Facial Paralysis after Trauma: A Simplified Method to Find and Repair the Facial Nerve
Journal Title: Otolaryngology – Open Journal - Year 2018, Vol 4, Issue 1
Abstract
Objective This study aims to identify the digastric nerve as an alternative to access the facial nerve in case of post-traumatic facial nerve paralysis. Study design Retrospective study. Setting Tertiary care hospital. Subjects and Methods Eleven peripheric facial paralysis cases between 2005-2016 following trauma to the parotid gland are presented. Initial emergency treatments were done elsewhere but all returned back to treat facial paralysis after 11-18 months to our institute. The digastric nerve was identified and a facial-hypoglossal nerve anastomosis was performed. Results Pre-operative House-Brackmann scores were 6 for all cases. Post-operative scores were between 3 and 4. Pre-operative needle electromyography revealed no motor unit action potentials; after 7 months post-operatively, we had motor unit action potentials in every case. Conclusion In cases of trauma and secondary approaches of the parotid gland, a safe step for finding the facial nerve is to find the digastric nerve and follow it through the main trunk.
Authors and Affiliations
Berk Gürpınar
Keywords
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- EP ID EP536140
- DOI 10.17140/OTLOJ-4-144
- Views 156
- Downloads 0
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