The cause of unilateral facial atrophy is unknown, and there is no good treatment. Treatment with acupressure can improve the condition of some of these patients. Most of the patients are 10~20 years old. It usually starts around the orbit and gradually progresses to one side of the face. The facial skin, subcutaneous tissue, muscles, and bones were all atrophied, and the trigeminal nerve distribution was more common.

The skin in the atrophic area is thin, hairless, sweatless, and pigmented, and the oral and nasal mucosa is atrophied, and saliva production is reduced. If orbital contents are involved, sunken eyes and vision loss may occur. In some patients, the contralateral or ipsilateral limb may also be affected.

1. Methods and steps

See Figure 2-1-50.

Figure 2-1-50 Unilateral facial atrophy massage

(1) The patient can be in a sitting or supine position, and the surgeon should gently rub the patient's facial muscles with the large thenar of the palm for 3~5 minutes, mainly on the affected side, as shown in this figure (1).

(2) The surgeon uses the thumbs of both hands to balance and rub the face on both sides, the affected side should be light, and the operation is repeated for 3~5 minutes, see this figure (2).

(3) Immediately following the above method, the surgeon gently rubs the sun, cheek car, and Dicang acupoint on the affected side with two thumbs with a light hand for 3~5 minutes, see this figure (3).

(4) The surgeon gently rubs the patient's face with the palms of both hands, and repeatedly operates on the atrophied side of the face for 1~3 minutes, with the local skin feeling warm as the degree, see Figure (4).

2. Precautions

(1) Before treatment, a clear diagnosis should be made first, and organic facial nerve lesions and brain lesions should be excluded.

(2) Facial muscle atrophy should be self-treated according to the course of treatment to build confidence.

(3) At the same time as manual therapy, it can be combined with hot compress treatment on the face (rub your hands together and gently apply it to your face or use a warm towel for a period of time).

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