Clinical features and management of facial nerve paralysis in children: analysis of 24 cases

Abstract

Facial nerve paralysis in children can generally be successfully treated with conservative measures. However, in cases associated with trauma, radiological investigation is required for further evaluation and treatment.

Comparison between early and delayed facial nerve decompression in traumatic facial nerve paralysis - A retrospective study

“…Facial nerve paralysis (FNP) can be caused by infections, iatrogenic, road traffic accidents (RTA), and tumors involving the nerve (2,7) . Seven to 10% of the cases of FNP are caused by temporal bone fractures (TBF) (4,7) .…”

“…Facial nerve paralysis (FNP) is a debilitating and devastating condition causing disfigurement and functional consequences in the form of speech and masticatory difficulties (1)(2)(3)(4) . Common causes of FNP are trauma (motor vehicle accidents), iatrogenic (surgery), infections (Bell's palsy), and tumors (2,3,(5)(6)(7) . Worldwide, seven to 10% of temporal bone fractures (TBF) are caused by road traffic accidents, which lead to FNP (1,4,6,7) .…”

Surgical management of facial nerve paralysis in the pediatric population

“…The American Academy of Neurology does not recommend surgical decompression in children and suggests that more research ought to be conducted before using surgical decompression of the facial nerve in any population [41]. Owing to the lack of current research and conflicting data that are available, facial nerve decompression is not yet a recommended option in the pediatric population, although successes have been reported by some authors [31,103]. For traumatic nerve injuries in children, the first-line treatment ought to be primary, tension-free neurorrhaphy [52].…”

Clinical Features and Practices of Bell Palsy of Children and Adolescent in a Single Center

“…. 전체 환자의 10%가 소아 연령에서 발생하고, 1-14세 소아에 서 100,000명당 6.6명, 18세 이하 연령에서 100,000명당 18.8-21명 의 발생률을 보이는 것으로 알려져 있다 6,11,12) . 소아청소년 연령에서 벨 마비는 성인보다 발생률이 낮고, 예후가 좋아 대부분 환자가 치료 여부와 관계없이 3개월 이내 완전 회복을 보이는 것으로 알려져 있다 1) .…”

“…이러한 이유로 소아청소년기 벨 마비는 임상적 특징, 치료 및 자연 경과를 포함한 예후에 대한 연구와 자료가 부족하다. 특히 국내에서 소아의 안면 마비에 대한 임상적 특징에 대한 소수의 논문이 발표되 었으나, 벨 마비에 대한 문헌이 거의 없는 상태이다 8,12,13) 1,000-1200mg/일을 5-7일간 사용하였다 4,14) . 혈액 9,15,16) , 몇몇 연구에서는 3세 이하에서 가장 빈도가 높다고 하였다 3,13) .…”