Abstract
Traumatic paralysis of the facial nerve by external injury is the second most common cause of facial nerve paralysis after Bell's palsy. Causes of extratemporal facial nerve trauma include lacerations, stab wounds, gunshots, surgery of the parotid gland (both iatrogenic or therapeutic), mandibular fractures, soft tissue avulsion, and contusion. We report an unusual case with unilateral acute traumatic facial paralysis, due to a suicide attempt by hanging. A 46-year-old male patient presented with an immediate-onset right-sided facial paralysis after an attempted suicide by self-hanging. His vital signs were stable. The patient did not report hearing loss or any symptoms related to the respiratory tract. The results of the complete otolaryngologic and neurologic examinations were normal with the exception of a right-sided facial paralysis, indicating a score of III to IV, according to the House-Brackmann facial nerve grading scale (HBS). http://www.entnet.org/journal/casereports/OTO-16.pdf/
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