The Symptoms of Facial Paralysis

Patient cannot close the eye on the paralyzed side; cannot wink; tears run over the lower lid upon the cheek; face drawn to one side, most evident when patient smiles.

This affection involves paralysis of the seventh cranial nerve, which is the nerve of motion of nearly all the muscles of the face. It produces a very unpleasant deformity. The side of the face affected is without expression, remaining motionless when the patient laughs or smiles. If he attempts to whistle, the mouth is puckered to one side. In eating, the food accumulates between the teeth and the cheek on the affected side, making it necessary for the patient to use his finger to dislodge it

The Causes of Facial Paralysis

Cold; inflammation of the facial nerve; disease of the heart; injury to the temporal portion of the skull.

The Treatment of Facial Paralysis

Galvanic electricity applied to the affected parts daily or every other day. Faradic electricity is sufficient in mild cases; electricity in some form is essential. Care should be used not to employ too strong a current when using galvanism about the eye. Pinching and manipulation of the affected muscles is an excellent means of restoring their function. On account of the eye remaining open, it is subject to many sources of irritation, as dust, cold winds, etc. The patient may remedy this difficulty to a considerable extent by closing the eye with the finger, or holding the lids together by means of a strip of adhesive plaster. An eminent New York surgeon, Dr. Detmold, has invented an ingenious means of relieving the deformity to a considerable degree. It consists of a smooth hook, made of guttapercha or silver wire, which is hooked into the corner of the mouth on the affected side and connected by an elastic band to the ear. This simple instrument draws the muscles of the mouth into proper shape, and not only relieves the deformity, but when used continuously for a long time, does much toward effecting a cure. An ingenious surgeon has suggested the use of a double hook, made of zinc and copper wire bound together by copper wire, one end being attached to the ear and the other to the corner of the mouth. The electric current generated helps the cure.