WHAT IS FACIAL PARALYSIS (FACIAL PARALYSIS)?
You perform your functions such as transferring your expressions to the other side in the face area, closing your eyes tightly and ensuring your lip movements while speaking using some of the muscles in our face. The movements you can control on this face are generally called mimic movements. To make your gestures in the face area:
PLANT TYPE FACIAL PARALYSISIt is the type of facial paralysis that occurs in congenital or subsequent losses due to a disease in the brain. If this condition is unilateral and the other side is functioning properly, paralysis occurs in the parts of the paralyzed side under the forehead area.
PERFIERIC FACIAL PARALYSISIt occurs when the Facial Nerve, which carries the warnings of the facial muscles, does not work correctly due to a disease inside or outside the skull after exiting the brain tissue. In peripheral type facial paralysis, if the other side is intact, half the face is completely inoperable.
WHAT ARE THE SYMPTOMS OF FACIAL PARALYSIS?
- Mimic movements such as raising eyebrows, frowning, squinting of the eyelids, lip shrinking, showing teeth and smiling cannot be performed on the affected side. Forehead wrinkles and other forehead movements cannot be performed.
- The eyelid cannot be closed on the affected side. When you're sleeping, that side of the eyelid stays open. During eyelid closure, the upward shift of the eyeball can be observed.
- The cheek area on the affected side cannot be inflated. When eating, food in the mouth can go out.
- On the affected side hangs the corner of the mouth, the smile cannot be done enough. In some cases, loss of taste, sensitivity to loud noises can be observed.
WHAT CAUSES FACIAL PARALYSIS?Tumors (masses) or deterioration of the bloodstream (brain infarctions) that cause damage to the relevant area of the brain - Bell's palsy: It is a disease for which the exact cause is unknown. When the cause of the disease is investigated, a cause cannot be found. It is the cause of 80% of acute peripheral facial paralysis. One in 64 people has a risk of being seen. Pregnant women who have previously had this complaint in their family are more at risk. - Ramsey Hunt syndrome (Herpes zoster otikus) : It occurs as a result of a viral infection of the facial nerve. It is characterized by facial paralysis, ear pain, hearing loss, skin vesicles, vertigo (dizziness). - Trauma: Temporal bone fractures, blunt or incisive fascial nerve fractures, inoperative fascial nerve damage are examples of these. - Acute-chronic middle ear inflammations - Neurosarcoidosis -Moebius syndrome : It is a condition in which there are no congenital facial nerves. In addition to both sides of facial paralysis, there may also be eye movement problems and hearing problems. The exact cause is unknown. -Tumors : Facial neuroma, hemangiomas, parotis (salivary) gland tumors, acoustic neuromes and metastatic tumors are the most common facial paralysis tumors. -Other (AIDS, autoimmune, Kawasaki disease, Guillain-Barre syndrome, birth trauma...)
WHAT ARE THE FACIAL PARALYSIS TREATMENT OPTIONS?
What is bell's palsy treatment like?
- It is the most common type of facial paralysis.
- 85% of patients make a full recovery.
- 10% of patients have a partial recovery. Sinkinesis (unwanted and unexpected facial movements) and partial facial muscle weakness are observed.
- In 5% of patients, permanent facial paralysis is observed.
- If other causes of facial paralysis are ruled out, treatment should be started with Bell's paralysis in mind. Antiviral drug therapy (Asiklovir, Famsiklovir), high dose steroid (prednison) treatment is started. If severe facial paralysis is present, EMG, CT and MRI examinations should be performed. Eye drops should be used to protect against corneal ulcers.