Gulping and whistling leaks

Introduction In patients with facial paralysis, when they are drumsticks and whistling, they may leak because the affected lips cannot be closed. Facial nerve palsy (facial neuritis, Bell's palsy, Hunter's syndrome), commonly known as "face sputum", "squeaky mouth" "scrub", "hanging wind" is a kind of facial dysfunction muscle dysfunction as the main feature Common diseases, the general symptoms are mouth and eye skew. It is a common disease, frequently-occurring disease, it is not limited by age. The patient's face often fails to complete the basic eyebrow lifting, eye closing, and drumming.

Cause

The root cause of facial paralysis is that the cervical spine bones are dislocated and the nerves are caused by the nerves to cause facial paralysis. The facial muscles are completely paralyzed, the forehead wrinkles disappear, the eye cracks are enlarged, the nasolabial folds are flat, the mouth angle is drooping, and the mouth is angled to the healthy side. Hemiplegia embolism.

Psychological factors are easy to cause facial paralysis: the survey shows that psychological factors are one of the important factors that cause facial paralysis. Before the occurrence of facial nerve palsy, a considerable number of patients have physical fatigue, lack of sleep, mental stress and physical discomfort.

an examination

Related inspection

Facial nerve examination of facial nerve movement examination

The clinical manifestations of facial paralysis are very special: most patients often find that one side of the cheeks is not working properly and the mouth is skewed when washing their face in the morning and gargle. In the side of the disease, the facial muscles are completely paralyzed, the forehead wrinkles disappear, the eye cracks expand, the nasolabial folds are flat, the mouth angles droop, and the mouth angles are hemiplegic to the healthy side when the teeth are exposed. The disease side can not be used for wrinkles, eyebrows, eyes closed, air and mouth. When the drumsticks and whistle are whistling, the affected side lips cannot be closed and leak. When eating, food residue often stays in the buccal space of the diseased side, and often has saliva from the side. As the punctum varus with the chin, the tears can not overflow as normal drainage.

Differential diagnosis

Pay attention to the identification of sublingual nerve injury:

Examination of the sublingual nerve injury: firstly, unilateral or bilateral dyskinesia is found, followed by lingual muscle atrophy and fasciculation. The lips are often weak and unable to suffocate, that is, using the fingers to close the nostrils often cannot be drumsticked. Can be drumsticked when the lips are pressed. It can be seen that the sacral palsy and the sucking reflex disappear. Tongue muscle atrophy with or without lingual muscle fibrillation, abnormal brain stem reflex.

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