell syndrome; ipsilateral nasolabial fold, mouth drooping, showing the teeth when the mouth was twisted contralateral; orbicularis muscle paralysis of the drum and whistle when gas leakage; the food easily stuck in the buccinator paralysis disease between side cheek teeth. Because of the taste from the geniculate ganglion fibers in the facial nerve canal, and then separated from the facial nerve, the formation of chorda tympani nerve after lingual nerve, innervating the anterior tongue taste 2/3. Participate in chorda facial nerve more lesions can appear ipsilateral anterior lingual 2/3 loss of taste; as in a above stapedius damaged, can appear 2/3 anterior tongue taste loss and auditory hypersensitivity; geniculate ganglion herpes zoster virus infection, except for peripheral facial paralysis, loss of taste and tongue before 2/3 hyperacusis, and ipsilateral mastoid pain, pinna and concha hypoesthesia, external auditory canal or tympanic membrane appeared herpes, called Hunt syndrome.

Treatment of facial paralysis:

The first is to remove the cause of second symptomatic treatment improves circulation, eliminate facial nerve edema is third facial neuritis in acute nerve nutrition once diagnosed with hormone as early as possible antiviral and symptomatic treatment if the delay in the best timing of treatment is likely to cause paralysis sequela

 

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