Patient's question:
Facial paralysis for 2 years, when first diagnosed, acupuncture for 2 months had no effect, and later, thread embedding had an unclear effect. Currently, acupuncture treatment has been ongoing. Up to now, the mouth is still, and the eyebrows cannot be raised. Now, is very prominent, with symptoms such as tears while eating, inversion, and facial shrinkage.Doctor's answer:
There are many causes of facial paralysis, so it is still recommended to undergo some necessary examinations. First, to determine the possible causes of facial paralysis! Then, to assess the severity of facial paralysis to decide on the next step in treatment!Facial paralysis requires certain examinations, such as an electromyography (EMG) of the facial muscles to determine the severity of the paralysis and a temporal bone CT scan to rule out facial nerve and surrounding tumors! Whether surgery is needed depends on the duration of facial paralysis, the severity of the condition, and the recovery progress, among other factors!
If facial paralysis has been present for too long, the facial muscles may have atrophied. If complete atrophy occurs, there may be no effective treatment available!
An EMG of the facial muscles is needed to check for the presence of fibrillation potentials. If none are found, it indicates that the muscles have completely atrophied!