Patient's question:
At the beginning of this month, because I went outside one night and rode my motorcycle back very late, I caught a cold. Three days later, I experienced severe facial paralysis where both sides of my face were asymmetrical, and my mouth and eyes were twisted. After treatment, I am now slowly recovering, but I still don't understand why I keep experiencing the symptom of tearing up again.Doctor's answer:
Crying facial paralysis is medically known as crocodile tears syndrome. Most patients with facial paralysis exhibit difficulty closing their eyes and tearing. The main reason is that the orbicularis oculi muscle cannot effectively tighten to pull the muscle down from the convex part of the eyeball and close it. First, ask the patient to close their eyes, then use the palm of your fingers to massage the concave area between the upper and lower eyelids or the infraorbital margin. Gently massage from the inner to the outer side of the upper and lower eyelids to help restore the function of the upper eyelid completely. Generally, peripheral facial paralysis mainly manifests as difficulty closing the upper eyelid. Severe inflammatory types can also reappear with difficulty lifting the lower eyelid.