Treatment lesions of the facial nerve in Piestany

The most common type of cranial nerve lesion is neuritis or facial nerve damage. Mimic muscles of one half of the face are affected, which not only leads to severe psychological trauma to the patient, but also entails logophthalmus, impaired tearing, neuroparalytic keratitis and, at the worst prognosis, blindness. The lesion of the facial nerve is debuted with pain behind the ear, after 1-2 the asymmetry of the face appears, the corner of the mouth drops and the face twists to a healthy side. Difficulties arise with the closing of the eyelid, smile, grin, eyebrow raising, the ability to perceive tastes with the tip of the tongue weakens or completely disappears, dry eye or, on the contrary, tearing develops. Salivation and hyperacusis appear. In the early stages of treatment is carried out by glucocorticoids, anti-edema drugs, vasodilators, vitamins of group B. In case of expressed pain prescribed analgesics. Physiotherapy procedures are prescribed from the second week with rare exceptions: solux from the first days, UHF, paraffin and ozocerite applications from the 5-6th day. Then add massage, exercise therapy, ultrasound therapy, phonophoresis. In cases of congenital neuritis or complete rupture of the nerve, surgical intervention is indicated.