Facial Changes and Ear Ringing: When to Seek Surgical Help - Surgery

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Facial Issues


I would like to ask, my mother said her face and mouth don't look the same as before.
When she opens her mouth, she has been experiencing a buzzing sound in her ears for the past few days.
Can you tell me what this might be? Is it a specific condition? Should she see a surgeon, and which department should she visit for medical attention?

Guan Hong, 20~29 year old female. Ask Date: 2005/05/10

Dr. Chen Junxing reply Surgery


It is possible that you have 1.
facial nerve paralysis (inability to close the eyelid, drooping of the mouth corner, facial stiffness, etc.), or 2.
temporomandibular joint injury (from chewing tough foods or gum).
Additionally, 3.
a cold could also be a possibility.
It is recommended that you visit a major hospital to see a neurologist for a definitive diagnosis.

Reply Date: 2005/05/10

More Info


When it comes to facial changes and symptoms like ear ringing, it is essential to understand the underlying causes and when to seek medical help. Your mother’s experience of facial asymmetry, particularly with her mouth, along with the buzzing sound in her ears, could be indicative of several conditions that warrant further evaluation.

Facial asymmetry can arise from various factors, including neurological issues, muscular problems, or even structural changes due to tumors or other growths. One common cause of facial asymmetry is facial nerve dysfunction, which can occur due to conditions such as Bell's palsy, stroke, or trauma. In Bell's palsy, for instance, the facial nerve becomes inflamed, leading to weakness or paralysis on one side of the face. This could explain why your mother feels her mouth is not moving as it used to.

The buzzing sound in the ears, known as tinnitus, can be associated with several conditions as well. Tinnitus can arise from hearing loss, exposure to loud noises, ear infections, or even issues related to the temporomandibular joint (TMJ). In some cases, it can also be linked to neurological disorders or changes in the inner ear.

Given these symptoms, it is crucial to seek medical attention. The first step would be to consult with a primary care physician or an ear, nose, and throat (ENT) specialist. An ENT doctor can perform a thorough examination, including hearing tests and imaging studies if necessary, to determine the cause of the facial changes and tinnitus. They can also assess whether there is any involvement of the facial nerve or other structures in the head and neck region.

If the ENT specialist identifies a neurological component, they may refer your mother to a neurologist for further evaluation. This is particularly important if there are concerns about conditions like Bell's palsy or other neurological disorders that could affect facial movement.

In terms of treatment, it will depend on the underlying cause. For instance, if the issue is related to inflammation of the facial nerve, corticosteroids may be prescribed to reduce swelling and improve function. If tinnitus is linked to hearing loss, hearing aids or sound therapy might be recommended. In some cases, physical therapy may be beneficial to help regain facial muscle strength and coordination.

It’s also worth noting that early intervention can significantly impact recovery outcomes. If your mother’s symptoms have been present for a short duration, there may be a better chance of improvement with timely treatment. Therefore, it’s advisable not to delay seeking medical help.

In summary, your mother’s symptoms of facial asymmetry and ear ringing could be related to a variety of conditions, and it is essential to consult with a healthcare professional, preferably an ENT specialist, to get a proper diagnosis and treatment plan. Early evaluation and intervention can lead to better outcomes and help manage any underlying issues effectively.

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