Question
The patient began experiencing paralysis symptoms on December 22, 2013, which have persisted for six months (on the right side). Initially, the patient underwent two days of intravenous drip therapy and four sessions of electroacupuncture treatment. One week later, blisters appeared in the ear, which healed after one week of treatment. From January 5th to March 26th, the patient applied ointment to the affected area, during which time symptoms included difficulty closing eyes while watching the computer for extended periods, leakage of air from the corners of the mouth, and slightly reduced nasal creases. Treatment with acupuncture began on March 26th and continued for two months until June 12th, at which point symptoms improved, but were accompanied by various tics, such as the corner of the mouth moving when closing eyes, the upper lid of the right eye twitching while eating, the inner corner of the mouth contracting when clenching the jaw, the mouth moving when lifting the nose, and the right eye unintentionally closing during a yawn or stretching. There was an asymmetry in mouth contraction. Currently, several points on the face exhibit irregular circular jumps that are not continuous, occurring once every hour or several hours, with the location changing the next day. The patient does not like this sensation. In addition, the right face often feels stiff, and the right eye occasionally sheds a small amount of tears, especially in the morning, with some relief in the afternoon.
Answer
Hello! Post-polio syndrome involving facial muscle tics is usually caused by damage to the facial nerve due to inflammation and incorrect growth during the nerve regeneration process. Currently, you are in the early recovery phase and can undergo facial muscle training. If necessary, consider medication injections to assist with recovery. It is recommended that you practice smiling in front of a mirror to achieve symmetry and a natural look. When you smile…