Symptoms of facial peripheral neuritis

Facial peripheral neuritis is a common disease with a relatively high incidence rate among adolescents. Once the disease occurs, patients often have unnatural expressions, wide eye fissures, facial paralysis, etc. There are many causes of the disease, which may be caused by colds or some viral infections. When this disease occurs, it must be treated in time. The earlier the treatment, the better the effect. Once the treatment is delayed, the harm will be relatively large.

Peripheral neuritis of the face

It is more common in young and middle-aged people. Some patients experience pain in the mandibular angle, ear, and mastoid area on the same side a few days before the onset of the disease. When inquiring about the medical history, attention should be paid to whether there are any factors such as the face being exposed to cold or wind before the onset of the disease. Most patients suddenly find that their cheeks are not moving properly or are crooked, their expressions are uncomfortable, their forehead lines disappear, their eye fissures are wide, their nasolabial grooves are flat, and the corners of the mouth are drooping when they get up in the morning and wash up.

1. The facial nerve branches below the stylomastoid foramen are affected, resulting in peripheral facial paralysis, disappearance of forehead wrinkles on the affected side, inability to frown, enlarged palpebral fissure, inability to close or incomplete closure, Bell sign (the eyeball rotates upward and outward when the eyes are closed, revealing the white sclera), shallower nasolabial grooves, drooping corners of the mouth, which deviate to the healthy side when showing teeth, air leakage when puffing the cheeks and whistling, and food retention between the teeth and cheeks on the affected side.

2. When the damage affects the facial nerve branches above the chorda tympani, in addition to peripheral facial paralysis, taste disorders also occur in the anterior 2/3 of the tongue on the same side.

3. When the facial nerve branches above the stapedius muscle are affected, hyperacusis, taste disturbance in the anterior 2/3 of the tongue on the same side, and peripheral facial paralysis may occur.

4. When the geniculate ganglion is affected, in addition to hyperacusis, taste disturbance in the anterior 2/3 of the tongue on the same side and peripheral facial paralysis, there is also pain in the mastoid area of ​​the affected side, decreased sensation in the auricle and external auditory canal, and herpes in the external auditory canal or tympanic membrane, which is called Hunt's syndrome.

Which groups of people are prone to facial paralysis

More than 95% of facial paralysis comes from viral invasion. Western medicine calls facial paralysis facial neuritis, which is mainly divided into peripheral facial neuritis and central facial neuritis. Among them, more than 95% of patients suffer from peripheral facial neuritis, which is caused by viruses; about 2% of patients suffer from facial neuritis due to trauma such as traffic accidents and surgery; 1% to 2% of patients suffer from facial neuritis caused by herpes zoster; and a small number of patients suffer from central facial neuritis caused by tumors compressing the nerves.

Seek medical treatment within a week and it can be cured in two weeks. "The specific cause of facial paralysis is still unclear." Xie Hongqi believes that the increase in incidence and the worsening of the disease may be related to more severe virus invasion, air and environmental pollution, increased social pressure, and the widespread spread of respiratory viruses in winter and spring.