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The facial muscles are controlled by the facial nerve which originates at the brainstem and exits the skull below the ear where it separates into five main branches. A common surgery used to treat hemifacial spasms is called a microvascular decompression mvd. Docs Use Non Surgical Method To Treat Hemifacial Spasm Time In The World Radio Frequency Plastic Surgeon As time progresses it spreads to the whole lid the. Hemifacial spasm surgery . In the majority of cases microvascular decompression mvd will be used to alleviate hemifacial spasm symptoms. J neurol neurosurg psychiatry. Carbamazepine gabapentin etc are ineffective in the treatment of hfs. Microvascular decompression surgery is available and is the only known permanent treatment option. Hemifacial spasms can also occur with regeneration of the facial nerve following facial palsy bell s palsy. It is considered the gold standard for many facial nerve disorders. At upmc the treatment of choice for severe hemif...