How to determine if facial neuritis is cured?

Written by Yuan Jun Li
Neurology
Updated on November 22, 2024
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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.)

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Written by Li Min
Neurology
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Facial neuritis requires the use of steroids.

Bell's palsy, or facial neuritis, is caused by stimulation or viral infection of the facial nerves, leading to facial nerve paralysis. This generally refers to peripheral facial neuritis. Early treatment includes antiviral, anti-inflammatory, nerve nourishment, and free radical scavenging. Therefore, early treatment of facial neuritis requires steroid therapy, commonly using oral prednisone. The dosage is determined by body weight, at 1 milligram per kilogram, taken orally for a week, then discontinued. The next step in the treatment plan involves acupuncture and physical therapy. (Use of medications should be under the guidance of a doctor.)

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Written by Zhang Hui
Neurology
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Facial neuritis should be treated in the Department of Neurology.

Facial neuritis is a typical disease in the field of neurology, so it is necessary to register under the neurology department. Neurologists have rich experience in the diagnosis and differential diagnosis of facial neuritis. Essentially, facial neuritis is a non-specific inflammatory response of the body. Before the onset, the patient may have been exposed to viral infections or stimuli such as cold wind on the face, leading to paralysis in the facial nerve distribution area, such as weakened eyelid closure, shallower nasolabial folds, and deviations of the mouth corner with drooling. Additionally, patients may experience herpes in the external ear canal's eardrum, accompanied by a decrease in taste at the front of the tongue. Neurologists will treat patients with corticosteroids and B vitamins.

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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 Zhang Hui
Neurology
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Does facial neuritis need treatment?

Facial neuritis, also known as idiopathic facial paralysis, can self-heal in a minority of patients with very mild symptoms without treatment. However, for most patients, it is still recommended to seek treatment promptly as it involves a non-specific inflammatory response. Treatment mainly involves the use of corticosteroids to reduce inflammation and swelling of the facial nerve. Additionally, treatment with B vitamins such as commonly used B1 and vitamin B12 is necessary, as these can nourish the peripheral nerves. Furthermore, patients also need to undergo some physical therapy and rehabilitation training. (Please use medication under the guidance of a professional physician.)

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Written by Zhang Hui
Neurology
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How long does it take for facial neuritis to recover?

Facial neuritis, also known as idiopathic facial paralysis, generally has a good prognosis for most patients. Typically, treatment involves corticosteroids, supplemented with B vitamins, along with rehabilitative physiotherapy and local acupuncture. Most patients can recover within one to two months, and many do not experience any residual effects. However, if the facial nerve paralysis is particularly severe from the onset, and the patient is elderly with additional risk factors such as diabetes, recovery may be slower, possibly taking between two to eight months. Some patients may even suffer from some degree of lasting effects. Therefore, while most cases of facial neuritis recover well, usually within one to two months, more severe cases may need up to eight months or longer for recovery.