Facial Paralysis Edema Phase: Effective Treatment Strategies

Understanding Facial Nerve Inflammation

Idiopathic facial nerve inflammation, often triggered by viral or non-specific inflammatory factors, can lead to swelling and demyelination of the facial nerve. This condition typically manifests as facial paralysis and requires prompt medical intervention to reduce nerve damage and accelerate recovery.

Medical Treatment Options

Corticosteroids and Anti-Inflammatory Therapy

The initial stage of treatment focuses on reducing edema and inflammation. Intravenous corticosteroids, such as Dexamethasone, are commonly prescribed to alleviate swelling and promote the healing of inflammatory demyelination. In addition, intravenous Mannitol can be used to further reduce nerve edema and relieve pressure on the facial nerve.

Nerve Nutrition and Regeneration

To support nerve recovery, patients may receive intramuscular injections of mouse nerve growth factor, combined with oral B-vitamin supplements. Intravenous Mecobalamin (Methylcobalamin) is also frequently used to enhance nerve regeneration and improve overall neurological function.

Antiviral Therapy

If a viral infection is suspected, antiviral medications like Ganciclovir can be administered intravenously. This helps to suppress viral activity and prevent further damage to the facial nerve.

Improving Local Blood Circulation

Enhancing blood flow around the facial nerve is crucial for recovery. Cytidine diphosphate-choline (CDP-choline) can be given intravenously to improve microcirculation. Additionally, traditional herbal formulations such as Salvia Miltiorrhiza and Ligustrazine have shown benefits in promoting circulation when administered via intravenous infusion.

Physical Therapy Approaches

Infrared Radiation and Heat Application

Physical therapy plays a supportive role in managing facial paralysis during the edema phase. Infrared radiation therapy can be applied to the affected area to stimulate circulation and reduce muscle stiffness.

Warm Compress Therapy

The stylomastoid foramen, where the facial nerve exits the skull, is particularly vulnerable during nerve swelling. A warm compress using a mixture of vinegar and warm water can be applied to a point 1–2 cm above the back of the ear. Patients are advised to perform this treatment twice daily for 15 minutes each session, totaling 30 minutes per day, to help relieve pressure and promote nerve function.