Facial nerve paresis - is a severe form of acute or congenital otitis. This disease can be determined by a violation of the motor activity of one side of the face.
In this case, there is a weakness observed in the muscles responsible for facial expressions and impairment of nerve impulses.
The disease is classified as a number of neurological diseases.
The most important sign by which the presence of the disease is determined is the asymmetrical half of the face and the complete immobility of one of its sides.
If the paresis touches the mouth, then the person can not fully smile , if the eye, then he can not blink with just one eye.
Because of this, difficulties arise during communication with other people.
Contents of
- What is the difference between paresis from neuritis or paralysis
- Causes of
- development Groups and risk factors
- Symptoms and signs
- Basic
- Additional
- Features of facial nerve paresis in newborns
- Diagnostic techniques
- Treatment of illness
- Methods
- Medication for paresis of the facial nerve
- Complications of pathology
- Prevention
What is the difference between paresis from neuritis or paralysis
From neuritis , paresis of the facial nerve is differentm, neuritis - this is the initial form of inflammation of the nerves, which are located on the face. It can arise from an overabundance of inflammatory elements contained under the skin of the face.
Paresis is not bound only to this type of disease and is a more complex form of the disease.
As for facial paralysis of the , this disease is certainly heavier than the paresis. Paralysis is manifested in a heavier and sharply expressed form, when the patient can not practically move the facial muscles.
If we talk about paresis of the facial nerve, then this disease is partial and does not extend completely to the whole face, because the form of its manifestation is easier.
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Causes of the disease
As for the causes of paresis of the facial nerve, it is most often isolated inflammatory diseases that affected the nerve fibers and the human body as a whole.
As an example, otitis or neuritis, manifested on the facial nerve. As a rule, these diseases often lead to the formation of paresis.
Another important cause is impaired blood supply to the facial nerve, tumor and trauma.
Groups and risk factors
Physicians identify a number of risk factors:
- , firstly, they are usually attributed to various infections of a viral origin when, for example, the usual herpes simplex DNA can be the fault;
- , secondly, it's hypothermia of a local nature, heart disease, for example noise.
The groups to which the facial nerve paresis shares, depend on the degree of complication and on the operative intervention:
- The first group is pareses, which are treated only by techniques that help restore the mobility of the facial nerve.
- The second group - are treated with the help of operations on a nervous basis, which include the "renewal" of the mobility of the facial muscles of the face.
- The third group is treated by stitching the facial nerve with the movable nerves.
- Fourth group - require a dynamic effect on the nerve.
- Fifth group - require corrective operations.
Symptoms and signs
Symptoms of paresis of the facial nerve are divided into basic and additional.
Basic
As the main symptoms of the , the following are distinguished:
- face bending to one side;
- partial immobility of some part of the face, a condition in which a person can not close one eye;
- is also often observed full immobility of the eyebrows, cheeks or lowering the corners of the mouth down, often a person who suffers from paresis of the facial nerve can be identified by a difficult dialect.
Additional
As additional signs of the presence of paresis of the facial nerve,
- can be distinguished by the constant dryness of the eyes or vice versa, nemerous plaque;
- almost complete loss of taste, as well as increased salivation;
- a person can become irritable, loud sounds will get on his nerves, and the corners of the mouth will fall involuntarily.
The photo shows how to recognize the paresis of the facial nerve
Features of the facial nerve paresis in newborns
The paresis of the facial nerve in a newborn can appear as a result of damage to the facial nerve during childbirth.
If the head of the baby passed through a narrow narrow birth passage or when the child was extracted, the forceps were involved, then the risk of paresis would increase several times.
These are the so-called traumatic pareses of the facial nerve, which in practice occur more often. It happens that when the child's face is at rest, no signs reveal the presence of the disease.
But if you just cry, your mouth usually tilts to a healthy side. Paresis can be congenital, and may appear due to some negative effects.
In order to effectively get rid of paresis of the facial nerve in a child, it is necessary to immediately diagnose, and not hesitate to begin treatment.
Diagnostic techniques
In order to diagnose the paresis of the facial nerve, it is necessary to undergo a series of studies. Now there are several of the most modern and accurate methods to which the include:
- a neurological examination;
- MRI of the brain, which is performed to exclude the likelihood of other diseases;
- banal reception of the ophthalmologist and examination of the auditory canals;
- The most accurate method in diagnosis for today is electroneuromyography, which can reveal not only the presence of the disease, but also the degree of destruction of the facial nerve.
Treatment of
Disease Before starting treatment, both the patient and the doctor must set themselves specific goals.
Objectives that solve the treatment of paresis of the facial nerve:
- Firstly, , it is necessary to get rid of the concomitant illness( it can be otitis, and neuritis and the like) to go directly to the treatment of the
itself. - Secondly, , it is necessary to cure swelling and inflammatory processes that have spread in the nerve tissues.
- Thirdly, , it is necessary to maintain blood flow in the nerve tissues, so that the nerves can "feed" and get rid of inflammation.
- Fourth , it is necessary to increase the immunity so that the disease does not return a second time with even greater force.
- And fifthly, , it is necessary to stimulate the regeneration of nerves by all means.
Methods
Methods for treating peripheral and central paresis of the facial nerve are practically the same.
As a treatment, doctors from leading clinics are accustomed to using the methods of integrated therapy.
This course has a lot of advantages, but it will only be effective with timely execution. If treatment has come immediately, paresis will recede in eighty percent of cases.
The first technique of is gymnastics for paresis of the facial nerve, and the second - the use of reflexes.
Widely used and acupuncture, massages, mud poultices and laser treatment .All these techniques are very effective if you act on all the advice and recommendations of a doctor.
First, there will be significant improvements in the general condition, followed by a full recovery option.
At the end of the whole course, doctors can make the face more animated and moving. Also change the shape of the face - it will no longer seem asymmetric. The facial nerve will be able to perform all its functions again, and the symptoms that have been observed from the effect of concomitant illness will go to "no."
Also, after the course of treatment, the risk of recurrent disease is significantly reduced.
Medication for paresis of the facial nerve
Naturally, treatment of facial nerve paresis and without medication is indispensable.
They can be prescribed only by the attending physician, since there is no universal remedy that would suit all patients.
Such drugs usually affect the increase in immunity and the general condition of the patient's body, therefore, a general therapeutic course is prescribed: exercise will help improve blood flow, and drugs increase the susceptibility of nerve fibers and relieve inflammation.
Complications of the pathology of
. No matter how well the course of treatment has been conducted, there is always the possibility of complications. They may be of varying severity, but always of particular importance to the patient.
The most common is the so-called synkinesia .This phenomenon means paralysis of the facial muscles responsible for the facial expression.
Neurologists state that this disease can be understood by the patient if improvements after the treatment of facial paresis did not occur within four to six weeks after the end of the course.
However, in this case, as well as in a number of others, one of the main factors of successful proceeding is the timely treatment of the patient for medical assistance.
Prevention of
In order to prevent this dangerous disease, it is necessary to adhere to some preventive measures.
Otitis is the main disease that leads to paresis of the facial nerve( in about three percent of all cases after the transfer of acute otitis). Chronic otitis promises the 
paresis attack in five percent of cases.
Another important factor affecting the appearance of the paresis is the course of pregnancy.
Since this disease can arise as a result of completely ridiculous accidents, mothers and doctors should be extremely cautious during childbearing and during childbirth.
In general, doctors recommend avoiding hypothermia, as well as timely treatment for cold and infectious diseases of the ears.
