A crooked mouth can generally be corrected, and the specific method should be chosen according to the cause. Mouth deviation may be related to factors such as facial neuritis, stroke, and trauma, and can be improved through physical therapy, medication, or surgery.
1. Facial neuritis
Oral deviation caused by facial neuritis is usually manifested as unilateral facial muscle weakness, incomplete eyelid closure, and other symptoms. During the acute phase, prednisone tablets can be used according to medical advice to reduce nerve edema, combined with mecobalamin tablets to nourish the nerves. During the recovery period, it is recommended to carry out facial acupuncture and moxibustion or ultrashort wave treatment to help the recovery of nerve function. Patients should avoid direct cold air blowing in their daily lives and use warm towels to apply heat to the affected side.
2. Stroke [SEP]: Mouth deviation caused by cerebrovascular disease is often accompanied by symptoms such as limb hemiplegia and unclear speech. Urgent medical attention is required for a head CT scan. After diagnosis, aspirin enteric coated tablets can be used to prevent platelet aggregation, and edaravone injection can be used to eliminate free radicals. After the condition stabilizes, rehabilitation training is required, including facial muscle massage, pronunciation exercises, etc. Severe cases may require botulinum toxin injection for correction.
3. Traumatic injury
Facial trauma or surgical injury to the facial nerve may cause temporary or permanent mouth deviation. Mild injuries can be observed for 3-6 months, during which the use of vitamin B1 tablets promotes nerve repair. Complete nerve rupture requires nerve anastomosis and postoperative electrical stimulation therapy. Patients should avoid chewing hard objects and keep the wound clean.
4. Congenital malformation
Congenital facial developmental abnormalities such as hemifacial dwarfism may cause skeletal mouth deviation. Childhood can be gradually corrected through jaw traction devices, while adults need to undergo orthognathic surgery to adjust the bite relationship. Preoperative three-dimensional CT evaluation is required, and postoperative jaw traction device fixation is required for 6-8 weeks.
5. Habitual unilateral chewing
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