Neonatal facial palsy without forceps use: report of two cases and review
Keywords:Newborn, Facial palsy, Corticosteroid
Neonatal facial palsy is a very rare diagnosis with only a few previously published cases of newborns, it can have varying etiologies apart from traumatic causes. The congenital, infectious, inflammatory, neoplastic causes must be eliminated before making the definitive diagnosis of traumatic facial paralysis. A multidisciplinary approach is recommended to differentiate various causes and initiate treatment in a timely manner. Corticosteroids have been used to minimize nerve damage and hasten recovery in the most of studies. We report in this work two cases at 2 and 3 days old of congenital unilateral facial palsy in newborns without history of obstetrical trauma with a good prognosis after corticosteroids with complete resolution.
Pandita A, Mishra N, Gupta G, Shukla A. Neonatal facial palsy, a case series: is CPAP the culprit? BMJ Case Rep. 2018;bcr2018224842.
Al Tawil K, Saleem N, Kadri H, Rifae M, Tawakol H. Traumatic Facial Nerve Palsy in Newborns: Is It Always Iatrogenic? Am J Perinatol. 2010;27(9):711-4.
Laing JH, Harrison DH, Jones BM, Laing GJ. Is permanent congenital facial palsy caused by birth trauma? Arch Dis Child. 1996;74:56-8.
Pilon A, Rhee P, Newman T, Messner L. Bilateral abducens palsies and facial weakness as initial manifestations of a Chiari 1 malformation. Optom Vis Sci. 2007;84(10):936-40.
Morales-Chávez M, Ortiz-Rincones MA, Suárez-Gorrin F. Surgical techniques for smile restoration in patients with Möbius syndrome. J Clin Exp Dent. 2013;5(4):e203-7.
Berker N, Acaroğlu G, Soykan E. Goldenhar’s Syndrome (oculo-auriculo-vertebral dysplasia) with congenital facial nerve palsy. Yonsei Med J. 2004;45(1):157-60.
Jankauskienė A, Azukaitis K. Congenital unilateral facial nerve palsy as an unusual presentation of BOR syndrome. Eur J Pediatr. 2013;172(2):273-5.
Clark GD, Nordli DR, Dashe JF. Facial nerve palsy in children. Wolters Kluwer UpToDate®. 2014.
Alrashdi IS, Rich P, Patton MA. A family with hereditary congenital facial paresis and a brief review of the literature. Clin Dysmorphol. 2010;19(4):198-201.
Varanasi VK. Congenital facial paralysis. Anaplastology. 2012;1:1000-101.
Shapiro NL, Cunningham MJ, Parikh SR, Eavey RD, Cheney ML. Congenital unilateral facial paralysis. Pediatrics. 1996;97:261-4.
Valls-Solé J. Electrodiagnostic studies of the facial nerve in peripheral facial palsy and hemifacial spasm. Muscle Nerve. 2007;36:14-20.
Alam D. Rehabilitation of long-standing facial nerve paralysis with percutaneous suture-based slings. Arch Facial Plast Surg. 2007;9:205-9.
Ramsey MJ, DerSimonian R, Holtel MR, Burgess LP. Corticosteroid treatment for idiopathic facial nerve paralysis: a meta-analysis. Laryngoscope. 2000;110:335-41.
Ashtekar CS, Joishy M, Joshi R. Best evidence topic report. Do we need to give steroids in children with Bell’s palsy? Emerg Med J. 2005;22:505-7.