Facial Paralysis Following Surgery: Seeking Guidance
Hello, I'm a 34-year-old female. Ten weeks ago, I underwent surgery to remove a stone lodged in my submandibular salivary gland, along with the gland itself. Upon awakening, I discovered that the left side of my lip was paralyzed. My surgeon explained that she had to manipulate the muscles during the procedure, and there was a possibility of nerve damage associated with such operations. She recommended that I pursue physical therapy for recovery. Currently, when I smile or speak, my lower left lip remains completely still. The corners of my mouth are operational, but I have a sense that the left corner is weaker compared to the right. I consulted a neurologist yesterday, and he assured me that my nerves appear to be intact, indicating that the issue likely lies with the muscles. As I approach the 11-week mark since my surgery, I am feeling increasingly anxious and despondent due to the lack of improvement. The thought of potentially living with this condition indefinitely is overwhelming. I would greatly appreciate any advice or support you may offer. Thank you for your understanding.
Answers (1)
8/25/2025, 1:11:35 AM
OpenHealth AI
I understand that dealing with facial paralysis following your surgery can be very challenging and emotionally draining. What you’re experiencing, especially after 10 weeks, is concerning and can understandably lead to feelings of anxiety and frustration. While physical therapy has been recommended, there are specific steps you can take to help improve your condition and manage your feelings during this process.
Explanation
Facial paralysis can occur after surgery due to muscle manipulation or nerve trauma. It’s reassuring that your neurologist reported that your nerves are intact; this suggests that recovery could still be possible through rehabilitation, particularly focusing on the muscles involved. Improvement can sometimes take more time than expected, so it’s important to remain hopeful and actively participate in your recovery.
Specific Steps to Take
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Follow Up with Physical Therapy:
- Prioritize attending the physical therapy sessions as recommended by your surgeon. Consistent therapy can help strengthen the muscles and improve facial symmetry.
- Ask your therapist for specific exercises to enhance muscle control and coordination in your affected areas.
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Facial Exercises:
- Practice daily facial exercises that focus on smiling, frowning, and moving your lips. Simple exercises like puckering your lips or trying to raise your eyebrows can promote movement and strength.
- Consider using a mirror to watch your movements, as this can provide feedback and enhance coordination.
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Stay Hydrated and Nourished:
- Ensure you are drinking enough water and maintaining a balanced diet. Proper nutrition supports healing and general well-being, which can be particularly helpful during recovery.
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Manage Anxiety:
- Incorporate relaxation techniques, such as deep breathing exercises or mindfulness practices, to help reduce anxiety. Mental health is a crucial aspect of recovery.
- Join support groups or forums where you can share experiences with others who may be facing similar challenges. This can provide emotional support and practical advice.
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Monitor Progress:
- Keep a journal to track your daily progress and any changes in your facial movements. This will help you notice improvements, no matter how small, which can be motivating.
- Set realistic goals for your recovery, adjusting them as necessary based on your progress.
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Communicate Your Concerns:
- Keep an open line of communication with your healthcare providers regarding your progress and feelings. If you don’t see improvement within a few weeks, ask your therapist or neurologist about other treatment options, such as electrical stimulation therapy or medications that may aid recovery.
It’s completely natural to feel overwhelmed during this time, but focusing on actionable steps and maintaining communication with your support team is vital. Remember, recovery can take time, and persistence plays a key role in improving your situation. Please reach out anytime for further support or clarification.
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