How to diagnose and treat facial paralysis for two months

Patient's question:

November 15th, acute onset, unable to close right eye, mouth no expression

Doctor's answer:

Diagnosed with facial paralysis (facial nerve palsy), considered peripheral!
First consider the cause: common causes include viral infection, as well as tumors, including those affecting the facial nerve itself or other tumors compressing the facial nerve!
It is recommended to undergo some tests: CT of the temporal bone and MRI of the head to rule out tumors. Additionally, facial nerve electromyography is essential. If the results indicate that the facial nerve has degenerated by 90%, surgery for facial nerve exploration and decompression should be considered! The decision for surgery requires comprehensive analysis: first, the degree of degeneration (90% or higher); second, the progression of recovery. If there is no sign of improvement after 2-3 months, surgery is recommended!