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2. Long-Term Effects

Untreated hemifacial spasms increase in severity and spread to affect more facial muscles. Larger spasms can involve muscles extending from the eye to the chin. When the tics affect the mouth muscles, they can pull the mouth to one side. All the muscles on the affected side of the face can eventually form a permanent frown. Other symptoms include clicking sounds in the ear, changes in hearing, and hearing loss.

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