The clinical manifestations of facial paralysis are very special: when most patients wash their faces and gargle in the morning, they often find that one cheek is invalid and the corners of their mouths are skewed. If the muscles of the affected side are completely paralyzed, the forehead wrinkles disappear, the eye fissure increases, the nasolabial groove becomes flat, the corners of the mouth droop, and the corners of the mouth tilt to the healthy side when the teeth are exposed. The affected side should not frown, close eyes, inflate or pout. When you drum your cheeks and whistle, the air will leak because the affected lip cannot be closed. When eating, food residues often stay in the gap between the teeth and cheeks of the affected side, and saliva often drips from this side. Because the tear spot turns inward with the lower eyelid, tears can't flow out according to normal drainage.
Facial paralysis is peripheral and central. The incidence of peripheral facial paralysis is very high, and the most common is facial neuritis or Bell's facial paralysis. People often say that facial paralysis refers to facial neuritis in most cases.
As for the treatment, acupuncture and manipulation are recommended, supplemented by traditional Chinese medicine for warming meridians and dredging collaterals.
If the facial paralysis caused by viral infection is diagnosed, ribavirin should be injected intravenously or intramuscularly and acyclovir tablets should be taken orally for antiviral treatment.