Post-Surgery Rehabilitation Tips for Facial Nerve Recovery After Acoustic Neuroma Surgery - Neurosurgery

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Recommendations for Facial Nerve Rehabilitation After Acoustic Neuroma Surgery


Hello, Doctor: My mother underwent surgery for a vestibular schwannoma on November 25 of this year and is currently resting at home.
Her current condition includes weakness and numbness on the right side of her face, difficulty chewing on the right side, slower closure of her right eye compared to the left, and an inability to smile naturally.
I would like to ask, if acupuncture is chosen as a method for postoperative rehabilitation, when would be the most appropriate time to begin the treatment? Additionally, besides acupuncture, do you have any other recommendations for postoperative rehabilitation? Thank you!

Jou, 20~29 year old female. Ask Date: 2016/12/05

Dr. Lai Zhaokang reply Neurosurgery


Hello: If the wound has healed and the patient's physical strength is sufficient, they can consult the original surgeon.
It should be possible to arrange for acupuncture with a traditional Chinese medicine practitioner or rehabilitation with a Western medicine specialist.
Neurosurgeon Dr.
Lai Chao-Kang.

Reply Date: 2016/12/05

More Info


Post-surgery rehabilitation after acoustic neuroma surgery, particularly concerning facial nerve recovery, is a critical aspect of the healing process. Given your mother's current condition, where she is experiencing weakness and numbness on the right side of her face, difficulties with chewing, and challenges with eye closure and smiling, it is essential to approach rehabilitation thoughtfully and systematically.


Timing for Rehabilitation
In general, rehabilitation can begin once the surgical site has sufficiently healed and the patient is stable. This typically occurs within a few weeks post-surgery, but the exact timing can vary based on individual recovery rates and the surgeon's recommendations. It is crucial to consult with the surgeon or a rehabilitation specialist to determine the appropriate time to start rehabilitation therapies, including acupuncture or other modalities.


Acupuncture and Traditional Chinese Medicine (TCM)
Acupuncture may be beneficial in promoting nerve regeneration and alleviating symptoms such as pain and numbness. In TCM, acupuncture is believed to stimulate the flow of Qi (energy) and improve blood circulation, which can aid in recovery. If you decide to pursue acupuncture, it is advisable to start treatment after the initial healing phase, usually around 2-4 weeks post-surgery. Regular sessions may be recommended, but the frequency and duration should be tailored to your mother's specific needs and response to treatment.


Additional Rehabilitation Strategies
1. Physical Therapy: Engaging in physical therapy focused on facial exercises can help improve muscle strength and coordination. A physical therapist can design a personalized program that includes exercises to enhance facial symmetry, improve muscle tone, and facilitate better control over facial movements.

2. Facial Exercises: Simple exercises can be performed at home to encourage movement and strength in the affected muscles. These may include:
- Smiling and holding the smile for a few seconds.

- Puffing out the cheeks and holding the air.

- Raising eyebrows and frowning to engage different facial muscles.

3. Speech Therapy: If there are difficulties with speech or swallowing, consulting a speech therapist may be beneficial. They can provide exercises and strategies to improve communication and swallowing function.

4. Eye Care: Since your mother is experiencing difficulty closing her right eye, it is essential to protect the eye from dryness and injury. Using lubricating eye drops or ointments can help keep the eye moist. In some cases, a moisture chamber or eye patch may be recommended, especially during sleep.

5. Nutrition and Hydration: Ensuring proper nutrition and hydration can support overall recovery. A balanced diet rich in vitamins and minerals, particularly B vitamins, can promote nerve health.

6. Emotional Support: Recovery from facial nerve surgery can be emotionally challenging. Providing emotional support and encouraging participation in support groups or counseling can help your mother cope with the changes and challenges she faces during recovery.


Monitoring Progress
It is essential to monitor your mother's progress closely and maintain regular follow-ups with her healthcare team. They can assess her recovery and adjust rehabilitation strategies as needed. If there are any concerns about her recovery or if new symptoms arise, it is crucial to seek medical advice promptly.

In conclusion, while acupuncture can be a valuable component of rehabilitation, a comprehensive approach that includes physical therapy, facial exercises, eye care, and emotional support will likely yield the best outcomes for your mother's recovery after acoustic neuroma surgery. Always consult with her healthcare providers to tailor a rehabilitation plan that suits her specific needs and circumstances.

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