Etiology of facial paralysis Idiopathic facial paralysis is the most common part of facial paralysis. It is generally believed that the causes of idiopathic facial paralysis are fatigue, cold behind face and ears and wind.
Infectious facial paralysis, infectious diseases and otogenic diseases are the causes of facial paralysis.
Neurogenic facial paralysis is caused by cerebrovascular diseases, intracranial and non-traumatic neurogenic diseases, such as cerebral hemorrhage, cerebral infarction and cerebral thrombosis. Facial paralysis caused by brain tumor also belongs to neurogenic facial paralysis.
Traumatic facial paralysis, temporal bone fracture and facial trauma are the most common causes of facial paralysis. Iatrogenic facial paralysis is caused by parotid gland surgery, mastoid surgery, dental treatment, tonsillectomy and hyperplastic branchial cleft resection.
Toxic facial paralysis usually includes alcoholism and carbon monoxide poisoning.
For the prevention of facial paralysis, we must start from the above points. In addition, it should be noted that some people who stay up late for a long time are also prone to facial paralysis, so I hope everyone can arrange a good schedule and rest reasonably to prevent the occurrence of diseases.
Symptoms of facial paralysis Symptoms of tongue deviation Many people report that the patient's tongue will be deviated. In fact, this is mostly an illusion, which is related to the incorrect position of the mouth and lips. After the quarrel is corrected manually, the tongue will not be skewed. If there is deviation, the tongue always leans to the healthy side, which is just the opposite of the direction of central facial paralysis with tongue deviation. At present, the explanation of tongue deviation is paralysis of styloid and palatoglossus muscles dominated by facial nerve, but patients generally do not have this kind of performance.
Symptoms of lacrimal gland salivary secretion disorder The nerves related to lacrimal gland secretion branch from the geniculate ganglion of the facial nerve and reach the lacrimal gland through the superficial petrosal nerve, pterygopalatine nerve and ophthalmic branch of maxillary nerve. When this nerve is paralyzed, the secretion of lacrimal gland will be reduced to disappear. The symptom of this kind of facial paralysis is the decrease of saliva secretion on the paralyzed side, because the chorda tympani nerve, a branch of the facial nerve, dominates the sublingual gland and submandibular gland, but it is not easy to attract attention in clinic.
Symptoms of taste and hearing disorders facial paralysis are often divided into two types: peripheral facial paralysis and central facial paralysis. When peripheral facial paralysis occurs, the general feeling of the patient's face and mucosa is normal, while the first two-thirds of the paralyzed tongue has taste disorder, most of which are taste loss and taste inversion. Sometimes when patients have peripheral facial paralysis, there will be mild sensory impairment around the auricle, which will cause hearing impairment and bring a lot of inconvenience to life.
The best treatment for facial paralysis is western medicine 1. Surgical treatment of facial paralysis: fascia lata is mainly transplanted to the face in strips, and surgical treatment is aimed at the treatment of facial paralysis in the late stage.
2. Treating facial paralysis with drugs: B vitamins, especially vitamin B 12, can promote peripheral nerve regeneration; Microcirculation improver, such as low molecular dextran, dibazole, etc. Hormones can reduce nerve edema and prevent degeneration.
The advantage of western medicine in treating facial paralysis is quick response, but the disadvantage is that it has side effects and is dangerous, which is not suitable for all patients with facial paralysis.
Treatment of facial paralysis with traditional Chinese medicine 1. Self-rehabilitation training: self-rehabilitation training for facial paralysis. Patients with facial paralysis should pay attention to functional exercises, such as closing their eyes, raising their eyebrows, puffing, opening their mouths, snoring their teeth, and warming their necks with hot and humid towels for more than 3 to 4 times every night.
2. Acupuncture treatment of facial paralysis: Chinese acupuncture is one of the main methods to treat facial paralysis, but the timing of acupuncture is controversial, and it is not allowed to lightly stimulate or directly stimulate the affected side. At present, the most commonly used method is to select points along meridians at an early stage. Chinese medicine can also be used to treat facial paralysis.
Whether western medicine or Chinese medicine is used, the most important thing is to insist on long-term treatment and carry out self-rehabilitation training at the same time. Facial paralysis can only be effective if it is treated comprehensively.