Facial palsy - a unilateral violation of the motor function due to lesions of the facial nerve.
The most characteristic feature - the stillness and asymmetrical half of the face.
A comprehensive approach to the treatment makes it possible to get rid of facial nerve paresis, but the restoration of the previous functions can take a long time.
Causes of disease
The main cause of facial paresis - neuritis, thethere is inflammation and swelling of the facial nerve. Optic neuritis is an infectious (herpes virus, rubella) and infectious nature. Paresis can occur in acute or chronic otitis, diabetes mellitus, in patients with coronary disease due to circulatory disorders of the facial nerve.
To disposable factors include hypothermia, hypertension, atherosclerosis, multiple sclerosis, surgery for dental treatment, facial trauma.
Neonates paresis frequently occurs as a result of birth trauma, especially when using the forceps.
Symptoms of facial nerve paresis
Facial paralysis in many cases affects one side face. There is numbness of facial muscles, which raises
difficulty facial expressions, the omission of a century, the violation of production of saliva, tear fluid.
difficulties may occur when eating,taste disturbances, dry eyes, increased sensitivity to sounds. Hard question, there is no facial expression on the affected side. All this not only causes significant impairment of normal daily functions, but also leads to emotional suffering, deterioration of the social life of the patient.
Most of the facial nerve neuropathy have a favorable prognosis. Full recovery occurs in 75% of patients, but after three months of paresis the chances of recovery decrease.
Treatment of facial nerve paresis strictlyindividually. In mild cases, a fairly simple medical supervision and massage course. nerve function recovery is slow, up to six months or longer, it is often necessary to medication and physical therapy, and occasionally require surgery.
Drug treatment includescorticosteroid hormones, which have powerful anti-inflammatory effect, and antivirals in case of viral disease. Vitamin therapy is based on the use of B vitamins ( "Neurovitan", "Neurobeks", "Milgama"). If necessary, use artificial tears or moisturizing gels from dry eyes.
Physiotherapy, massage, special chargerfacial muscles help to prevent long-term consequences of paresis. Patients are taught relaxation techniques and biofeedback for the treatment of pain, stress.
Surgery is possible in caseswhen it is not visible improvement from conservative therapy after 2-3 months of treatment. Held nerve decompression in the bone canal, linking the nerve, its plastic, neurolysis, corrective surgery for contractures of mimic muscles.