An unreadable face: our experience
Keywords:Facial paralysis, Temporal bone fracture, House brackman grade
AbstractBilateral facial nerve palsy (FNP) is a rare condition, representing less than 2% of all cases of FNP. Majority of these patients have underlying medical conditions, ranging from neurologic, infectious, neoplastic, traumatic, or metabolic disorders. The differential diagnosis of its causes is extensive and hence can present as a diagnostic challenge. We report a case of a 27-year-old male who presented to the ENT OPD with sequential bilateral facial nerve paralysis which was delayed onset and post traumatic. This article is an attempt by the authors to stress the importance of combing clinical examination and radiological findings to decision making and to evaluate the various treatment options in this rare entity.
Keane JR. Bilateral seventh nerve palsy: analysis of 43 cases and review of the literature. Neurology. 1994;44:1198-202.
Li J, Goldberg G, Munin MC, Wagner A, Zafonte R. Posttraumatic bilateral facial palsy: A case report and literature review. Brain Injury. 2004;18;315-20.
Steenerson L. Bilateral facial paralysis. Am J Otolaryngology. 1986;7:99-103.
Coello AF, Canals AG, Gonzalez JM, Martín JJ. Cranial nerve injury after minor head trauma. J Neurosurg. 2010;113(3):547-55.
Haberkamp TJ, Harvey SA, Daniels DL. The use of gadolinium-enhanced magnetic resonance imaging to determine lesion site in traumatic facial paralysis. Laryngoscope. 1990,100:1294-300.
De Villiers JC. Fracture-dislocation of the petrous temporal bone. J Neurol Neurosurg Psychiatr. 1971;34:104-09.
Sundar IV, Kurmi DV, Rao K, Sharma V, Chopra S, Jain SK. Delayed onset post- traumatic bilateral facial nerve paralysis: A rare case report. Indian Journal of Neurotrauma. 2012;9:143-46.
Sertac Y. Total facial nerve decompression for severe traumatic facial nerve paralysis: a review of 10 cases. Int J Otolaryngol. 2012;5.
Darrouzet V, Duclos JY, Liguoro D, Truilhe Y, De Bonfils C, Bebear JP. Management of facial paralysis resulting from temporal bone fractures: our experience in 115 cases. Otolaryngol Head Neck Surg. 2001;125:77-84.
Kinoshita T, Ishii K, Okitsu T, Okudera T, Ogawa T. Facial nerve palsy: Evaluation by contrast-enhanced MR imaging. Clinical Radiology. 2001;56:926-32.