What are the symptoms of facial neuritis? What are the symptoms of facial neuritis

Facial neuritis is also facial paralysis, and the symptoms of facial paralysis are mostly paralysis of facial expression muscles on the affected side, disappearance of frontal lines, enlargement of eye fissures, flat nasolabial folds, and drooping corners of the mouth to the healthy side; drooping of the corners of the mouth and skewed face are more pronounced when smiling or showing teeth; The affected side should not do movements such as frowning, frowning, closing eyes, puffing up and pouting; When the cheeks are puffed up and whistled, the lips on the affected side do not close and they leak air. When eating, food debris often retains in the interdental and cheek space on the affected side and is accompanied by saliva lying down on that side; Because the lacrimal gland turns out with the outer eyelid, tears cannot drain as normal, resulting in lacrimation. It needs to be timely.

Facial neuritis, also known as facial nerve palsy, is a disease characterized by facial expression muscles and motor dysfunction. This disease is a common disease in neurology, and it is frequent, and there is no age limit, and patients will have symptoms such as crooked mouth and eyes, inability to close eyes, puff up, and even loss of eyebrow raising and shallow frontal lines. There are many causes of facial neuritis, including various viral infections, cerebrovascular diseases, intracranial tumors, and some otogenic diseases such as otitis media or autoimmune diseases, as well as alcoholism, as well as metabolic diseases, such as diabetes, vitamin deficiencies, etc.

Facial neuritis is a common disease in neurology, which can occur at any age, and the incidence of young adults is higher, and patients generally present with facial paralysis, which can appear as the frontal lines on the side of the lesion, the nasolabial ointment becomes shallow, the corners of the mouth are skewed to the side of the lesion, and the eyelids are not fully closed. At the same time, whistling occurs, causing air leakage on the side of the lesion, and there may also be loss or disappearance of taste in front of the tongue2 3.

On the basis of dialectical treatment in traditional Chinese medicine, through the mobilization of the meridians of the human body, it can achieve the functions of strengthening the body, promoting qi and invigorating blood, and clearing the channels to expel paralysis, so as to activate nerve cells, speed up blood circulation, improve immune function, promote the repair of nerve cells and tissues, regulate the function of the nervous system, repair damaged nerves, and initially control the disease, so that the symptoms of facial neuritis can be basically effectively controlled, and achieve the purpose of gradual improvement.

Facial nerve palsy refers to unilateral peripheral facial nerve palsy of unknown cause and acute onset.

and pathology.

It has not been fully clarified. It is generally believed that the bone facial N tube can just accommodate the facial N, and once there is ischemia and edema, there is a vicious circle of edema and compression ischemia. Predisposing factors are:

1. Viral infection.

2. Various forms of cold and autonomic instability cause neurotrophic vasoconstriction and capillary dilation, tissue edema and compression.

The pathological changes are edema and demyelination in the early stage of the face, and axonal degeneration in severe cases.

Clinical presentation. Given any age, males and females.

1. Acute onset, reaching a peak within a few hours or 1-2 days, and there may be pain in the angle of the mandible or behind the ears at the beginning of the disease.

2. The main symptom is paralysis of one side of the facial expression muscle. Loss of frontal lines; Unable to close or incomplete closure of the eye, when trying to close the eye, the eye on the paralyzed side rotates upward and outward, revealing the white sclera, which is called the Belle phenomenon (Bell S sign); The alar sulcus on the affected side becomes shallow, the corners of the mouth droop, and the corners of the mouth are tilted to the unaffected side when the teeth are exposed; Blowing or whistling due to orbicularis oris muscle paralysis and air leakage when whistling; Because the buccal muscles are paralyzed, food tends to be left between the teeth and cheeks on the affected side.

3. When the lesion is above the tympanic cord involved in the facial nerve, there may be ipsilateral loss of taste.

Diagnosis and differential diagnosis.

Diagnosis is based on the acute onset of peripheral facial palsy.

1. Guillain-Barré syndrome: there may be peripheral facial paralysis, but most of them are bilateral, with symmetrical limb paralysis, and CSF has protein-cell separation.

2. Various otitis media, labyrinthitis, mastoiditis and other concurrent otogenic facial nerve palsies, most of which have special symptoms and medical history of the primary disease.

**。Principle - Improve local blood circulation, reduce facial edema, and promote functional recovery.

1. Use prednisone as soon as possible, the initial dose is 1 kg d, bid, for 5 consecutive days, and gradually reduce to 5 mg d in the next 10 days.

2. Antiviral drugs.

3. High-dose neurotrophic drugs and appropriate use of vasodilators, such as B vitamins, ATP, etc.

4. Physiotherapy: infrared irradiation or ultra-short wave diathermy near the stem mammary hole**.

5. Traditional Chinese medicine: add or subtract Zhengsan.

Prophylaxis. 1. Prevent the wind chill behind the ears for a long time, especially in summer, do not sleep in the window, and do not expose the back of the ears to the window for a long time when taking the train.

2. Inflammation of the relevant parts of the active **.

Symptoms of facial neuritis are paralysis of facial muscles, patients may have symptoms such as cold or diarrhea before the onset of the disease, and pain in the back of the ear in the early stage after the onset of the disease, accompanied by paralysis of the facial muscles such as crooked corners of the mouth, inability to close the eyelids, inability to frown, difficulty swallowing, food leakage from the affected side, etc.

In the process, the patient must abstain from smoking and drinking.

Facial neuritis and facial paralysis are common, and one side of the facial expression is paralyzed, and the general symptom is crooked mouth and eyes. It is a common and frequent disease, and it is not limited by age and gender. Patients often cannot complete even the most basic facial movements such as raising eyebrows, closing eyes, puffing up the cheeks, and puffing the mouth.

It is that the facial muscles are numb, the feeling is not very smart, and the muscles are not flexible and stiff enough, which is a symptom of neuritis; Seeing that what you said is not very similar, it may be caused by the destruction of the ear nerve, it is recommended to go to the neurology department of the hospital as soon as possible**!

The symptoms of facial neuritis include crooked mouth, impaired sense of taste, and hearing loss, and there are many reasons, so you can see this information for details.

Hello and thank you for trusting me! First of all, I am not a doctor, just a TCM physiotherapist, I do fire therapy, facial neuritis, it should be aseptic inflammation, and fire therapy is specialized in this kind of inflammation, and the effect is very good! I understand that the deterioration of the condition is the spread of inflammation, and I need to call a professional doctor!