INTRATEMPORAL FACIAL NERVE TRAUMA- A STUDY OF 40 CASES
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 12
Abstract
BACKGROUND Acute facial paralysis can result from various causes, among which intratemporal facial palsy is most common. Of all the cranial nerves, the facial nerve is most susceptible to injury due to its long course within the skull. Diagnosis of facial nerve disorders can usually be made by a good clinical history, clinical examination supplemented by radiological investigations. Electrophysiological tests are important in prognosis and can give an idea about the optimal time for surgery. Many cases of trauma recover with conservative treatment including steroids and physiotherapy. Surgery in these cases is still controversial. The present study was undertaken to understand the different treatment modalities, which can be applied for various cases of traumatic facial palsy. Objective- A study of traumatic intratemporal facial nerve paralysis, treatment options and their outcomes. MATERIALS AND METHODS This case series consists of 40 patients who presented to our hospital with traumatic facial palsy. Patients were examined and graded using House and Brackmann grading system. After necessary investigations, patients were then treated either conservatively or by surgical decompression. Follow-up was carried out intermittently until 6 months. RESULTS Out of 40 patients of traumatic facial nerve palsy studied, 28 were due to accidental trauma to the head and 12 due to surgical trauma. 20 out of 28 patients with temporal bone trauma had good recovery, 4 had moderate recovery and 4 poor recovery. Among the surgical trauma group, all 12 patients showed complete recovery. CONCLUSION Early initiation of treatment is important for a favourable recovery of facial nerve function after trauma. Majority of the cases can be treated conservatively. Surgical treatment is indicated in suspected bony impingement of the nerve. Surgical trauma, if identified and managed promptly usually results in good recovery. Transverse fractures are usually associated with poor prognosis.
Authors and Affiliations
Mummoolayil Babu Nishant
Keywords
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- EP ID EP412026
- DOI 10.14260/jemds/2018/332
- Views 85
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