One of the biggest concerns for many people in winter is facial paralysis. Although facial paralysis may not seem to be a big problem, it may actually mean that our store has been harmed, so everyone must understand clearly what facial paralysis is. In fact, facial paralysis is a disease caused by wind, cold or infection, which leads to paralysis of the facial nerves. Causes There are many causes of facial neuritis. Clinically, it can be divided into central facial neuritis and peripheral facial neuritis according to the site of damage. The lesions of central facial neuritis are located in the corticobulbar tract between the facial nerve nucleus and the cerebral cortex, and are usually caused by cerebrovascular disease, intracranial tumors, brain trauma, inflammation, etc. Peripheral facial neuritis lesions occur in the facial nerve nucleus and facial nerve. The common causes of peripheral facial neuritis are: ① infectious lesions, mostly caused by the activation of viruses lurking in the sensory ganglia of the facial nerve; ② ear diseases, such as otitis media; ③ autoimmune reactions; ④ tumors; ⑤ neurogenic; ⑥ trauma; ⑦ poisoning, such as alcohol poisoning, long-term exposure to toxic substances; ⑧ metabolic disorders, such as diabetes, vitamin deficiency; ⑨ vascular insufficiency; ⑩ congenital facial nerve nuclear dysplasia. treat Treatment strategy First treat the underlying disease. Non-surgical methods such as medication, massage, physical therapy, acupuncture, etc. are used to promote the disappearance of inflammation, reduction of edema and recovery of nerve function. Surgical treatment can be used if necessary. Surgery If facial nerve paralysis has not recovered after 3 months of conservative treatment, and there is no response in the facial nerve conduction velocity and facial muscle electromyography examination, that is, no potential activity, surgical treatment can be used. |
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