Crooked eyes
Introduction
Introduction One of the symptoms of facial paralysis is facial paralysis. Most of the symptoms are: Most patients often wash their faces in the morning and sip their mouths and suddenly find that one side of the cheeks is not working properly and the mouth is skewed. In the side of the disease, the facial muscles are completely paralyzed, the forehead wrinkles disappear, the eye cracks expand, the nasolabial folds are flat, the mouth angles droop, and the mouth angles are hemiplegic to the healthy side when the teeth are exposed.
Cause
Cause
In addition to the sudden cold, the disease is likely to cause facial paralysis, and viral infection is also an important cause of facial paralysis. In addition, from the perspective of the diagnosis of Chinese medicine, the cause of facial paralysis is mostly venous emptiness and coldness.
Followed by liver and kidney yin deficiency, wind and sun on the disturbance. Again, there are many factors, such as damage to the internal capsule, intracranial hemorrhage, intracranial tumor, infection, congenital facial nucleus hypoplasia and many other factors.
The most common causes are licking your ears, picking your teeth, drinking alcohol, and suddenly getting cold when you are sweating.
Examine
an examination
Related inspection
Brain nerve examination
Static check
Stem mastoid: Check for pain in the mastoid or pain in the palate or on the face.
Forehead: Check whether the skin wrinkles in the forehead are the same, light or disappear, and whether the outside of the eyebrows is symmetrical and sagging.
Eye: Check the size of the eye crack, whether the sides are symmetrical, smaller or larger, whether the upper eyelid is drooping, whether the lower eyelid is everted, whether the eyelid is twitching, swelling, whether the conjunctiva is congested or not, whether there is tearing, dryness, acid, The symptoms of swelling.
Ear: Check for tinnitus, ear nausea, and hearing loss.
Cheeks: Check if the nasolabial folds become shallow, disappear or deepen. Whether the cheeks are symmetrical, flat, thickened or twitched. Whether the face feels tight, stiff, numb or atrophy.
Mouth: Check whether the mouth angle is symmetrical, drooping, lifting or twitching; whether the lips are swollen and whether the person is skewed.
Tongue: Check if the taste is involved.
Exercise check
Eyebrow lift exercise: check the motor function of the frontal occipital muscle. Severe patient's forehead is flat, wrinkles generally disappear or become significantly shallower, and the outer side of the eyebrows is obviously drooping.
Frown: Check if the frowning muscles can move, and the amplitude of the eyebrows on both sides is consistent.
Closed eyes: When closing the eyes, you should pay attention to whether the mouth of the affected side has a lifting angle, whether the affected side can be closed, and the degree of closure.
Shrugging: Observe whether there is wrinkles in the nasal pressure muscles, and whether the upper lip movements on both sides are the same.
Show teeth: pay attention to observe the amplitude of the movement of the mouth on both sides, whether the mouth is deformed, the number and height of the upper and lower teeth.
Nuptula: Pay attention to whether the distance between the sides of the mouth and the person is the same, and whether the shape of the mouth is symmetrical.
Drumstick: Mainly check the movement function of the diaphragm muscle.
Diagnosis
Differential diagnosis
Most patients often wash their faces in the morning and sip their mouths and suddenly find that one side of the cheeks is not working properly and the mouth is skewed. In the side of the disease, the facial muscles are completely paralyzed, the forehead wrinkles disappear, the eye cracks expand, the nasolabial folds are flat, the mouth angles droop, and the mouth angles are hemiplegic to the healthy side when the teeth are exposed. The disease side can not be used for wrinkles, eyebrows, eyes closed, air and mouth. When the drumsticks and whistle are whistling, the affected side lips cannot be closed and leak. When eating, food residue often stays in the buccal space of the diseased side, and often has saliva from the side. Because the punctum is everted with the chin, the tears cannot overflow as normal drainage. It is divided into two types: peripheral and central (see the classification of facial paralysis). Among them, the incidence of peripheral facial paralysis is very high, and the most common one is facial neuritis or Bell's palsy. The facial paralysis that people often say, in most cases, refers to facial neuritis.
