Management of Facial Paralysis Resulting from Temporal Bone Fractures: Our Experience in 115 Cases

Darrouzet, V.; Duclos, J Y; Liguoro, Dominique; Truilhé, Y; Bonfils, Camille De; Bébéar, J. P.

doi:10.1067/mhn.2001.116182

Cited by 167 publications

(143 citation statements)

References 15 publications

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“…As advised by Darrouzet et al, immediate onset facial nerve palsy with a fracture line running through the Fallopian canal is considered a definite indication for early surgical intervention [9]. Many researchers advocate no exploration for non-penetrating trauma for intra-temporal facial nerve palsy [9].…”

Section: Discussionmentioning

confidence: 99%

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Post-traumatic acute bilateral facial nerve palsy - a management dilemma

Kumar¹,

Bajaj²,

Purohit³

et al. 2015

Romanian Neurosurgery

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Acute bilateral facial nerve paralysis is a rare clinical entity, and its management remains very controversial (operative or conservative). Here we are presenting a case of acute onset bilateral facial nerve palsy following head injury with bilateral temporal bone fracture with clinico-radiographic contrary. Patient was managed conservatively with complete recovery. By this article, authors want to stress on combining clinical examination and radiological findings for decision making of this rare entity and tried to evaluate the management.

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Section: Discussionmentioning

confidence: 99%

“…Many researchers advocate no exploration for non-penetrating trauma for intra-temporal facial nerve palsy [9]. Patients with delayed onset facial Brought to you by | MIT Libraries Authenticated Download Date | 5/12/18 2:28 AM weakness or incomplete facial weakness should be managed conservatively with steroids and vasodilators [9].…”

Section: Discussionmentioning

confidence: 99%

Post-traumatic acute bilateral facial nerve palsy - a management dilemma

Kumar¹,

Bajaj²,

Purohit³

et al. 2015

Romanian Neurosurgery

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“…Prognostic factors of traumatic facial palsy are the severity and onset time of facial nerve paralysis. Incomplete and delayed types of facial nerve paralysis present a better prognosis [2,9]. Fig.…”

Section: Discussionmentioning

confidence: 99%

Clinical Feasibility of Multiplanar Reconstruction Images of Temporal Bone CT in the Diagnosis of Temporal Bone Fracture with Otic-Capsule-Sparing Facial Nerve Paralysis

Lim

Jun

Song

2012

Indian J Otolaryngol Head Neck Surg

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The aim of this study is to evaluate the feasibility of multiplanar reconstructive (MPR) imaging of temporal bone CT in the diagnosis of temporal bone fracture with oticcapsule-sparing facial nerve paralysis. Twelve patients with traumatic facial nerve paralysis with oticcapsule sparing and temporal bone fractures were selected. Multiplanar reconstruction images were obtained with the V-works 4.0 software program (Cybermed, Seoul, Korea) using axial scanning of high-resolution temporal bone CT of the fracture line. The clinical profiles of the patients displaying temporal bone fractures were examined in relation to the findings. Multiplanar images of the fracture line provided information regarding the direction of the external force that fractured the temporal bone. The fracture line was more continuous in the MPR images than in the axial view. All patients showed an imaginary extended fracture line directed toward the otic capsule. The direction of the fracture line toward the middle ear cavity is important, as it may suggest insult to the otic capsule. The MPR image parallel to the fracture line of the temporal bone provides a guideline for the vector of the force that induced the fracture. Thorough investigation of the critical organs during surgical exploration is recommended if the direction of the fracture in the MPR image points toward the otic capsule in the middle ear even if the fracture line relative to the otic capsule is not well defined in the axial or CT view.

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“…Complete facial injuries either early or delayed, are best treated early by surgical decompression of the nerve [2,18]. Incomplete injuries may be treated first with steroids [18]. Severe facial palsy not associated with a clear fracture line may be followed clinically and electrophysiologically.…”

Section: Discussionmentioning

confidence: 99%

Traumatic Facial Diplegia and Horner Syndrome: Case Report

Roth

Toaff

Margalit

et al. 2007

Eur J Trauma Emerg Surg

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Traumatic facial diplegia is an uncommon pathology, and is usually associated with bitemporal bone fractures. Traumatic Horner syndrome is mostly associated with carotid artery dissection. We present a case with traumatic facial diplegia and a unilateral Horner syndrome where the mechanisms of injury were unusual. The patient had developed his neurological deficits 9 days following trauma. We discuss the mechanisms of the facial palsy and Horner syndrome and the importance of their diagnosis.

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Management of Facial Paralysis Resulting from Temporal Bone Fractures: Our Experience in 115 Cases

Cited by 167 publications

References 15 publications

Post-traumatic acute bilateral facial nerve palsy - a management dilemma

Post-traumatic acute bilateral facial nerve palsy - a management dilemma

Clinical Feasibility of Multiplanar Reconstruction Images of Temporal Bone CT in the Diagnosis of Temporal Bone Fracture with Otic-Capsule-Sparing Facial Nerve Paralysis

Traumatic Facial Diplegia and Horner Syndrome: Case Report

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