January 23, 2022

Facial paralysis

Usually when the patient tries to close the eyes, the eyeball of his eye turns upwards and the white part of the eye takes the shape of a bell.

Facial paralysis

Facial paralysis

Sometimes the patient comes to the doctor with the complaint that he thinks only paralysis on the face. After the examination, the doctor finally confirms that he has facial paralysis. In fact, when the nerves that control the movement of the facial muscles, called the 7th cranial nerve in medical terms, become infected and become paralyzed for any reason, symptoms like paralysis appear. Sometimes there is post auricular pain before the onset of this symptom, which can be felt up to the posterior teeth. This pain lasts from a few hours to a day or two. Is. Common symptoms of facial paralysis include not being able to close eyes, not having wrinkles on the forehead, not being able to lift the upper lip, etc.

Usually when the patient tries to close the eyes, the eyeball of his eye turns upwards and the white part of the eye takes the shape of a bell. This is why facial paralysis is also called “Bell’s Palsy”. By the way, in most cases the facial nerves get infected due to infection. However, sometimes allergies, reactions, cold blasts, trauma and drug use can also cause paralysis. Certain medications are effective in treating, but they are used in a specific amount in stages. That is, in the first phase of treatment, the dose of the drug is recommended to be 300 mg. If the drug proves to be effective, then the dose is reduced to 200 mg. The dose is 600 mg for three days and then gradually increased to 100 mg for three more days, after which the drug is discontinued and specific therapy is given for 10 days.

In the third phase of treatment, if no improvement is seen with the therapy in the second phase, it is continued for another six weeks, but if there is no recovery after 6 weeks, the therapy is continued for one year. If the disease does not improve after one year, then the therapy is stopped and the patient is referred to the ophthalmologist. Sometimes the patient has to be referred to a co-plastic or neurosurgeon. If, God willing, there are no signs of improvement then the patient has to spend the rest of his life with a paralyzed face.

(The author is a senior dental surgeon)

Dr. Rana Muhammad Athar Raza

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