Facial Swelling and Nerve Damage After an Accident

Eight months after the car accident, still experiencing facial numbness and swelling - follow-up inquiry?

Hello Dr.
Lee! Thank you for your response.
I have a few more questions for you: 1.
Why does nerve damage lead to facial swelling? 2.
Will the facial swelling eventually subside, and will the face be symmetrical again? 3.
Do I need to undergo any additional supportive treatments, such as acupuncture or physical therapy? 4.
When you say that the nerve cannot fully repair to normal, does this mean that the numbness in my face and teeth will persist? Thank you for your patience!

fifi, 30~39 year old female. Ask Date: 2016/07/27

Dr. Li Zhonghuai reply Surgery

Hello! I still recommend that you return to your original treating physician for a follow-up.
The healing status of the bone needs to be assessed through a 3D reconstruction CT scan; without reviewing the images, a direct conclusion cannot be made.
Take care! Changhua Hospital cares about you!

Reply Date: 2016/07/27

More Info

Hello! Thank you for your questions regarding facial swelling and nerve damage following an accident. Let’s break down your concerns one by one.

1. Why does nerve damage lead to facial swelling?
Nerve damage can lead to facial swelling due to a few reasons. When nerves are injured, they can cause inflammation in the surrounding tissues. This inflammation is a natural response of the body to injury, as it attempts to heal the damaged area. Additionally, if the facial nerves that control blood flow and fluid balance in the face are affected, it can lead to an accumulation of fluid, resulting in swelling. This is particularly common in cases of trauma where there is also soft tissue injury.

2. Will the swelling eventually go down, and will my face become symmetrical again?
In many cases, facial swelling from nerve damage can improve over time, especially with appropriate treatment. The duration of swelling can vary based on the severity of the injury and individual healing processes. As for symmetry, while many individuals experience a return to a more symmetrical appearance, complete symmetry may not always be achievable, particularly if there has been significant nerve damage or muscle atrophy. However, with rehabilitation and therapy, many patients see substantial improvement.

3. What additional treatments should I consider?
Depending on the extent of your nerve damage and swelling, various treatments can be beneficial. Physical therapy is often recommended to help regain strength and function in the affected muscles. Techniques such as electrical stimulation can also promote nerve healing and muscle function. Acupuncture and other alternative therapies, like massage, may help reduce swelling and improve circulation, but it’s essential to consult with your healthcare provider before starting any new treatment. They can guide you on the most effective therapies based on your specific condition.

4. What does it mean that nerves may not fully recover?
When we say that nerves may not fully recover, it means that while some function may return, there could be lingering effects. Nerve regeneration is a slow process, and in some cases, the nerve may not heal completely, leading to persistent symptoms such as tingling, numbness, or weakness in the affected areas. This can result in a sensation of "numbness" or "tingling" in the face and teeth, which may persist even after other symptoms have improved.
In conclusion, while nerve damage can lead to complications such as facial swelling and asymmetry, many patients experience significant recovery over time with appropriate treatment. It’s crucial to maintain open communication with your healthcare provider to monitor your progress and adjust your treatment plan as needed. They can provide tailored advice based on your specific situation, ensuring you receive the best possible care for your recovery. Thank you for your questions, and I wish you a smooth recovery!

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