Can facial neuritis be cured?

Written by Zhang Hui
Neurology
Updated on September 23, 2024
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Facial neuritis is a relatively common disease in neurology. It is mainly caused by viral infection or other nonspecific inflammatory reactions, leading to local inflammation of the facial nerve, which results in edema of the facial nerve and clinical manifestations caused by compression within the facial nerve canal. The main symptoms include shallower furrows on the affected side of the forehead, weakness in opening and closing the eyes, drooping and skewing of the mouth corner, drooling, weakness in puffing the cheeks, and air leakage when puffing the cheeks. Most patients with facial neuritis have a good prognosis, as long as the diagnosis is clear and appropriate treatment is administered in a timely manner, such as treatment with corticosteroids and B vitamins. If it is caused by a viral infection, appropriate antiviral treatment is given, and most patients can fully recover in about three months. If the condition is severe at the onset, or if the patient has risk factors such as diabetes, the prognosis is not very good. Overall, most people with facial neuritis recover well.

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Written by Zhang Hui
Neurology
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What causes facial neuritis?

Facial neuritis is very common in neurology, mainly caused by nonspecific inflammatory responses. For example, some patients with facial neuritis may experience viral infections, leading to inflammatory reactions in the muscles. Some patients develop inflammation of the facial nerve due to exposure to cold winds. Others may have immune dysfunction or rheumatic autoimmune diseases, which lead to inflammation of the facial nerve. Patients with facial neuritis usually experience paralysis of the facial muscles and may also experience significant pain, especially in the mastoid and external auditory canal. It is essential to treat facial neuritis early, using corticosteroids and B vitamins, as many patients have a good prognosis after treatment.

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Written by Yuan Jun Li
Neurology
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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.)

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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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Nursing Measures for Facial Neuritis

Facial neuritis is a nonspecific inflammatory response of the facial nerve, which can cause paralysis of the facial expression muscles. Patients may exhibit symptoms such as crooked mouth, drooling, incomplete eye closure, and a shallower nasolabial fold. The nursing measures for facial neuritis mainly include: First, it is essential to protect the eyes. Since some patients with facial neuritis may experience reduced tear gland secretion, their eyes can become very dry, and it is advisable to use eye drops. Additionally, some patients may not be able to fully close their eyes, allowing dust and viruses to easily infect the cornea and cause keratitis. It is necessary to cover the eyes with a moist gauze, especially during sleep at night. Second, patients should avoid spicy and irritating foods and adhere to a bland diet. Third, it is important to keep the face warm, and it is best for patients to wear a mask. (Note: The doctor's answer is for reference only. Please use medication under the guidance of a professional physician and do not self-medicate.)

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Written by Yuan Jun Li
Neurology
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Does facial neuritis cause fever?

Bell's palsy can cause fever, usually a low-grade fever. When the body temperature is between 37°C and 38°C, it is generally referred to as low-grade fever. The primary cause of Bell's palsy is viral infection. Patients may also exhibit symptoms such as eye fissures, paralysis of the facial expression muscles of the upper and lower face, disappearance of forehead creases, enlargement of the eye fissures, incomplete eyelid closure, showing white sclera when the eyes are closed, shallowing of the nasolabial folds, deviation of the mouth corners, air leakage when whistling, air escaping when puffing cheeks, loss or reduction of taste in the anterior two-thirds of the tongue, and difficulty in retaining food on the affected side when eating. Patients are prone to developing oral inflammation and conjunctivitis. Early and proper treatment after the onset is crucial, and most patients can achieve clinical cure after treatment.