PMC9845618_01
A patient with left-sided Bell's palsy. (A) Incomplete closure of the left eye and disappearance of creases on the forehead. (B) Inability to lift the left eyebrow. (C) Asymmetrical smiling and shallow left nasolabial fold. The patient received five sessions of acupuncture treatment. (D) Symmetrical closure of the eye. (E) Forceful raising of the left eyebrow and evident creases on the forehead. (F) Symmetrical smiling and an obvious left nasolabial fold.
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F2
Subsequent examination revealed an inability to complete left eye closure (Figure 2A) and lift the left eyebrow (Figure 2B); furthermore, we noted the disappearance of creases on her forehead. The patient was unable to shrug her left nose, puff out her cheeks, and smile symmetrically (Figure 2C). Using an online video examination, we found that the patient could symmetrically close her eyes (Figure 2D), raise her eyebrows (Figure 2E), shrug the left nose, puff out her cheeks, and smile (Figure 2F) 1 week after delivery.
The locations of acupoints.
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F3
The locations of the above acupoints are shown in Figure 3.
The EMG data and the House-Brackmann scale changed when the treatment progressed.
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F4
The severity of facial paralysis was determined as HBS grade III (Figure 4). The severity of facial paralysis was determined as HBS grade II (Figure 4). The severity of facial paralysis was determined to be HBS I (Figure 4), indicating that the patient had recovered. The patient had retained the symmetrical facial expression during the 2-month follow-up (Figure 4).