61. Mobius Syndrme: Congenital Facial Paralysis Chapter 9 Möbius Syndrome Congenital facial paralysis. Möbius syndromeor congenital facial paralysis is a rare deformity. The http://www.erlanger.org/craniofacial/book/hemifacial/hemifacial2.htm

Chapter 9 Möbius Syndrome: Congenital Facial Paralysis Hemifacial Microsomia Möbius Syndrome: Congenital Facial Paralysis Hemangiomas CHAPTERS Introduction Clefts of the Lip and Palate Ear Reconstruction Craniosynostosis ... Trauma Reconstruction Hemifacial Microsomia Summary Möbius syndrome or congenital facial paralysis is a rare deformity. The exact frequency of occurrence is not known, with only several hundred cases being reported in the literature. This type of facial paralysis has been classically described as bilateral, complete, and permanent. However, the paralysis occasionally may be asymmetric, in which the upper face is effected and the lower lip movement spared. Although uncommon, this syndrome is very distinct. Bilateral congenital facial paralysis has traditionally been associated with Paul Julius M bius. In 1888, M bius described a clinical entity involving bilateral paralysis of the sixth and seventh cranial nerves. He was the first to single out these particular palsies as a separate entity. Hence, the hallmark clinical features of M bius syndrome are paralysis of the sixth and seventh cranial nerves. The seventh cranial nerve or facial nerve innervates the muscles of facial expression. Paralysis of this nerve results in the mask-like facies and the inability to smile. The paralysis of the sixth cranial nerve results in the inability to abduct the eyes or simply to look to the side by just moving the eyes. Because of this inability to move the eyes laterally, the child follows objects by turning his head from side to side. Patients with M

62. Smile-Surgery.com Unilateral Facial Paralysis describes the features of facial paralysis and their personal effects. Unilateralfacial paralysis RALPH T. MANKTELOW, BA, MD, FRCSC. http://www.smile-surgery.com/unilateral.html

Unilateral Facial Paralysis RALPH T. MANKTELOW, BA, MD, FRCSC DIVISION OF PLASTIC SURGERY TORONTO GENERAL HOSPITAL PROFESSOR OF SURGERY, UNIVERSITY OF TORONTO RONALD M. ZUKER MD, FRCSC, FACS, FAAP HEAD, DIVSION OF PLASTIC SURGERY THE HOSPITAL FOR SICK CHILDREN PROFESSOR OF SURGERY, UNIVERSITY OF TORONTO Unilateral facial paralysis can have major functional as well as aesthetic effects. It may be congenital or acquired later in life. Frequently it is caused by Bell's Palsy, acoustic neuroma and other tumors and may occur in all ages. With the lack of 7th nerve function the muscles of facial expression are weakened or paralysed and do not provide appropriate support and movement for the vital structures of the face. Consequently, there can be lack of eye closure with exposure of the cornea resulting in an uncomfortable eye and possible corneal ulceration. Lack of nasal support may result in obstructive breathing. Lack of support around the mouth affects speech and may result in drooling. When the person's face is at rest, the paralysed side droops and the mouth and nose are crooked. With smiling the paralysed side is pulled toward the normal side resulting in an increased deformity. The function most often missed is the ability to communicate with a pleasant smile. There are many surgical procedures available to reconstruct the paralysed face. The selection and execution of the most appropriate procedures for an individual is important in attaining a good result. Surgery for the eyelids to provide adequate support and movement involves many different procedures. Thus, each patient must be evaluated individually and a specific plan for eyelid protection and movement created. The commonest procedures are static slings for the lower eyelid and gold weights for the upper lids. However, these procedures will not be effective in some situations and muscle transfer or other procedures may be required.

63. Smile-Surgery.com Effects Of Facial Paralysis describes the features of facial paralysis and their personal effects. Itoutlines surgical activity. What are the Effects of facial paralysis? http://www.smile-surgery.com/effects.html

What are the Effects of Facial Paralysis? Facial Paralysis may have a severe effect on an individual both physically and emotionally. Physically, the effects occur mainly around the eye and mouth. The major effects on the eye function are discomfort, tearing, blurring of vision, recurring infections and occasional corneal ulceration. The eye often has a staring-like appearance. The effects around the mouth include lack of support to the lower lip which results in oral incompetence and drooling, speech problems related to lack of kip contact and inability to create a symmetrical smile. On attempting to smile, the normal side pulls over and distorts the paralyzed side frequently making the appearance more abnormal. Often, the greatest concern is the inability to smile and create a positive emotional expression. Facial expression is a critical feature of interpersonal communication. The lack of active facial musculature and facial tone leads to drooping of the face and an asymmetrical appearance at rest. This drooping tends to progress with time and be more apparent in the older patient. Some patients have paralysis on both sides of the face resulting in an expressionless face with no ability to convey emotion through facial expression and flat drooping facial appearance. From an emotional standpoint, the effects of facial paralysis can be enormous. The social consequences of a facial difference are well known, affecting the person's self esteem and ability to function in society.

64. Bi-lateral Facial Paralysis bilateral facial paralysis. Follow Ups Post Followup PPA Message Board Feel like I should not be here, but facial paralysis doesn't get much press. http://www.paralysisproject.org/msgboard/messages/9.html

bi-lateral facial paralysis Follow Ups Post Followup PPA Message Board Posted by Kathryn (24.21.122.217) on December 17, 2001 at 12:47:18: Have no support. Feel like I should not be here, but facial paralysis doesn't get much press. I had a brainstem tumor removed and have had total facial paralysis since (11/99). Can't walk now but will in future. Can I be a part of this forum? Follow Ups: Re: bi-lateral facial paralysis Dave Davis Re: bi-lateral facial paralysis Kathryn Sullivan Re: bi-lateral facial paralysis Catherine Lepone Re: We Must Be Related! John J. Lepone We Must Be Related! John Lepone Re: bi-lateral facial paralysis Catherine Lepone Post a Followup Name: E-Mail: Subject: Comments: : Have no support. Feel like I should not be here, but facial paralysis doesn't get much press. I had a brainstem tumor removed and have had total facial paralysis since (11/99). Can't walk now but will in future. Can I be a part of this forum? Follow Ups Post Followup PPA Message Board

65. Re: Bi-lateral Facial Paralysis Re bilateral facial paralysis. In Reply to bi-lateral facial paralysisposted by Kathryn on December 17, 2001 at 124718 Have no support. http://www.paralysisproject.org/msgboard/messages/12.html

Re: bi-lateral facial paralysis Follow Ups Post Followup PPA Message Board Posted by Catherine Lepone (206.170.209.87) on January 25, 2002 at 11:41:37: In Reply to: bi-lateral facial paralysis posted by Kathryn on December 17, 2001 at 12:47:18: : Have no support. Feel like I should not be here, but facial paralysis doesn't get much press. I had a brainstem tumor removed and have had total facial paralysis since (11/99). Can't walk now but will in future. Can I be a part of this forum? Follow Ups: Re: We Must Be Related! John J. Lepone We Must Be Related! John Lepone Re: bi-lateral facial paralysis Catherine Lepone Post a Followup Name: E-Mail: Subject: Comments: : : Have no support. Feel like I should not be here, but facial paralysis doesn't get much press. I had a brainstem tumor removed and have had total facial paralysis since (11/99). Can't walk now but will in future. Can I be a part of this forum? Follow Ups Post Followup PPA Message Board

66. Thieme Medical Publishers : Product Pages: May, Facial Paralysis May / Schaitkin facial paralysis. Rehabilitation Techniques. 2003 304 pp, 35 tables,1013 illustrations hardcover $89.00 / EUR 99.00 ISBN 1588901181 / 3131322411, http://www.thieme.com/SID2088980784223/productsubpages/pubid1014842119.html

Thieme Medical Publishers Medical Publications May Schaitkin Facial Paralysis Rehabilitation Techniques 304 pp, 35 tables, 1013 illustrations hardcover $89.00 / EUR 99.00 ISBN 1588901181 / 3131322411 Product Information Author Affiliation Table of Contents Sample Chapter/References* Related Links Otolaryngology Plastic Surgery Otology Order now! Add to shopping cart * PDF-File. Instructions on how to download Description Derived from the second edition of the world-famous The Facial Nerve, this targeted new book offers the most comprehensive approach to rehabilitating patients with acute and long-standing facial paralysis. Representing more than 30 years experience of doctors who have performed over 3,000 surgical procedures, it begins with a history of facial rehabilitative surgery, and then focuses on approaches that have proven to be successful over the years. For each surgical operation, you'll get key details on patient selection, indications, contraindications, complications, and more. The book provides step-by-step instructions for the techniques, with more than 1,000 illustrations to demonstrate the procedures. Plus, you'll find valuable tips on non-surgical methods of enhancing the results of the procedures, such as makeup, hair styling, or choice of clothing. All reconstructive surgeonsoral-maxillofacial, opthalmoplastic, facial plastic, skull base, otolaryngologic, and neurowill find this text to be a concise and appealing guide to treating facial paralysis. Residents will also benefit from the wealth of information provided here.

67. Thieme Medical Publishers : Product Pages: Author Affiliation : May, Facial Para May facial paralysis Author Affiliation. Mark May MD (Editor) Barry M.Schaitkin MD, FACS Associate Professor, Department of Otolaryngology http://www.thieme.com/SID2088980784223/productsubpages/contributors/pubid1014842

Thieme Medical Publishers Medical Publications May Facial Paralysis Author Affiliation Mark May MD (Editor) Barry M. Schaitkin MD, FACS Associate Professor, Department of Otolaryngology- Head and Neck Surgery, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA (Editor) Back to Product Information Page [top of page] [back] Thieme Medical Publishers 2003 General information: info@thieme.com Technical Comments/Problems: webteam@thieme.com Purchase information (Rest of World): custserv@thieme.de Purchase information (Americas): customerservice@thieme.com Phone: 1-212-760-0888 * Custserv.: 1-800-782-3488 * Fax: 1-212-947-1112

68. Facial Paralysis facial paralysis Leo Leonidas MD, FAAP WARNING, WARNING, WARNING; Thissection is for my Tufts University medical students. If you http://www.brilliantbaby.com/html/facial_paralysis.html

brilliantbaby.com the website that can help you have a happy, smarter child and teach you how physicians make decisions. Facial Paralysis Leo Leonidas MD, FAAP WARNING, WARNING, WARNING; This section is for my Tufts University medical students. If you are a "worrier" type or a very anxious parent, please talk to your clinician about your child's problem or symptoms, rather than reading this differential diagnosis. There is a mother in my practice who after reading about Tics in the Internet became extremely worried and vowed not to visit the Internet again and read about her sons health problem. Sometimes too much information is not good for our emotional health if we happen to be a worrier. CAUSES OF FACIAL PARALYSIS The most common cause of facial paralysis in children is Bell's Palsy. This is followed by Trauma, Ear Infection, Congenital Causes, and Kawasaki disease, and Lyme Arthritis. Others are rara avis. INFECTIOUS CAUSES Ear Infection (Otitis Media) Lyme Arthritis Mastoiditis (Bone Infection Behind the Ear) Osteomylitis Of Temporal Bone Brain Abscess Herpes Zoster Oticus (Ramsay Hunt Syndrome) Meningitis Encephalitis Guillain-Barre Syndrome Infectious Mononucleosis Influenza Tuberculosis Trichinosis Syphilis Acoustic Neuroma Leukemia Gliomas of Brain Stem Metastatic Tumors (from Neuroblastoma) Eosinophilic Granuloma Tertoma Hemangioma Rhabdomyosarcoma Neurofibromatosis Parotid Gland Tumors Facial Nerve Tumors METABOLIC CAUSES Hypothyroidism Osteopetrosis Diabetes Uremia IDIOPATHIC CAUSES Bells Palsy

69. The Facial Nerve And Facial Paralysis - Bell's Palsy The facial nerver and bell's palsy. Rapid Grading System Downloadable software tograde facial paralysis. The Facial Nerve and facial paralysis Bell's Palsy http://www.entusa.com/bells_palsy.htm

The Facial Nerve and Facial Paralysis - Bell's Palsy: Facial paralysis can be caused by infections such as herpes zoster ( Ramsey Hunt Syndrome ), trauma, and tumors. Most often no cause is found and Bell's Palsy is diagnosed. An MRI scan to visualize the facial nerve and an audiogram to test the hearing nerve (runs along with the facial nerve) may be ordered by your doctor. The facial paralysis from Bell's Palsy is rapidly progressive over 24 to 48 hours, that from a tumor is usually slowly progressive, over many weeks or months. Treatment may include use of steroid and anti-viral medications Surgical decompression of the nerve is debated in medicine. Many feel that in order for surgery to be of benefit, the facial nerve must be decompressed at the entrance of the internal auditory canal, deep within the inner ear (middle fossa decompression). This is a very difficult operation, which in itself carry significant risks. Up to 90% of cases of Bell's palsy will have full or partial recovery of facial function, with over 50% of the cases having close to 100% recovery. Recovery may be rapid over a few weeks or take several months to up to one year. The longer the time of recovery, the more sever the injury and the more likely some residual weakness or synkinesis will be present.

70. Causes Of Facial Paralysis RamseyHunt Syndrome. facial paralysis caused the chicken pox virus (varicella)is called Ramsey-Hunt syndrome. facial paralysis from Middle Ear Infections. http://www.earsite.com/facial_paralysis/ramsey_hunt.html

Ramsey-Hunt Syndrome Facial paralysis caused the chicken pox virus (varicella) is called Ramsey-Hunt syndrome. After having had chicken pox sometime during one’s life, the viral particles remain inactive within the nerves. Upon exposure to extremes in temperature, a stressful event or a cold, the viral particles are reactivated. The symptoms include a facial paralysis associated with a characteristic rash around the ear, hearing loss, and/or a balance disorder. Treatment of the facial paralysis is the same as Bell’s palsy except steroids are not recommended because they can make the viral infection worse. Acyclovoir or its derivatives are used for treatment. Topical acyclovoir ointment can be used on the rash. Typically grouped vesicles filled with fluid eventually burst leaving a scab. Eventually the scabs slough and the skin heals. The hearing loss and/or tinnitus may or may not resolve. The balance disorder usually does get better with time. The same criteria that are used for surgical decompression of the facial nerve for Bell’s palsy also apply to Ramsey-Hunt syndrome. Facial Paralysis from Middle Ear Infections When the facial canal that courses through the middle ear is dehiscent, meaning that the facial nerve is uncovered, a middle ear infection can cause a facial paralysis. Some people are born with a dehiscent facial nerve in the middle ear and in others the middle ear infection and/or cholesteatoma erodes the bony covering of the facial nerve.

71. Thieme Detailseite Facial Paralysis Rehabilitation Techniques Mark May, Barry M. Schaitkin (Hrsg.) facial paralysis Rehabilitation Techniques.310 specialists! facial paralysis. Rehabilitation Techniques. http://www.thieme.de/detailseiten/3131322411.html

Thieme : Detailseiten Mark May Barry M. Schaitkin (Hrsg.) Facial Paralysis: Rehabilitation Techniques 310 Seiten 1010 Abbildungen Original English Edition hardcover EUR ISBN 3131322411 Diese Seite weiterempfehlen Werkinformationen Weitere Titel zu HNO-Heilkunde Chirurgie: Neurochirurgie Augenheilkunde Rezension schreiben Ich habe dieses Buch gelesen, und Weitere Suche Erweiterte Suche... Zu diesem Werk 3,000 surgical procedures later-share the secrets of world-renowned specialists! Facial Paralysis Rehabilitation Techniques The acclaimed second edition of The Facial Nerve presented a comprehensive overview of all facial nerve disorders. This book, extracted from one section of that text, focuses exclusively on treating facial paralysis. Top surgeons provide illustrated, step-by-step surgical instructions for a wide range of techniques, with hundreds of high-quality photographs demonstrating before-and-after results of each procedure. The book begins with a history of facial rehabilitative surgery, and goes on to cover patient selection, indications, contraindications, techniques, complications, and more. You will also benefit from valuable tips on non-surgical methods of enhancing results, such as makeup, hair styling, or choice of clothing. Benefit from these special features: The experience of renowned specialists with more than 30 years clinical practice, and co-editors of the landmark text, The Facial Nerve

72. Application Of YNSA System To Facial Paralysis Application of YNSA System to facial paralysis. ICHIMURA, Yoh In clinicaldentistry, facial paralysis are sometimes found. YNSA system http://www.icmart.org/icmart00/abstract/post3.html

73. Bell's Palsy Partial Facial Paralysis Causes Symptoms Diagnosis Treatments Discover the facts about partial facial paralysis or Bell's Palsy. Learn Bell'sPalsy, Partial facial paralysis Guide picks. Information http://womenshealth.about.com/cs/bellspalsy/

zfp=-1 About Women's Health Search in this topic on About on the Web in Products Web Hosting Women's Health with Tracee Cornforth Your Guide to one of hundreds of sites Home Articles Forums ... Help zmhp('style="color:#fff"') Subjects ESSENTIALS Women's Health Bookstore Symptoms 101 Treatments A to Z ... All articles on this topic Stay up-to-date! Subscribe to our newsletter. Advertising Free Credit Report Free Psychics Advertisement Bell's Palsy, Partial Facial Paralysis Guide picks Information about sudden partial facial paralysis called Bell's palsy. Learn about the causes, symptoms, diagnosis, and treatment of Bell's palsy Bell's Palsy Learn about this condition of partial facial paralysis that strikes thousands annually. Bell's Palsy About Opthamology Guide Dr. Ofer Eytan explains how Bell's Palsy affects the eyes. Acupuncture Treatment for Bell's Palsy Discusses possible causes, and provides specific points for treatment, as well as other useful information. (Acupuncture.com) Doctor, What Is Bell's Palsy? Management of Bell's Palsy An interactive bulletin board where you will find answers to many of your questions about Bell's Palsy... (Massachusetts General Hospital) Email this page!

74. Boy With Fatigue And Facial Paralysis. The Lyme Disease Network Medical / Scientific Abstract Title Boywith fatigue and facial paralysis. Authors Walsh S. Source J http://www2.lymenet.org/domino/abstract.nsf/8c703fae46ce57c28525670a0009ab7e/f7c

75. AP And PERIPHERAL PARALYSIS, FACIAL PARALYSIS PERIPHERAL PARALYSIS, facial paralysis. Cui_Y (1992) Treatment of peripheral facialparalysis by scalp AP a report of 100 cases. JTCM Jun 12(2)106107. http://users.med.auth.gr/~karanik/english/hels/periph.html

76. Facial Paralysis facial paralysis. Posted by Randy on October 27, 19102 at 132703 Would loveto chat with those that suffered from facial paralysis after surgery. http://www.anac.ca/messages/457.html

Facial Paralysis Follow Ups Post Followup ANAC Message Board FAQ Posted by Randy on October 27, 19102 at 13:27:03: Would love to "chat" with those that suffered from facial paralysis after surgery. I'm 4 months post-op, and still nothing that I can perceive. My tumor was 3.5cm, was removed at the House Clinic by the Trans Lab approach. My facial nerve was left intact and was actually doing just fine until about 8 hours after surgery and then decided to shut down. I recently had a spring put in my eyelid so that I can close my it. It has only given me marginal relief, but maybe I just need to learn how to work my "bionic eye." I continue to be told that everything will come back in time. How much time? I hope someone that has suffered the same plight will respond, I either need some encouragement, or a dose of reality...maybe it will never come back. Thanks Follow Ups: Re: Facial Paralysis Eric Re: Facial Paralysis johnr Re: Facial Paralysis Debbie Post a Followup Name: E-Mail: Subject: Comments: : Would love to "chat" with those that suffered from facial paralysis after surgery. I'm 4 months post-op, and still nothing that I can perceive. : My tumor was 3.5cm, was removed at the House Clinic by the Trans Lab approach. My facial nerve was left intact and was actually doing just fine until about 8 hours after surgery and then decided to shut down. : I recently had a spring put in my eyelid so that I can close my it. It has only given me marginal relief, but maybe I just need to learn how to work my "bionic eye." I continue to be told that everything will come back in time. : How much time? : I hope someone that has suffered the same plight will respond, I either need some encouragement, or a dose of reality...maybe it will never come back. : Thanks

77. Re: Facial Paralysis.....have You Had This Surgery? Re facial paralysis ..have you had this surgery? Follow In Replyto Re facial paralysis ..have you had this surgery? posted http://www.anac.ca/messages/302.html

Re: facial paralysis.....have you had this surgery? Follow Ups Post Followup ANAC Message Board FAQ Posted by Tom Rogers on March 28, 19102 at 16:03:37: In Reply to: Re: facial paralysis.....have you had this surgery? posted by Tom Rogers on March 28, 19102 at 15:53:00: : : Hi, I'm Mario Aricci I am 43 years of age. I was diagnosed in March 2000. I underwent surgery in October of that year. I was left with a facial paralysis. My doctor recommends having a nerve graft, in which they take have of the nerve from my tongue. This procedure is called the twelefth and fifth. I would like to hear from someone who has had this procedure done. How successful was this surgery for you? Please reply to my situation as soon as possible on this matter, as I am scheduled for surgery on April 9, 2002. Thank you Hi mario. My name is Tom Rogers and yes I have had the nerve graft done. The nerve graft was done to help the paralsis i have in my face. I think it was sucessful, because it improved the tone in my face. It did not help the feeling in my face, but it helped me feel better about myself. Very sucssful is when they added a gold weight to my eye to help it close My case was somewhat extreme in that my tumor keeps coming back! I just wish that other parts of me were so resiliant!

78. Facial Paralysis facial paralysis. There are few kinds of diseases as curable as facialparalysis through bee acupuncture. facial paralysis comes http://bee-venom.net/acu40/acu40_14.html

Facial paralysis There are few kinds of diseases as curable as facial paralysis through bee acupuncture. Facial paralysis comes from the chill on sensitive or exhausted persons. Bee acupuncture releases very fast the facial paralysis back into a normal state. When you are caught by this symptom, press the chin bone on the paralyzed side. It may smart terribly. This point will be the main one for the bee acupuncture until cured completely. Press also on L, of the protruded bone right behind the ear, and on K, right over the ear. You may feel a sharp pain. Apply bee acupuncture every day until both points no longer ache when pressed upon. With facial paralysis, you can have a problem in closing your eyes tight. The paralyzed side sees light even when closed and can easily cause tears to shed. Your mouth may lie inclined downward on the paralyzed side. Your mouth spills some of the food and saliva while eating. It looks like a serious illness, but you don't need to be afraid. It can be healed with bee acupuncture. Here is the way to apply bee acupuncture.

79. Facial Paralysis facial paralysis. Facial facial paralysis of the central type is causedmainly by cerebral vascular disease or cerebral tumor. Symptoms http://pointinjection.com/ht/facial.paralysis.shtml

Facial Paralysis Facial nerve paralysis, also called "Facial palsy" may be classified into the peripheral type and the central type. Peripheral type is due mainly to facial neuritis induced by exposure to cold and/or wind. Onset is sudden, with pain in the posterior ear region followed by paralysis of the facial muscles of expression, disappearance of forehead creases, and inability to shut the eye. The nasal labial groove is shallow, the mouth is drawn towards the healthy side. There may be loss of the sense of taste in the anterior two-thirds of the tongue on the affected side and acoustic hypersensitivity. Where the disease persists for a long time, the facial muscles of the affected side may become contracted, with the corner of the mouth twisted towards the affected side. There may be muscular twitching and an uncomfortable sensation of stiffness in the face. Facial paralysis of the central type is caused mainly by cerebral vascular disease or cerebral tumor. Symptoms are limited to the lower portion of the face where the muscles are paralysed. The forehead creases and shutting of the eyes are not affected, but there may be hemiplegia or paralysis of the upper extremities. Points: Qianzheng (Extra) Located 0.5 - 1 cun in front of the auricular lobule.

80. Facial Paralysis II This article describes a point injection therapy protocol for facial paralysisII. facial paralysis II. Inject side affected by facial paralysis. http://pointinjection.com/ht/facial.paralysis.2.shtml

Facial Paralysis II Facial paralysis refers to peripheral facial paralysis caused by an acute nonsuppurative inflammation of the facial nerve in the stylomastoid foramen. Clinical manifestations are sudden onset, sluggishness, numbness of the face and paralysis of the affected side, deviation of the angle of the mouth to the healthy side, with incomplete closure of the eye, and the nasolabial groove becomes shallow. Points: SJ 17 Yifeng Prescription: Use Vitamin B1 2 ml, and Vitamin B12 1 ml . (1.5 ml only of the mixed liquid is actually injected) Inject side affected by facial paralysis. Inject at a depth of 1 cm directed toward opposing ear. Repeat every other day. Results: 60 cases were treated by point injection. 48 cases were completely cured, 11 cases were improved and 1 case showed no effect in two courses. Case: Zhang xx, female 53 year old, worker. Zhang had suffered from facial paralysis on her left side for two years. She also experienced numbness on the left side of her face, muscle spasms, and deviation of the angle of the mouth to the right. She went to many doctors, with no curative effect. Diagnosis was left facial paralysis. She was treated with point injection. After 3 treatments, she could open her mouth and drink water normally; after four treatments, she was completely cured. Notes: Acupuncture is used for acute or new cases while point injection therapy is most effective for the chronic or old cases.

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