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>> Traumatic facial nerve palsy
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Traumatic facial nerve palsy

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Medical Therapy Patients with traumatic facial paralysis are often treated empirically with a short course of oral steroids. Brow Brow ptosis leads to cosmetic deformity as well as functional derangements by exacerbating dermatochalasis, thereby encroaching upon the upper visual field. The effect of surgical timing on functional outcomes of traumatic facial nerve paralysis. Potential fracture plane and structures involved in transverse temporal bone fractures. It is not surprising that use of the contralateral facial nerve seems to provide superior spontaneous emotional expressivity over the masseter nerve and this finding has been corroborated. The choice of surgical approach is primarily based on whether the patient has a loss of auditory or vestibular function allowing sacrifice of the labyrinth.

Facial nerve paralysis can result in devastating social consequences for the patient. Iatrogenic injury during otologic or parotid surgery and injury caused by birth trauma represent rare but important causes of traumatic facial paralysis. As CT scan resolution technology has improved, more recent studies take into account CT scan findings when considering surgical exploration. In practice, these tests are not readily available on an urgent basis, they are difficult to perform in an acutely injured patient, and their results may not be predictive of the site of injury. In blunt trauma , the facial nerve is the most commonly injured cranial nerve. This traditional classification system was based on impact studies on cadaveric skulls.

Facial nerve paralysis

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Intratemporal Bone Trauma

    The nerve runs superior to the transverse crest and anterior to the vertical crest Bill bar of bone at the distal IAC before entering the facial canal. Cochlear Corporation; MedEl Corporation. The facial nucleus itself can be affected by infarcts of the pontine arteries. Surgical intervention is not indicated in facial paralysis secondary to birth trauma or extracranial blunt trauma to the face. Surgery for Bell's palsy. In other projects Wikimedia Commons. Reactivation of latent virus within the geniculate ganglion is associated with vesicles affecting the ear canal, and termed Ramsay Hunt syndrome type II. Surgery may be needed to relieve pressure on the nerve.

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