Facial paralysis

(FACIAL PARLIAMENT IS AN EMERGENCY. WHEN IT HAPPENS, CONSULT YOUR DOCTOR ASAP)

The most important element of communication between people is face-to-face communication. Our faces and gestures are the most important means of conveying our feelings to the other person. Coordinated movements of more than 20 facial muscles are necessary for the formation of our facial expressions. The nerve that stimulates our facial muscles is the facial (fascial) nerve. The impulses coming out of the muscle coordination center in the brain leave the brain and enter the inner ear canal. It is to send a warning to the muscles by spreading to the facial muscles from the corner of the ear and the chin after a curved course in its own bone canal in the middle ear cavity.

Facial paralysis is a partial or total movement disorder in the facial muscles. It is a clinical condition that deteriorates the quality of life both aesthetically and medically. The inability to use facial expressions due to the inability of the muscles to work properly, the inability to close the eye completely due to the paralysis of the eye muscle lead to the complaints of dry eyes, infection, difficulties in eating and drinking due to the dysfunction of the lip muscles, and nasal congestion due to the dysfunction of the nasal muscles.

It is quite easy to diagnose. However, it is very important to find out which disease causes this clinic, that is, to make a differential diagnosis. Because if it is not treated on time and correctly, permanent facial paralysis may develop.

One of the important points is the distinction between peripheral or central facial paralysis. It should be kept in mind that it may be an early sign of central, that is, brain-derived diseases.

Peripheral facial paralysis can occur acutely for many reasons. Many of these reasons are ENT emergencies. So it should be treated urgently.

Causes of peripheral facial palsy

Idiopathic Bell's palsy (unknown cause) (The most common cause)

Congenital (nerve development disorder)

Infections

• Viral infections

• Acute middle ear infections

• Chronic middle ear and outer ear tract infections

• Middle ear infections with cholesteatoma

Trauma

Tumoral diseases

Neurological diseases

Metabolic diseases

Other The most important reason is; It is a complication of middle ear infections. This situation is also an emergency and in some cases, emergency surgical treatment may be required.

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