How should facial paralysis be checked and diagnosed?

The first point is to see what kind of situation causes facial paralysis should be carefully observed, the second point is to choose different acupuncture methods according to different situations, and the third point is that the best way to diagnose is to diagnose through the contours of the facial features.

For the case of facial paralysis, if you want to check and diagnose, then you must go to the relevant professional hospital for diagnosis, and you can't just judge what the face is. Paralyzed.

To diagnose facial paralysis, you should go to a professional nursing home for a specialized examination.

1. Lesion localization: lacrimation test, stapes reflex, electric taste measurement;

2. Neurological examination, including electroencephalography;

3. Biochemistry, blood glucose, urea nitrogen, blood routine;

4. X-ray, X-ray of the head and mastoid process;

5. The examination that should be done for patients with facial paralysis who is easy to be ignored is: facial nerve function measurement, that is, nerve excitability test, which can be performed even in the youngest children with facial paralysis, and it is best to do it at the beginning of facial paralysis, and it is carried out by the same person every day, and sometimes salivary gland scintigraphy may also be done.

(1) Static inspection.

Forehead: You need to see if the wrinkles are the same: whether there is a phenomenon of shallowness or disappearance, whether the outside of the eyebrows is symmetrical, drooping, etc.

Styloid mastoid process: It is necessary to check whether the styloid process is painful or if the temporal region and face are unilaterally painful.

Eye examination: It is necessary to check the size of the eye fissure, and further need to see whether the two sides are symmetrical, smaller or larger, whether the upper eyelid is drooping, whether the lower eyelid is etropion, whether the eyelid is twitching and swollen, whether the conjunctiva of the eye is congested and ulcerated, whether there are symptoms of tearing, dryness, soreness and swelling.

Ears: You need to check for tinnitus, ear stuffiness, hearing allergies, and similar symptoms.

Cheeks: Need to see if they become lighter, disappear, or darken. Whether the cheeks are symmetrical, flat, thickened or twitching. Whether the face feels tight, stiff, numb or atrophied.

Mouth: need to see if the corners of the mouth are symmetrical, drooping, raised, or twitching; Whether the lips are swollen and whether the philtrum is deviated.

Tongue: Check for taste involvement.

2) Examination of the nature of exercise.

As the name suggests, it is to ask the facial paralysis examiner to do some exercises on the body and face to see if it is normal.

Brow Raising Exercise Check the motor function of the frontooccipital muscle, frontal abdomen. In severe cases, the forehead is flat, wrinkles generally disappear or become significantly lighter, and the outer side of the eyebrows droops significantly.

Frowning: Check whether the frown muscles can move and whether the range of movement of the eyebrows on both sides is consistent.

Closing the eyes: When closing the eyes, attention should be paid to whether the corners of the mouth on the affected side are raised, whether the affected side can be closed tightly, and the degree of closure.

Nose shrugging: Observe whether there are wrinkles in the nasal depressor muscles and whether the upper lip has the same range of motion on both sides.

Dental display: pay attention to the amplitude of movement of the corners of the mouth on both sides, whether the mouth fissure is deformed, and the number and height of the upper and lower teeth exposed.

Nuzui: Pay attention to whether the distance between the two sides of the mouth and the middle of the person is the same, and whether the shape of the Nu mouth is symmetrical.

Gillary bulging: Mainly check the motor function of the orbicularis oculi muscle.

Mr. Sima talks about facial paralysis v; Facial paralysis pinyin 6666

In the outpatient clinic, some patients are because of the sequelae of plastic surgery, some are because of viral infection, and some people are paralyzed because of blowing the air conditioner and fan, but the symptoms are similar, the face is asymmetrical, the mouth and eyes are crooked, and most of them wear masks in order to cover up, and they need to be active!

Facial paralysis, also known as facial nerve palsy. According to the ** of facial paralysis, it can be divided into two types: central facial paralysis and peripheral facial paralysis

1. Central facial paralysis:

**: It is caused by brainstem and brain lesions, such as cerebral infarction, cerebral hemorrhage, brain trauma, brain tumor, brainstem inflammation, etc.

Central facial palsy is paralysis below the cleft of the eye, paralysis without frontal part, and patients can do movements such as frowning, frowning and closing eyes; It is often accompanied by symptoms such as slurred speech, numbness of half of the body, and paralysis of half of the body.

2. Peripheral facial paralysis: also known as facial neuritis, it is an acute non-purulent inflammation of the facial nerve in the inner segment of the nerve tube above the stem foramen. When we usually talk about facial paralysis, we mostly refer to facial neuritis.

The clinical manifestations are mainly characterized by crooked mouth and eyes, which are mostly unilateral, and bilateral onset is rare. The onset is acute, the facial expression muscles on the affected side are paralyzed, the forehead wrinkles disappear, the eyebrows cannot be frowned, the eyebrow is drooping, the eyelid fissure is enlarged, the eyelids cannot be closed or closed incompletely, the nasolabial folds are flat, the corners of the mouth are drooping, and the face is pulled to the unaffected side.

The cause of facial neuritis is not yet understood, and it may be caused by the spasm of vegetative microvessels of the facial nerve caused by cold wind blowing on the face, causing local tissue ischemia and hypoxia. Others believe it is related to a viral infection, while others believe that it may be an immune response.

If you have facial paralysis, Yang Yining said that there are several causes of facial paralysis: first, it is a viral infection; second, it is the spasm of the blood vessels of the vegetative nerves of the face due to the wind and cold; Third, it is rheumatic facial paralysis, which is caused by poor flow of qi and blood; In addition, facial paralysis may also be induced by emotional causes or cold.

Facial paralysis simply refers to the occurrence of symptoms like paralysis of the face. That's why it's called facial paralysis. There are many causes of facial paralysis, which can be caused by infection, caused by the source of the disease, and some other causes that we cannot expect in life.

Therefore, facial paralysis is a more complex condition. On the basis of dialectical treatment of traditional Chinese medicine, through the mobilization of the meridians of the human body, the effect of straightening up, activating qi and activating blood, and demobilizing paralysis can be achieved, so that nerve cells can be active, accelerate blood circulation, improve immune function, promote the repair of nerve cells, regulate nervous system function, repair damaged nerves, and initially control the disease, so that the patient's symptoms can be basically effectively controlled, and the purpose of gradual improvement can be achieved.

Facial paralysis is one of the common peripheral nerve diseases, and facial paralysis will cause facial nerve paralysis, crooked corners of the mouth, drooling, and unable to close the eyes. In addition, facial paralysis is also related to autoimmunity. Lv Hongbin said that facial paralysis should use drugs, massage, physiotherapy, acupuncture and other methods to promote the resolution of inflammation, the reduction of edema and the recovery of nerve function.

Li Yan introduced that traditional Chinese medicine believes that facial paralysis is: loss of qi and blood, lack of righteous qi leading to internal and external instability, emptiness of yang and yin veins, and wind evil taking advantage of the void to enter, in the veins, causing meridian qi congestion, qi and blood blockage, and loss of meridian nourishment. Traditional Chinese medicine also has a long history in facial paralysis, with a large number of successful cases.

Pay attention to proper rest, pay attention to the uninterrupted warmth of the face. You can wear a mask when you go out, and do not go near the window when sleeping to avoid further cold. Be careful not to wash your face with cold water, avoid blowing cold air, pay attention to weather changes, and add clothes in time to prevent colds.

The diet should be nutritious, choose easily digestible foods, stop smoking and alcohol, and avoid stimulating foods. It is recommended that Chinese medicine **, combined with Chinese medicine to regulate the whole body, the effect is better.

Facial paralysis, also known as facial nerve palsy, is a facial disease caused by facial neuritis, which is manifested by crooked corners of the mouth, leaky speech, drooling, etc.

Facial paralysis is mainly a physical examination, and in addition to static examination and dynamic examination, imaging examinations, such as MRI or CT examination, are also needed to rule out facial symptoms caused by other diseases, so as to avoid missed or misdiagnosed.