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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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 Feng Ying Shuai
Traditional Chinese Medicine
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Which part of the body is moxibustion applied for facial neuritis?

For facial neuritis, moxibustion on specific areas needs dialectical analysis. Apart from moxibusting local acupoints like Quanliao, Dicang, and Qianzheng for facial neuritis caused by exposure to wind, cold, and damp pathogens, one can dialectically choose distant or nearby acupoints, such as Fengchi, for moxibustion. For cases where facial neuritis has persisted for a long time accompanied by symptoms of physical weakness, such as fatigue and a pale complexion, it is effective to also perform moxibustion on acupoints like Zusanli and Guanyuan, in addition to the local points, to enhance the body's resistance. This approach tends to yield better results.

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Written by Yuan Jun Li
Neurology
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What should I do if facial neuritis is accompanied by a fever?

Patients with facial neuritis who experience a fever with a body temperature above 38.5°C can undergo antipyretic treatment. They can take oral acetaminophen or ibuprofen, or receive intramuscular injections of Chaihu and Lysine Aspirin Injection. Simultaneously, antiviral medications should be used, such as ribavirin, oseltamivir, ganciclovir, and acyclovir, etc. It is also crucial to actively use medications that nourish the nerves, such as oral vitamin B1, vitamin B12, cobamamide, and methylcobalamin. During the acute phase, corticosteroids, which also have a certain antipyretic effect, can be used to reduce local edema and promote the absorption of inflammation. Dexamethasone and prednisone are commonly used clinically, and the medication period should generally not exceed two weeks, etc. (Medication should be used under the guidance of a physician.)

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Written by Feng Ying Shuai
Traditional Chinese Medicine
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How long does facial neuritis require acupuncture treatment?

Facial nerve neuritis, acupuncture is a very important rehabilitation method for it. The duration of acupuncture should be analyzed based on different individuals. Acupuncture mainly helps with the recovery from facial nerve neuritis. The duration of acupuncture is primarily to restore the movement and sensation of the facial expression muscles on the affected side to be almost the same as the healthy side. At that point, acupuncture can be stopped. Based on clinical situations, most people might need about 2-3 courses of acupuncture to see improvement. However, there are a very small number of people who might need a longer duration of acupuncture, such as 4-5 courses, and some even longer. The duration of acupuncture depends on the location of the nerve damage. If the damage is close to the inside of the skull, the duration might be longer, whereas if it's closer to the outside, it might be shorter. Additionally, the constitution of the patient also plays a role; patients with a stronger constitution might require less time, while those who are weaker, older, or have complications such as diabetes might need a longer duration of acupuncture.

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Written by Tang Bo
Neurology
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What causes facial neuritis?

Facial neuritis, also known as idiopathic facial nerve paralysis or Bell's palsy, is caused by nonspecific inflammation of the facial nerve inside the cranial foramen, leading to peripheral facial paralysis. The exact cause is currently unknown, but it is thought to possibly be related to viral infections of the optic nerve, as well as potentially due to exposure to cold or upper respiratory tract infections. The mechanism of onset involves the bony facial nerve canal, which can only accommodate the facial nerve. However, if the facial nerve becomes ischemic and swollen, it will inevitably lead to nerve compression. Viral infections can lead to local autoimmune responses in the nerves and spasms of the nutrient vessels, resulting in ischemic swelling and facial nerve paralysis.