Blast injuries to the facial nerve

Fred F Telischi, M. L. Patete

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

The recommended treatment of penetrating traumatic facial nerve injuries associated with immediate, total paralysis of the ipsilateral facial muscles generally includes facial nerve exploration and repair. We reviewed our experience with bullet injuries to the extratemporal facial nerve to determine the efficacy of this approach. Five patients with immediate, total facial nerve paralysis caused by bullet wounds near the extratemporal facial nerve were seen between July 1990 and December 1992. Of four patients who underwent surgical exploration, only one demonstrated complete transection of the facial nerve. Two of these four were followed up with serial electroneuronography, which demonstrated complete degeneration within the first week after injury. The fifth patient was followed up with serial electroneuronography without complete degeneration, and partial recovery was observed. We conclude that penetrating bullet injuries with immediate, total facial paralysis may not necessarily be associated with transection of the facial nerve. We propose a method of treating patients with these injuries using electroneuronography.

Original languageEnglish
Pages (from-to)446-449
Number of pages4
JournalOtolaryngology - Head and Neck Surgery
Volume111
Issue number4
StatePublished - Jan 1 1994

Fingerprint

Blast Injuries
Facial Nerve
Wounds and Injuries
Facial Paralysis
Facial Nerve Injuries
Facial Muscles
Paralysis

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Blast injuries to the facial nerve. / Telischi, Fred F; Patete, M. L.

In: Otolaryngology - Head and Neck Surgery, Vol. 111, No. 4, 01.01.1994, p. 446-449.

Research output: Contribution to journalArticle

Telischi, Fred F ; Patete, M. L. / Blast injuries to the facial nerve. In: Otolaryngology - Head and Neck Surgery. 1994 ; Vol. 111, No. 4. pp. 446-449.
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