Management of Post Traumatic Facial Nerve Palsy: A Hospital Based Study

Abstract

Background: Facial nerve loss of motion by injury is normal cause after idiopathic. Facial paralysis accordingly of intra cranial, intra fleeting and additional transient limit harm or break and both. Sudden and prompt facial nerve paralysis require early surgical intervention for better result. Facial nerve decompression and termino- terminal anastomosis surgical intervention had done in present study. Methods: A prospective study of the 15 cases of traumatic facial nerve palsy attending Department of Otorhinolaryngology, Government Medical College, Shivpuri, MP. The complete clinic examination, otoscopic, audio logical, topo diagnostic, and radiological evaluation were done in all the patients. The outcome of these patients were done on the House-Brackmann nerve grading system. Results: All patients have infra nuclear type of facial nerve palsy. The maximum incidence of facial nerve paralysis found in the age group between 26 to 35 years. Out of 15 patients ,12 patients were normal hearing. Suprachordal (54%) involvement is the most common site of lesion in traumatic facial nerve paralysis. Conclusions: Sudden and immediate onset facial nerve paralysis need early surgical intervention for better outcome .facial nerve decompression were better outcome comparing to termino terminal anastmosis. The facial nerve paralysis prognosis depends upon degree of paralysis, duration of paralysis, site of injury and patients’ factors.