Facial paralysis due to shingles: Complications not to be underestimated

Shingles is a disease caused by the Varicella Zoster virus (VZV), commonly found in people with weakened immune systems. After contracting chickenpox, the virus is not completely destroyed but “sleeps” in the nerve ganglia. When the body’s resistance is reduced due to old age, stress, chronic illness or the use of immunosuppressive drugs – the virus can reactivate, causing damage to the skin and nerves. One of the most serious complications is peripheral facial nerve paralysis.

Illustration photo.

Initial symptoms are usually burning pain, numbness on one side of the face or ear area. After that, the patient may have blisters in the external ear canal, ear rim, mouth or tongue. Within a few days, symptoms of facial paralysis begin to become apparent: crooked mouth when speaking, unable to wrinkle the forehead, unable to close the eyes, taste disturbances, difficulty chewing, drooling. If the VIII nerve is also damaged, the patient may have dizziness, tinnitus, hearing loss.

If not treated promptly, facial paralysis due to herpes zoster can leave permanent sequelae, seriously affecting the quality of life and ability to communicate. Therefore, early treatment - especially within the first 72 hours - plays a key role. The regimen often combines antiviral drugs, corticosteroids, pain relievers and local care of the affected skin area. For patients with dry eyes, artificial tears, eye ointment and corneal protection are needed. During the recovery period, physical therapy exercises, acupuncture, and a combination of Eastern and Western medicine can help improve facial motor function.

The disease is completely preventable with the shingles vaccine. Two types of vaccines are currently available, a live attenuated vaccine and a recombinant inactivated vaccine, which are recommended for people 50 years of age and older or adults at high risk. In addition, a healthy lifestyle, adequate nutrition, adequate sleep, and stress management are also important factors in preventing the disease.

If you or a loved one has blisters in the ear or face, throbbing pain in the head, or sudden facial paralysis, do not ignore it. Go to a Dermatology or Neurology specialist for timely diagnosis and treatment to minimize long-term complications.

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