How to determine if facial neuritis is cured?

Written by Yuan Jun Li
Neurology
Updated on November 22, 2024
00:00
00:00

Patients with facial neuritis, if the paralysis of the facial expression muscles returns to normal, are generally considered cured. After the onset of the disease, patients must receive early and timely treatment. Corticosteroids such as dexamethasone, prednisone, and methylprednisolone can be used, along with B vitamins to nourish the nerves. Commonly used are vitamin B1, vitamin B12, adenosylcobalamin, and methylcobalamin, among others. One week after the onset, acupuncture treatment can be considered, as well as massage, physical therapy, and heat therapy. Most patients begin to recover two weeks after treatment, and basically return to normal within two months, with a minority possibly experiencing certain sequelae, such as facial muscle spasms or remaining facial muscle paralysis. (The use of medications should be under the guidance of a physician.)

Other Voices

doctor image
home-news-image
Written by Zhang Hui
Neurology
1min home-news-image

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.

doctor image
home-news-image
Written by Zhang Hui
Neurology
1min 11sec home-news-image

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.

doctor image
home-news-image
Written by Yuan Jun Li
Neurology
1min 6sec home-news-image

Can facial neuritis eat fish?

Patients with facial neuritis who are not allergic to seafood can eat fish. Fish contains a large amount of high-quality protein, which can supplement the essential proteins needed by the human body and improve the patient's physique. Patients can also eat other lean meats and poultry eggs, and consume plenty of fresh vegetables and fruits. If a patient develops facial neuritis, they should avoid spicy and stimulating food, such as hot peppers. Active treatment should also be pursued, including the early use of corticosteroids such as dexamethasone and prednisone, as well as drugs that nourish the nerves, commonly including B vitamins, vitamin B12, vitamin B1, and derivatives of B vitamins such as adenosylcobalamin and methylcobalamin. One week after the onset, acupuncture and physiotherapy can be considered, and many patients can be clinically cured. (Medication should be used under the guidance of a physician.)

doctor image
home-news-image
Written by Zhang Hui
Neurology
1min 7sec home-news-image

What department should I go to for facial neuritis?

Facial neuritis is a nonspecific inflammatory response of the facial nerve, which causes paralysis of the facial nerve, leading to paralysis of the facial muscles it controls. Facial neuritis is treated in the neurology department of many hospitals, so registration for facial neuritis should be done under neurology. Neurologists will make necessary diagnoses based on the patient's clinical symptoms, then prescribe relevant auxiliary examinations to rule out other conditions, such as facial neuritis caused by Guillain-Barre syndrome, and exclude facial paralysis caused by cranial ocupations. Additionally, some hospitals' maxillofacial surgery departments also treat facial neuritis, so one could also visit maxillofacial surgery for treatment. Overall, facial neuritis is primarily managed in neurology departments, though in some hospitals, it can also be managed in neurosurgery departments. Treatment for facial neuritis mainly involves administration of corticosteroids and B vitamins, such as vitamin B1, B6, and B12.

doctor image
home-news-image
Written by Tang Bo
Neurology
1min 15sec home-news-image

Facial neuritis should visit which department?

Facial neuritis should be treated by the Department of Neurology, but after the acute phase, physiotherapy can be performed at the Rehabilitation Department. Facial neuritis is caused by non-specific inflammation of the facial nerve within the stylomastoid foramen, leading to peripheral facial paralysis. The exact cause is currently unclear, but it is believed to be related to optic nerve viral infections. It usually occurs after exposure to cold and upper respiratory infections, and can occur at any age, most commonly between 20 and 40 years, with a higher incidence in males than females. It starts acutely, peaking within a few hours or days, mainly presenting as paralysis of the facial expression muscles, disappearance of forehead lines, inability to frown or wrinkle the forehead, and inability to close the eyelids or incomplete closure. Therefore, during the acute phase, treatment in the Department of Neurology is necessary, and rehabilitation treatment can be sought after the acute phase in the Rehabilitation Department.