Can facial neuritis be cured?

Written by Su Mei
Neurology
Updated on September 21, 2024
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Patients with incomplete facial paralysis may recover or heal within one to two months, while those with complete facial paralysis generally need two to eight months, or even a year to recover, often leaving sequelae. Recovery of taste within a week indicates a good prognosis. Young patients have a better prognosis, while elderly patients with mastoid pain, diabetes, hypertension, cerebral arteriosclerosis, myocardial infarction, and other conditions have a poorer prognosis. We generally use electromyography (EMG) to examine and predict outcomes. If a patient with complete facial paralysis shows an M-wave amplitude in the affected area's EMG action potentials that is 30% or more of the normal value within seven days of the illness, they may fully recover within two months. If optic nerve potentials appear within ten days after the onset of the illness, the recovery tends to be slow.

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Written by Tang Bo
Neurology
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What should be paid attention to in daily life with facial neuritis?

If facial neuritis occurs, one should pay attention to eye care. Due to facial neuritis, eyelid closure may be incomplete, potentially allowing foreign objects or infections to enter the eye. Therefore, it is advisable to reduce outdoor activities, keep the eyes clean, and during social interactions, cover the affected eye with an eye patch or apply ophthalmic ointment to prevent conjunctival or corneal infections, while minimizing eye use. Regarding diet, some patients may experience disturbances in taste, so it is important to be mindful of the temperature of food, avoid hard food, and maintain oral hygiene.

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Written by Liu Shi Xiang
Neurology
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The difference between facial neuritis and facial nerve paralysis

The difference between facial neuritis and facial nerve paralysis is that facial neuritis refers specifically to peripheral facial paralysis, while facial nerve paralysis is a broader concept. It includes peripheral facial palsy caused by facial neuritis, as well as central facial palsy caused by cerebrovascular diseases. Therefore, the two have different clinical concepts and symptoms. Facial neuritis can involve paralysis of the entire facial muscles, including the disappearance of forehead lines and the shallowing of the nasolabial fold below the eye slit, as well as deviation of the mouth corner. Facial nerve paralysis, in addition to the symptoms caused by facial neuritis, may also include central facial palsy caused by cerebrovascular diseases. Central facial palsy does not affect the facial muscles above the eye slit, but only causes paralysis of the facial muscles below the eye slit, including shallowing of the nasolabial fold and deviation of the mouth corner. Therefore, facial nerve paralysis is a more extensive concept.

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Written by Zhang Hui
Neurology
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Symptoms of facial neuritis

Facial neuritis, known as idiopathic facial paralysis, is a common disease in neurology. The main clinical manifestations and symptoms include acute onset, peaking within several hours to days. The primary manifestation is paralysis of the expression muscles on the affected side of the face, such as diminished forehead wrinkles, inability to open the eye, furrow the brow, or weak eyelid closure. Some patients may experience pain behind the ear, and in the tympanic membrane and external ear canal. Additionally, some patients exhibit deviation of the mouth corner, air leakage when puffing or whistling, and difficulty retaining food residues while eating or leaking water while drinking. Other patients may experience loss of taste in the anterior two-thirds of the tongue, along with secretion disorders of the salivary and lacrimal glands. Overall, the diagnosis of facial neuritis is relatively straightforward, and its clinical presentation is not particularly complex. Once the diagnosis is confirmed, timely treatment is essential, and most patients can recover.

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Written by Tang Ying
Physical Medicine and Rehabilitation
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Can facial neuritis heal by itself?

If it's a case of facial neuritis, generally very mild facial neuritis tends to heal on its own, but it takes time. Common symptoms of facial neuritis include incomplete eyelid closure and deviation of the mouth. More severe cases may even experience reduced taste and hearing. Under such circumstances, it is recommended that patients seek medical attention at a formal hospital as soon as possible to avoid delaying treatment. The best recovery period for facial neuritis is within three weeks; therefore, as time delays, the difficulty of recovery increases. Thus, we advise patients with particularly evident symptoms to seek medical care promptly.

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Written by Zhang Hui
Neurology
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How is facial neuritis treated?

Facial neuritis is generally prone to occur in patients with immune dysfunction, with factors such as viral infections and some patients may be related to cold stimulation from air conditioning or fans on the face. The treatment of facial neuritis mainly includes the following aspects: First, glucocorticoid treatment should be given. Glucocorticoids play a very important role in the treatment of facial neuritis. They can reduce abnormal inflammatory responses and swelling of the facial nerve, which greatly helps the patient's recovery. Second, some B vitamins should be given to nourish the nerves. If the condition is caused by viral infection, antiviral medication should also be provided. In addition, some rehabilitation training is particularly important, and it is recommended that patients receive early physiotherapy and functional training for facial muscles.