If you often have cramps at the corners of your mouth, be careful because it may be facial spasm

Symptoms of facial spasm

(1) Facial spasm usually develops after middle age and is more common in women than in men.

(2) The orbicularis oculi muscle is the first and most severely affected muscle, which gradually affects other muscles on the same side of the face.

(3) Facial spasm is manifested by involuntary, paroxysmal, rhythmic twitching of the muscles, which may present as convulsions or tonic seizures in severe cases.

(4) Emotions, fatigue, and mental factors can aggravate symptoms.

(5) There may be an interval of several days to several months during which the patient is like a normal person.

Prevention of Facial Spasm

Idiopathic facial spasm is more common in adults over 40 years old and may be related to arteriosclerosis and hypertension. If the patient is a young person under 30 years old, it often suggests that there are neuroirritant lesions in the cerebellocerebellar angle, internal auditory canal, geniculate ganglion, middle ear mastoid or parotid gland, such as congenital cholesteatoma, hemangioma, acoustic neuroma and arachnoid cyst. Spasm is a dangerous signal of the disease. In such cases, a comprehensive examination of the nervous system should be carried out in time. If necessary, a cranial CT or MRI examination should be performed. It is absolutely necessary to observe and wait to avoid incorrect treatment.

In order to prevent complications of microvascular decompression surgery, first of all, attention should be paid to the surgical position, avoiding sitting or semi-sitting positions to prevent a large amount of air from entering the veins and causing multi-organ air embolism. The surgeon should strengthen basic surgical skills training, open the mastoid air cell and close it in time, be proficient in using the suction device and its pressure adjustment, carefully identify the vascular compression form of the facial nerve exiting the brainstem area, avoid blind electrocoagulation, separation and cutting of blood vessels. If you can pay attention to the above points, the occurrence of complications will be significantly reduced.