Question
The patient has acute symptoms, including the inability to close the right eye and loss of facial expressions. How should treatment be approached?
Answer
Firstly, it is important to consider the cause, which may include common viral infections and tumor compression. It is recommended to undergo temporal bone CT and brain MRI scans to rule out tumors, as well as a facial nerve electromyography. If the facial nerve degeneration reaches 90%, it may be necessary to consider facial nerve exploration and decompressive surgery. The decision to undergo surgery requires a comprehensive analysis of the severity of the condition and the progress of recovery. If there is no sign of recovery within two to three months, it is advisable to consider surgery.