How to effectively treat the sequelae of facial paralysis

Facial paralysis is not uncommon in life, and many patients with facial paralysis find it difficult to make even basic facial expressions. Facial paralysis also has certain sequelae, and many people are concerned about how to treat the sequelae of facial paralysis. Generally, the sequelae of facial paralysis can be treated with medication, and traditional Chinese medicine can also be used for treatment.

1. Medication

Generally, drugs such as nerve nutrition (B vitamins) are used for treatment to improve local blood circulation, reduce facial nerve edema, and promote functional recovery. Carbamazepine is the drug of choice for the treatment of hemifacial spasm.

2. Traditional Chinese Medicine Treatment

For patients, try not to use electroacupuncture, electric massage, or other treatment methods that are too heavy or too frequent. While using acupuncture treatment, Chinese medicine fumigation and nerve nourishing drugs can be used to help nerve recovery.

3. Botulinum toxin type A injection

When the sequelae of facial paralysis manifests as facial muscle spasm, botulinum toxin type A can be injected at the spasm site. The injection should be performed under the guidance of electromyography as much as possible. Most patients can achieve satisfactory results, but some patients will relapse 3 to 6 months after the injection of botulinum toxin type A. Re-injection is still effective.

4. Surgery

Plastic surgery can be used to treat patients with sequelae of facial paralysis who are unresponsive to conservative treatment. The latest method currently used at home and abroad is small muscle free transplantation, which has the advantages of no facial swelling deformity and secondary donor site disorders, little damage, less pain for patients, short course of disease, short-term static effect, and long-term dynamic effect.

5. Others

Patients with facial paralysis should pay attention to rest, ensure adequate sleep, avoid various mental stimulation and excessive fatigue, and pay attention to keeping the head and face warm to facilitate recovery from the disease. Patients with facial paralysis should have confidence and patience during treatment. Under the guidance of a doctor, they should overcome anxiety and pessimism, adopt a positive and optimistic attitude towards the disease, enhance self-control, re-establish a reasonable and healthy way of life and work, and actively cooperate with treatment.