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The facial nerve is a type of peripheral nerve that is made up of intermediate axons and a myelin sheath that surrounds it. Generally speaking, when the myelin sheath is damaged, it can be completely repaired by the vegetative nerve, but once the axon is damaged, it cannot be completely repaired.
Therefore, when the facial nerve is injured, it depends on the severity of the injury, and if the injury only affects the peripheral myelin sheath, the facial nerve injury that passes through the vegetative nerve can be recovered. However, if the facial nerve has been injured and the middle axons have been involved, the axons through the vegetative nerve cannot fully restore function. Thus, once the axons of the facial nerve are involved, the injury cannot be fully recovered.
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Some facial nerve injuries can heal on their own, but most facial nerve injuries do not heal on their own and require aggressive treatment.
First of all, if the facial nerve is injured due to trauma, tumor compression, etc., it is definitely necessary to deal with the trauma and relieve the compression of the opposite facial nerve so that the facial nerve injury will improve. Facial nerve damage caused by severe facial neuritis requires active hormonal and antiviral therapy in the early stage of the disease, and acupuncture and other physiotherapy in the later stage to be cured.
Only some patients with mild facial neuritis may heal the facial nerve injury on their own under the premise of resting, increasing nutrition, and avoiding colds and infections.
Facial nerve injury is not very common in life, so most friends may not know much about this disease, and the main cause of facial nerve injury is facial nervous system damage caused by external forces.
In short, facial nerve palsy has the potential to heal on its own. A variety of ** can cause facial nerve damage, resulting in facial nerve paralysis. The prognosis is different. After facial nerve injury, most of its functions can be restored to varying degrees after reasonable **.
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If there is a head trauma or nerve damage in the process of surgery, it is easy to cause facial nerve damage, facial nerve damage will make the patient have a change in appearance, and even cause facial paralysis, facial nerve injury should be diagnosed as soon as possible**, in addition to the more obvious symptoms just mentioned, what are the three symptoms of facial nerve injury?
1. After facial nerve injury, the most typical symptom of the patient is the severe loss of motor function of several expression muscles such as the forehead, eyes, nose, lips, etc., so the patient has no way to accurately achieve certain expressions and even have strange expression symptoms on the appearance. The coordination of several expression muscles may also be too disordered, so the face will also jump unconsciously. Some patients also have different heights on both sides of the eyebrows, local paralysis of facial muscles, and inability to frown and stare at the eyes.
2. After facial nerve damage, the patient's face will be too swollen, and even cause bleeding from the fundus. It is suggested that hyperbaric oxygen can be used to improve the hypoxic state of nerve fibers, and at the same time, hyperbaric oxygen can also relieve edema, enhance the phagocytic ability of cells, and gradually improve the nerve control function of the face.
3. If the patient has facial nerve injury, the chewing ability will also be affected, because the muscles of the face and the muscular ability of the jaw are almost completely lost after the injury, so they cannot chew when eating. There may also be drooling, leakage of air and slurred pronunciation at the corners of the mouth.
In case of facial nerve injury, it is recommended to take conservative**, such as taking hormone drugs to reduce edema and help nerve recovery, or you can also use nerve nutrition drugs such as vitamin B1 and B12 to assist**. If conservatively** does not work, surgery** such as facial nerve decompression, or facial nerve anastomosis or grafting** is required. After the system, facial nerve damage can generally receive good results.
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Facial nerve injury, also known as facial nerve palsy, is divided into central facial nerve palsy and peripheral facial nerve palsy. Peripheral facial nerve palsy is a disease characterized by facial expression muscle movement disorder, which is a common and frequent disease, not limited by age, and is mostly manifested as paralysis of facial expression muscles on the affected side, the disappearance of forehead wrinkles, the enlargement of eye fissures, the flat nasolabial folds, the downward slope of the corners of the mouth, and the drooping of the corners of the mouth and the crooked face when smiling or showing teeth. The affected side cannot wrinkle the forehead, frown, close the eyes, puff up and pout, etc., the cheeks and whistle are leaked because the lips on the affected side cannot be closed, and the food residue is often retained in the tooth and cheek space of the affected side when eating, and saliva often flows down from the side, and the tear spots turn outward with the lower eyelid, so that the tears cannot overflow according to the normal drainage.
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Nerve damage can be recovered to a certain extent, but it depends on the patient's basic condition, the degree of injury, and the length of the disease.
Basic physical condition: When the patient's physical condition is relatively good and there are no other underlying diseases, the recovery is generally better, and when the patient's physical condition is relatively poor, the recovery is generally poor. The patient is older, the recovery time is generally longer, and the prognosis is poor, and the patient is younger, the recovery time is relatively short, and the prognosis is relatively good.
Length of disease: If the patient's condition is short, through the scientific system, the prognosis is generally good, and if the patient's condition is relatively long, the prognosis is generally poor.
Degree of injury: The patient has a relatively mild degree of injury, a superficial nerve site, and a generally good prognosis, and a severe degree of injury, and generally a poor prognosis if it is a key nerve.
Patients with nerve damage are recommended to take vitamin B or other nerve drugs in their daily life, and they must seek medical attention in time when the condition is aggravated to avoid delaying the condition.
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Hello, due to the greater possibility of recovery from facial nerve injury, non-surgical ** should be used in the early stage of injury, dexamethasone and appropriate amounts of dehydrating drugs should be used to reduce post-traumatic reactions and local edema, and neurotrophic drugs and calcium channel blockers should be used to improve the blood supply to neurometabolic blood vessels, which can often promote the recovery of neurological function.
Surgical ** is only because the nerve has been severed or severe facial paralysis, after four to six months of non-surgical ** patients have no effect, not only to restore the motor function of the area, but also to help to correct the appearance and relieve the psychological pressure of the patient. In otoneurosurgery, anastomosis is given to patients with injuries to the facial nerve near the knee, often detected by early exploration of the middle ear or mastoid process.
If ischemia due to compression can be considered, decompression can be considered, and the connective tissue sheath of the epineurium is opened, and most of the persistent facial nerve paralysis is replaced by ** in neurosurgery.
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If the patient's facial nerve injury is caused by trauma, especially if there is an open trauma that results in a facial nerve fracture, nerve recovery is unlikely because recovery after a nerve fracture, even after a nerve anastomosis, is unlikely.
If the patient's facial nerve is damaged, it is caused by a disease, such as a viral infection, strain, or cold, it is possible**.
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If the facial nerve is damaged, it depends on whether it is caused by trauma or other conditions, and if it is not caused by trauma, it can be recovered.
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At present, nerve damage is mostly irreversible, and there will be varying degrees of sequelae.
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Early-onset patients, facial paralysis immediately after injury, loss of expression on the affected side, incomplete eyelid closure, mouth corners deviated to the unaffected side, especially crying, more obvious when laughing, exposure keratitis often in the affected eye, if the facial nerve injury is proximal to the tympanochorda, then the ipsilateral anterior tongue 2 3 taste is also lost, late-onset patients often appear facial paralysis 5 7 days after injury, mostly due to bleeding, ischemia, edema or compression, the prognosis is better.
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The incidence of facial neuritis is not fully defined and may be related to the following factors:
1. Viral infection is the most important gener, but viruses can rarely be isolated;
2. Abnormal autoimmunity, the facial nerve is prone to inflammatory changes when the immunity is abnormal, and the internal factors are the dominant type for patients with anti-facial neuritis;
3. Tumor compression;
4. Brainstem hemorrhage or infarction;
5. Traumatic brain injury;
6. Purulent inflammation, such as otitis media, mastoiditis, mumps or inflammation and infection of the auricle and ear roots, can affect the main trunk or branches of the facial nerve and cause lesions.
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In the early stage, it is mainly to improve local blood circulation, eliminate inflammation and edema of the facial nerve, and in the later stage, it is mainly to promote the recovery of nerve function.
Guidance: Even if facial paralysis is found to be conditional, it will go through these 4 stages of development when you immediately go to the hospital to receive a regular **. Especially in the first and second weeks, symptoms worsen.
This is not because the effect of ** is not good, but a normal manifestation of the development of the disease. If not**, symptoms may be more severe. Therefore, once facial paralysis in the acute phase is diagnosed, if there are no contraindications to drugs, corticosteroids and symptomatic treatment should be used as soon as possible.
If the best time is delayed, it is easy to cause various complications and sequelae of facial paralysis. You can choose Chinese medicine**.
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