Different treatment of idiopathic facial paralysis.docVIP

 PAGE \* MERGEFORMAT 8 Different treatment of idiopathic facial paralysis [Keywords:] nerve palsy Idiopathic facial paralysis, also known as facial paralysis or Bell palsy, is the stylomastoid hole caused facial paralysis of acute non-specific clinical manifestations of peripheral facial paralysis. The Department of common disease, so far the exact cause is unknown. Most scholars that is due to edema and compression of the facial nerve caused by ischemia, and some scholars believe that with the viral infection, vascular factors, the facial nerve canal and so on. early pathological changes of the facial nerve edema and demyelination, axonal degeneration may have severe to stylomastoid foramen and the facial nerve canal position the most significant. 1 Clinical manifestations Incidence of the disease can be any age, more common in 20 to 40 years old, men slightly more. The vast majority of the side of the bilateral are rare. No significant seasonal incidence, it was considered in August and in December a little more. was usually acute onset, sudden paralysis on one side muscles of facial expression, the symptoms may be a few hours or 1 to 3 days to reach the peak. About half of the patients had a few days before the onset of paralysis appeal after the mastoid ear, ear or jaw angle of mild pain, which disappeared a few days. Most patients are frequently mouth wash in the morning and found weak eyes can not close or turn a blind eye, cheek, mouth movement or hearing or skew. Clinical signs are: the amount of grain lost the affected side, not the amount of frown wrinkles, eye fission large crack can not be closed or closed eyes insufficiency, eyes closed, turned on when the paralyzed side of the eye outside, exposed white sclera, said Bell sign. Ipsilateral shallow nasolabial fold, drooping mouth, showing teeth when the mouth twisted to the healthy side, and blow whistles or lips due to the affected side can not be closed while the leak, eatin